WebInitial Adult Core Set The Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) required the development of a core set of adult health care quality measures in Medicaid (§ 1139B of the Act). In 2010, CMS and AHRQ convened a separate advisory committee to evaluate measures for inclusion in the initial Adult WebDec 22, 2024 · CMS Adult Core Set ... members who are identified in the chart review process. 4. Exclude members age 66 and older as of December 31 of the measurement year with frailty and advanced illness. Members who meet both of the following criteria are excluded: a. At least one claim/encounter for frailty (Frailty Device Value Set ; Frailty …
2024 Adult Core Set - Medicaid
Web• CMS Adult Core Set (SSD-AD) – Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications; • CMS Adult Core Set (IET-AD) – Engagement of Alcohol & Other Drug Abuse or Dependence Treatment; • CMS Adult and Child Core Set (CHL-CH) (CHL-AD) – Chlamydia Screening in Women; Webencounter in any setting other than an ED visit (ED Value Set) or a medically managed withdrawal (i.e., detoxification) event (Detoxification Value Set) with a diagnosis of SUD (Alcohol Abuse and Dependence Value Set, Opioid Abuse and Dependence Value Set, Other Drug Abuse and Dependence Value Set) during the 194 days prior to the SUD … portland trail blazers snapback hats
Amerigroup Community Care - Georgia Medicaid
WebDec 1, 2024 · Spotlight News Today, the Core Quality Measures Collaborative (CQMC) released four updated core measure sets covering specific clinical areas as part of its mission to provide useful quality metrics as the nation’s health care system moves from one that pays based on volume of services to one that pays for value. These updated core … Webrecognition program. Administrative measures and eCQMs align with the CMS Child and Adult Core Sets and the Medicare Quality Payment Program (QPP). Note that if an administrative measure has a certified, matching eCQM, both measure types will be included in the measure set. However, PCMPs are limited to reporting on either the Webrecommendations. The current CMS Adult Core Set Prenatal and Postpartum Care: Postpartum Care (PPC-AD) measure is expected to align with this in the future. The current Measure PPC-AD measures the percentage of deliveries of live births on or between November 6 of the year prior to the measurement year and November 5 of the option ee pension