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0 | HC.101 | AL | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.179 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and PCCM populations. Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
1 | HC.101 | AL | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.397 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and PCCM populations. Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
2 | HC.101 | AL | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | null | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | Data Suppressed | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rates include FFS population. The state described the "other" data source used to calculate the measure as the following: "Separate CHIP claims data." | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
3 | HC.101 | AL | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | null | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | Data Suppressed | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rates include FFS population. The state described the "other" data source used to calculate the measure as the following: "Separate CHIP claims data." | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
4 | HC.101 | AK | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.255 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Administrative Services Organization Information System." State noted: "This measure analyzes a small target population; this results in high fluctuation in the rates from year to year. There might be some undercount due to timely filing lag." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
5 | HC.101 | AK | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.309 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS population. The state described the "other" data sources used to calculate the measure as the following: "Administrative Services Organization Information System." State noted: "This measure analyzes a small target population; this results in high fluctuation in the rates from year to year. There might be some undercount due to timely filing lag." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
6 | HC.101 | AZ | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.375 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (12 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
7 | HC.101 | AZ | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.486 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (12 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
8 | HC.101 | AR | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.176 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS, PCCM, and managed care populations (3 MCOs). State reported that rates exclude the following populations: "Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes." Rates were audited or validated. State noted: "Calculation used eligibility data and state did not verify if beneficiaries had medical and chemical dependency benefits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts. Mental Health providers in MMIS are identified by Provider Type and Specialty Codes." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
9 | HC.101 | AR | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.282 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS, PCCM, and managed care populations (3 MCOs). State reported that rates exclude the following populations: "Medicare/Medicaid dual eligible beneficiaries identified in the measurement year. For continuous enrollment exclusions, calculation excluded eligibility segments for Medicare Assistance and non-Medicaid aid category codes." Rates were audited or validated. State noted: "Calculation used eligibility data and state did not verify if beneficiaries had medical and chemical dependency benefits. For event measures, the delivery system percentages are not based on event counts, it is based on unique beneficiary counts. Mental Health providers in MMIS are identified by Provider Type and Specialty Codes." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
10 | HC.101 | CA | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.245 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (25 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
11 | HC.101 | CA | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.322 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (25 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
12 | HC.101 | CO | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.228 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and managed care populations (2 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
13 | HC.101 | CO | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.313 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and managed care populations (2 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
14 | HC.101 | CO | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.268 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rates include managed care population (4 MCOs). Rates were audited or validated. | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
15 | HC.101 | CO | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.317 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rates include managed care population (4 MCOs). Rates were audited or validated. | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
16 | HC.101 | CT | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.329 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS population. Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
17 | HC.101 | CT | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.466 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS population. Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
18 | HC.101 | DE | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | null | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | Data Suppressed | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (2 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
19 | HC.101 | DE | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.316 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (2 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
20 | HC.101 | DC | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.416 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (4 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
21 | HC.101 | DC | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.536 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (4 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
22 | HC.101 | FL | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.158 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
23 | HC.101 | FL | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.261 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by the health plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
24 | HC.101 | HI | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | null | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | Data Suppressed | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (5 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plans." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
25 | HC.101 | HI | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.211 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (5 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plans." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
26 | HC.101 | IL | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | null | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | Data Suppressed | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (6 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
27 | HC.101 | IL | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | null | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | Data Suppressed | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (6 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
28 | HC.101 | IN | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.195 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
29 | HC.101 | IN | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.308 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
30 | HC.101 | IA | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.54 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (2 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
31 | HC.101 | IA | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.621 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (2 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
32 | HC.101 | KS | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.247 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Reported Data." Rates are provisional. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
33 | HC.101 | KS | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.425 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Reported Data." Rates are provisional. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
34 | HC.101 | KY | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.253 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (6 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
35 | HC.101 | KY | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.412 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (6 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
36 | HC.101 | LA | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.13 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
37 | HC.101 | LA | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.228 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
38 | HC.101 | ME | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.361 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS, PCCM, and ICM populations. State reported the following deviations: "Results include only paid claims, deviating from measure specifications which call for inclusion of all paid, suspended, pending, and denied claims." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
39 | HC.101 | ME | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.472 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS, PCCM, and ICM populations. State reported the following deviations: "Results include only paid claims, deviating from measure specifications which call for inclusion of all paid, suspended, pending, and denied claims." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
40 | HC.101 | MD | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.333 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (9 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
41 | HC.101 | MD | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.485 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (9 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
42 | HC.101 | MA | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.368 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include PCCM and managed care populations (15 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
43 | HC.101 | MA | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.474 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include PCCM and managed care populations (15 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
44 | HC.101 | MN | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.254 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (9 MCOs). State noted: "Data source includes paid and denied claims only. Optional exclusion (e.g., removing beneficiaries that died during the measurement year) was applied." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
45 | HC.101 | MN | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.336 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (9 MCOs). State noted: "Data source includes paid and denied claims only. Optional exclusion (e.g., removing beneficiaries that died during the measurement year) was applied." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
46 | HC.101 | MS | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.179 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed Care Health Plan Reporting." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
47 | HC.101 | MS | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.254 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Managed Care Health Plan Reporting." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
48 | HC.101 | MO | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.211 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (4 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
49 | HC.101 | MO | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.293 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (4 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
50 | HC.101 | NE | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.238 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plan Claims Data." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
51 | HC.101 | NE | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.401 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plan Claims Data." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
52 | HC.101 | NV | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.227 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
53 | HC.101 | NV | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.28 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include managed care population (4 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
54 | HC.101 | NV | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | null | null | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | Not Reported | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: None | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
55 | HC.101 | NV | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | null | null | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | Not Reported | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: None | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
56 | HC.101 | NH | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.306 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "FFS members were excluded. NH had 829 FFS members at the end of 2023." The state described the "other" data sources used to calculate the measure as the following: "The Managed Care Organization's data is from their claims system." Rates were audited or validated. State noted: "Submitted values were based on HEDIS data for reporting year 2023." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
57 | HC.101 | NH | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.419 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "FFS members were excluded. NH had 829 FFS members at the end of 2023." The state described the "other" data sources used to calculate the measure as the following: "The Managed Care Organization's data is from their claims system." Rates were audited or validated. State noted: "Submitted values were based on HEDIS data for reporting year 2023." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
58 | HC.101 | NJ | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.152 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (5 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HEDIS measurement year 2022 administrative collection method submitted by the MCOs." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
59 | HC.101 | NJ | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.226 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (5 MCOs). The state described the "other" data sources used to calculate the measure as the following: "HEDIS measurement year 2022 administrative collection method submitted by the MCOs." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
60 | HC.101 | NM | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.189 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Audited HEDIS." Rates were audited or validated. State noted: "The data reported is an aggregate total of all 3 MCOs' administrative HEDIS data." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
61 | HC.101 | NM | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.31 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "MCO Audited HEDIS." Rates were audited or validated. State noted: "The data reported is an aggregate total of all 3 MCOs' administrative HEDIS data." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
62 | HC.101 | NY | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.26 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plan Billing Data." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
63 | HC.101 | NY | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.369 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Health Plan Billing Data." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
64 | HC.101 | NC | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.198 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "The denominators for this measure contain NC Medicaid Payer data only." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
65 | HC.101 | NC | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.28 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "The denominators for this measure contain NC Medicaid Payer data only." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
66 | HC.101 | NC | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.321 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "North Carolina Health Choice Children includes ages 6 through 18. The denominator for this measure contains NC Medicaid Payer data only." | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
67 | HC.101 | NC | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | 0.429 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rates include FFS and managed care populations (5 MCOs). Rates were audited or validated. State noted: "North Carolina Health Choice Children includes ages 6 through 18. The denominator for this measure contains NC Medicaid Payer data only." | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
68 | HC.101 | ND | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.21 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and PCCM populations. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
69 | HC.101 | ND | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.339 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and PCCM populations. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
70 | HC.101 | OH | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.317 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
71 | HC.101 | OH | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.489 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (5 MCOs). State reported that rates exclude the following populations: "Ohio used Medicaid Managed Care HEDIS results, which would not include Fee-for-Service." The state described the "other" data sources used to calculate the measure as the following: "Managed care claim rates were calculated on a per-plan basis using the administrative method with data coming from an appropriate source as determined by NCQA-certified Managed Care Plans." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
72 | HC.101 | OK | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.11 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
73 | HC.101 | OK | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.159 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and PCCM populations. State reported that rates exclude the following populations: "Excluded members enrolled in a Home or Community Based Services Waiver." State reported the following deviation: "Calculation allows any number of allowable gaps up to 45 days instead of just one gap of up to 45 days." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
74 | HC.101 | PA | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.22 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by managed care plans and compiled by EQRO." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
75 | HC.101 | PA | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.326 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Data submitted by managed care plans and compiled by EQRO." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
76 | HC.101 | RI | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.283 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
77 | HC.101 | RI | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.517 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). State reported that rates exclude the following populations: "The measure does not include the FFS population. The state does not have the measure data for the FFS population." The state described the "other" data sources used to calculate the measure as the following: "Administrative data as provided in HEDIS reports by Medicaid Managed Care Organizations (MCOs)." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
78 | HC.101 | SC | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.226 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (5 MCOs). State noted: "Population restricted to full Medicaid beneficiaries enrolled in MCO plan." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
79 | HC.101 | SC | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.338 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (5 MCOs). State noted: "Population restricted to full Medicaid beneficiaries enrolled in MCO plan." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
80 | HC.101 | SD | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | null | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | Data Suppressed | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
81 | HC.101 | SD | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.126 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS population. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
82 | HC.101 | TN | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.201 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
83 | HC.101 | TN | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.334 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (3 MCOs). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
84 | HC.101 | TX | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.151 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two 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's 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." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
85 | HC.101 | TX | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.266 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and managed care populations (16 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two 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's 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." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
86 | HC.101 | TX | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | null | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | Data Suppressed | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two 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's 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." Rates were audited or validated. | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
87 | HC.101 | TX | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | Administrative | null | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | Data Suppressed | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: CHIP rates include managed care population (15 MCOs). The state described the "other" data sources used to calculate the measure as the following: "Two 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's 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." Rates were audited or validated. | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
88 | HC.101 | VT | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.471 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
89 | HC.101 | VT | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.588 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include "other" delivery system (Vermont Medicaid is operated under managed care as a public non-risk prepaid inpatient health plan). Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
90 | HC.101 | VA | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.233 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (6 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
91 | HC.101 | VA | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.368 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS and managed care populations (6 MCOs). | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
92 | HC.101 | WA | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.233 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: "Excludes children with dual Medicaid/Medicare eligibility and/or full third-party liability (11% of the full Medicaid/CHIP under age 21 population)." State reported the following deviations: "Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
93 | HC.101 | WA | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.355 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include FFS, PCCM, and managed care populations (5 MCOs). State reported that rates exclude the following populations: "Excludes children with dual Medicaid/Medicare eligibility and/or full third-party liability (11% of the full Medicaid/CHIP under age 21 population)." State reported the following deviations: "Specifications instruct to include all paid, suspended, pending, and denied claims, however, the state only used paid claims." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
94 | HC.101 | WV | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.162 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and managed care populations (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Medicaid Enterprise Data Solution (EDS)." Rates were audited or validated. The logic includes the following allowable adjustments: The criteria is based on Age as of ED visit but the age groups were defined by end of measurement period. State noted: "The State's Medicaid Enterprise Data Solution is NCQA Certified for FUA-CH." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
95 | HC.101 | WV | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid only | Administrative | 0.263 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Medicaid rates include FFS and managed care populations (3 MCOs). The state described the "other" data sources used to calculate the measure as the following: "State's Medicaid Enterprise Data Solution (EDS)." Rates were audited or validated. The logic includes the following allowable adjustments: The criteria is based on Age as of ED visit but the age groups were defined by end of measurement period. State noted: "The State's Medicaid Enterprise Data Solution is NCQA Certified for FUA-CH." | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
96 | HC.101 | WV | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | null | null | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | Not Reported | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: None | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
97 | HC.101 | WV | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | CHIP only | null | null | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | Not Reported | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: None | null | 0 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
98 | HC.101 | WI | Rate | 7-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.225 | higher | 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 | true | percent | 41 | 0.228 | null | 0.54 | 0.11 | 0.195 | 0.283 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "HMO Unique Claims Systems." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 177 |
99 | HC.101 | WI | Rate | 30-Day Follow-Up | 1 | null | null | null | null | null | null | null | null | null | null | null | null | 2,023 | Medicaid & CHIP | Administrative | 0.337 | higher | 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 | true | percent | 44 | 0.337 | null | 0.621 | 0.126 | 0.281 | 0.422 | null | Mathematica analysis of the Quality Measure Reporting (QMR) system reports for the FFY 2023 reporting cycle as of June 1, 2023. | State-specific comments: Rates include managed care population (2 MCOs). The state described the "other" data source used to calculate the measure as the following: "HMO Unique Claims Systems." Rates were audited or validated. | null | 1 | 1 | null | null | 1 | null | null | null | null | null | null | null | null | null | null | null | Rate | null | null | null | 178 |
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