More information and tools to navigate federal and state health information laws in Michigan can be found on the Protected Health Information Consent Tool webpage. The Adult Core Set specifications include guidance for calculating this measure using the administrative method. Participants must also meet the following criteria by age: Adults (21 orolder): a bodymass index (BMI) of 30 or higher or 18.5 or lower according to the CDC, Children (5 to 21 years old): abody mass index (BMI) that falls in either the overweight or the underweightcategory according to the CDC. The included populations and calculation methods for Adult Core Set measures can vary by state. Anyone over the age of 55 who has received Medicaid assistance, and. ISPs that would have expired through December 31, 2020, have been extended for 12 months. Diabetic ketoacidosis This measure also aligns with the Centers for Disease Control and Preventions 6|18 Initiative focus on controlling asthma. Users should have their personal information associated to their I&A account information and establish surrogacy or employer connections as needed to allow others to work on their behalf in other CMS applications (NPPES, PECOS, HITECH). The following states did not report data to the Centers for Medicare & Medicaid Services (CMS) for this measure: AK, AZ, CA, IA, ID, IL, ME, MI, MN, MO, MT, NC, NE, NY, OK, PR, SD, and WY. Note: You will be redirected to the I&A website. In addition, states may include beneficiaries in some delivery systems, but exclude other delivery systems. Observation visits with a mental health provider In response to the COVID-19 public health emergency, hospitals that have received approval from HHSC via the Health and Human Services COVID-19 Off-Site Facility Application can add alternate physical addresses for temporary off-site facilities. Care Management These data show performance rates for states that voluntarily reported the measure using Child Core Set measure specifications. Notes: Users cannot use two SMS/Text or two emails for MFA setup. For example, a state may include beneficiaries who are enrolled in managed care, but exclude beneficiaries who are covered on a fee-for-service (FFS) basis. Notes: States used Child Core Set specifications, based on National Committee for Quality Assurance (NCQA) 2020specifications. The term states includes the 50 states, the District of Columbia, and Puerto Rico. This measure reports state performance on the percentage of live births that weighed less than 2,500 grams in the state during the measurement year. The American Academy of Pediatrics and Bright Futures recommend nine well-care visits by the time a child turns 15 months of age. A locked padlock Effective March 29, 2022, COVID-19 vaccine administration code 0094A is a benefit of Medicaid, (HTW), the Family Planning Program (FPP), and the Children with Special Health Care Needs (CSHCN) Services Program for the administration of the booster dose of the Moderna COVID-19 vaccine to individuals 18 years of age or older. Electroconvulsive therapy with a mental health provider The MFA code will last between 5 minutes to 15 minutes. Explore the percentage of adolescents who received the recommended immunizations by their 13th birthday in each state: The Adult Core Set specifications include guidance for calculating this measure using the administrative method or the hybrid method. Learn more about the change from MSIS to T-MSIS and steps CMS has taken to work with states to improve data quality and outcomes: T-MSIS uses cloud infrastructure services for advanced data processing, security, and storage. The Child Core Set specifications include guidance for calculating this measure using the administrative method or the hybrid method. States calculate a rate for each vaccine as well as two combination rates for this measure. For example, a state may include beneficiaries who are enrolled in managed care, but exclude beneficiaries who are covered on a fee-for-service (FFS) basis. The measurement period for this measure was January 2019to December 2019. Source: Mathematica analysis of Medicaid and CHIP Program System (MACPro) reports for the Child Core Set Federal Fiscal Year (FFY) 2020 reporting cycle as of June 18, 2021; see2020 Child and Adult Health Care Quality Measures. A federal government managed website by theCenters for Medicare & Medicaid Services.7500 Security Boulevard Baltimore, MD 21244. The term states includes the 50 states, the District of Columbia, and Puerto Rico. This measure reports the treatment initiation and engagement rates among beneficiaries with the following diagnoses: Beginning August 11, 2022, for dates of service on or after July 13, 2022, reimbursement rates for COVID-19 vaccine administration procedure codes 0041A and 0042A will be implemented for Texas Medicaid, the Children with Special Health Care Needs (CSHCN) Services Program, Healthy Texas Women (HTW), and the Family Planning Program (FPP). The measurement period for this measure was January 2019to December 2019. DCFS is responsible for child abuse prevention, protection, foster care, and adoption programs. Read the TMHP bulletin issued on June 3, 2022. The Division of Medical Services handles the day-to-day management of the Arkansas Medicaid program, ensuring providers get paid and clients get medically necessary services. Because some of these requirements, like immunizations and physical exams, require an in-person visit, providers must follow-up with their patients to ensure completion of any components within 6 months of the telemedicine visit. Read the TMHP bulletin issued on July 28, 2022. The purple dashed line represents the median, or middle, of all values reported. NPPES now uses I&A to determine the Providers you have access to in NPPES. Unless otherwise specified, administrative data sources are the states Medicaid Management Information System (MMIS) and/or data submitted by managed care plans; medical record data sources are paper and/or electronic health records. Source: Mathematica analysis of Medicaid and CHIP Program System (MACPro) reportsfor the Adult Core SetFederal Fiscal Year (FFY) 2020reporting cycle as of June18, 2021; see2020ChildandAdult Health Care Quality Measures. For more information on the Asthma Medication Ratio: Ages 5 to 18 (AMR-CH) measure, visitChild Health Care Quality Measures. Higher rates are better on this measure. Read the TMHP bulletin issued on August 17, 2022. To streamline this page, some older information has been archived. CMS additionally provides States with data quality technical assistance to monitor and address specific data quality issues. These data show performance rates for states that voluntarily reported the measure using Adult Core Set measure specifications. Higher rates are better on this measure. Vision and hearing screening A provider can change the Primary Taxonomy online by accessing https://nppes.cms.hhs.gov and completing the steps below: On the Home Page of the NPPES website, enter your I&A User ID and password. The measurement period for this measure was January 2019to November 2019. Contact your state Medicaid office for more information about Medicaid or CHIP renewal. Secure .gov websites use HTTPS Medicaid For NPPES users, they can also contact the NPPES Helpdesk (Enumerator Team). Mental health status, including postpartum depression All statesincluding the District of Columbiaprovide data each month about their Medicaid and Childrens Health Insurance Programs (CHIP) eligibility and enrollment activity. As a reminder, the Provider web portal address remains the same as the ACS Web portal is now redirecting you to the HP Web portal. NCI is a collaborative effort by developmental disability agencies to gather a standard set of performance and outcome measures on individuals with intellectual or developmental disabilities. Note: After three unsuccessful attempts to answer the three security questions, you will be required to enter the User Information associated with your account. If you are making an update to Section 3C Other Provider Identification Numbers or Section 3D Provider Taxonomy Code, be sure to indicate if the information is to be added to the NPI record or if it is to replace the information that is currently in the NPI record. Once the MFA setup is confirmed, as the user logs into the application with their User ID/Password credential, an MFA verification code will also be sent via the users preferred MFA method. Unless otherwise specified: This variation in populations can affect measure performance and comparisons. Once you have successfully created your account if you are on an approved enrollment in PECOS, your Provider Organization will be automatically added to your profile. Some states reported exclusions from the denominator, as noted in the state-specific comments. For example, some states include populations in certain programs, such as beneficiaries covered by Medicaid, but exclude beneficiaries in other programs, such as those dually eligible for Medicare and Medicaid. The Georgia Medicaid Management Information System (GAMMIS) serves as the primary web portal for Medicaid, PeachCare for Kids and all related waiver programs administered by the Department of Community Health's Medical Assistance Plans Division. These individual checks will include mostly the same checks that were used as a part of the prior TPI assessment methodology. Enrollment staff support for Minnesota's automated system for payment of medical claims and capitation payments for Minnesota Health Care Programs (MHCP) which includes MinnesotaCare, MA and Medicare Supplement Programs. Co-payments are not required for covered services delivered via telemedicine or telehealth to CHIP members. The goal of MFA is to create a layered defense and make it more difficult for an unauthorized person to access a target such as a physical location, computing device, network, or database. MCOs have 30 calendar days to pay an invoice received from a provider. Higher rates are better on this measure. Long-term asthma control medications are recommended for adults with persistent asthma. Medicaid Enterprise System Solution/Module Contract Status Denominators are assumed to be the measure-eligible population for states using the administrative method. Selecting Taxonomy on the top progression bar. The following states used National Committee for Quality Assurance 2019 specifications: NJ and OR. Share sensitive information only on official, secure websites. States can also choose to calculate this measure using the administrative or hybrid method. If you remember your User ID but cannot remember your password, you may reset your password by selecting the Forgot Password link on the I&A Sign In page and follow the instructions on the screen. These data show performance rates for states that voluntarily reported the measure using Child Core Set measure specifications. The program includes testing and treatment provided on or after February 4, 2020 and began accepting claims May 6, 2020. The U.S. Preventive Services Task Force recommends that women between the ages of 50 to 74 undergo mammography screening once every two years. The scorecard is another resource on state reporting progress on T-MSIS. How long is the grace period that NPPES users have before they are required to use MFA in order to successfully log into NPPES? Higher rates are better on this measure. Breast cancer causes approximately 42,000 deaths in the United States each year. The following states did not report data to the Centers for Medicare & Medicaid Services (CMS) for either the 7-day Follow-Up or 30-day Follow-Up rate: AK, CO, ID, IL, LA, ME, MD, MI, MT, SD, UT, and WY. How do I deactivate my active NPI record? Higher risk of falling behind in school The purple dashed line represents the median, or middle, of all values reported. This measure reports state performance on the percentage of adults age 18 and older with a new episode of AOD abuse or dependence who (1) initiated timely treatment through an inpatient AOD admission, outpatient visit, intensive outpatient encounter or partial hospitalization, telehealth, or medication treatment within 14 days of the diagnosis (initiation rate) and (2) initiated treatment and were engaged in ongoing AOD treatmentwithin 34 days of the initial visit (engagement rate). For more information on the Follow-Up After Hospitalization for Mental Illness: Age 18 and Older (FUH-AD) measure, visitAdult Health Care Quality Measures. Early intervention increases overall wellness and reduces medical costs. For more information, see the TMHP bulletin posted February 28, 2022. CMS continually works to enhance T-MSIS in accordance with the U.S. federal government's Digital Services Playbook. States voluntarily report on Well-Child Visits in the Third, Fourth, Fifth, and Sixth Years of Life (W34-CH) as part of the Core Set of Children's Health Care Quality Measures. The purpledashed line represents the median, or middle, of all values reported. For more information on the Initiation & Engagement of Alcohol & Other Drug Dependence Treatment (IET-AD) measure, visitAdult Health Care Quality Measures. Your name, APA member number, city, state, phone number, fax number, and e-mail address; State the question or describe the problem thoroughly but succinctlya short paragraph is usually all that is necessary; Include any relevant correspondence from Medicare carriers, insurance companies, or third-party payers Do I need to have my browser cookies enabled to access NPPES? The term states includes the 50 states, the District of Columbia, and Puerto Rico. Official websites use .gov Higher rates are better on this measure. For Title XIX purposes, "systems mechanization" and "mechanized claims processing and information retrieval systems" is identified in section 1903(a)(3) of the Act and The Adult Core Set specifications include guidance for calculating this measure using the administrative method. Employer orientations scheduled through January 2022 will be virtual or by telephone. Unless otherwise specified, administrative data sources are the states Medicaid Management Information System (MMIS) and/or data submitted by managed care plans; medical record data sources are paper and/or electronic health records. Explore the percentage of children who had 6 or more well-child visits in their first 15 months in each state. In addition, states may include beneficiaries in some delivery systems, but exclude other delivery systems. Does CMS gain control of my personally-owned mobile device once I enable MFA? The Update is sent to all active enrolled providers. The Division of Children and Family Services works to ensure children and youth have a safe and stable home every day. Excessive visits to the ED can result in overcrowding and increased ED wait times. The following states were updated with data from the June 2022 reporting period: Alabama, California. Within broad Federal guidelines, States can develop home and community-based services waivers (HCBS Waivers) to meet the needs of people who prefer to get long-term care services and supports in their home or community, rather than in an institutional setting. This variation in populations can affect measure performance and comparisons between states. For international users, please add email as your MFA method. It is not recommended for any user to log into a providers I&A account. Psychiatry.org Medicaid and CHIP Services Information for Providers Selecting Next until you are navigated to the Taxonomy page. Over time, more states may choose to report these measures and work to incorporate them into quality improvement programs. These enrollment data may not align with the data included in this report because of methodological differences. Early and regular use of preventive dental services Source: Mathematica analysis of MACPro reports for the Adult Core Set Federal Fiscal Year (FFY) 2020reporting cycle as of June 18, 2021; see2020ChildandAdult Health Care Quality Measures. AZ and KY reported data for FFY 2019. From a surviving child who is under age 21 years or is blind or permanently disabled (based on Social Security criteria), regardless of where he or she lives. High blood pressure, or hypertension, increases the risk of heart disease and strokethe leading causes of death in the United States. A key indicator of the continuity of primary care is whether adolescents are up to date on their immunizations. The following states did not report data to the Centers for Medicare & Medicaid Services (CMS) for this measure: CO, ID, MT, and PR. Medicaid Participants can find the latest information on the Medicaid COVID-19 Participants Updates page. If you receive Personal Care Services or Home Health Services, you may be impacted by EVV. The included populations for Adult Core Set measures can vary by state. Transitional care management services with a mental health provider HHSC has encouraged health plans to take advantage of these options when responding to COVID-19. Vendor Information. If you have a medical appointment, but you do not have a car,cannot operate a car, or do not have a friend or family member who can takeyou to your apppointment, you can request transportation through MTM. For FFY 2020, some states calculated and submitted their Form CMS-416 reports, while others chose to have CMS produce their Form CMS-416 reports using Transformed Medicaid Statistical Information System (T-MSIS) data. Denominators are assumed to be the measure-eligible population for states using the administrative method. Consider residents and interns. The included populations and calculation methods for Child Core Set measures can vary by state. What are some Medicaid programs? Source: Mathematica analysis of Medicaid and CHIP Program System (MACPro) reports for the Child Core SetFFY2020reporting cycle as of June 18, 2021; see 2020Child and Adult Health Care Quality Measures. Upon receiving the code from the MFA services the user will enter the code in I&A to verify the account. Information Updates can be made by mailing a Paper Application/Update Form available for download by accessing https://nppes.cms.hhs.gov or by contacting the NPI Enumerator and requesting one via mail. Notes: Medicaid offersdifferent programs toprovide healthcare coverage for adults in Idaho: To view more details about available health plans and find cost-sharing information please see below: Medicaidwill pay for a number of services, such as: TheWeight Management benefit (WM) is designed to help eligibleparticipants and their families improve their lifestyle through: Qualifyingparticipants can earn up to $200 each year to help pay for services offered byPHA providers such as participation in theNational Diabetes Prevention Program, fees for a weight management program, a gymmembership, healthy lifestyle classes, or nutrition classes or services. Controlling high blood pressure is an important step in preventing heart attacks, strokes, and kidney disease. Partial hospitalizationswith a mental health provider 7.6% of the population had overnight stays in 2017, each stay lasting an average of 4.6 days. Read the TMHP bulletin issued on September 16, 2022. Total Medicaid and CHIP Enrollment- Total enrollment figures represent the total unduplicated number of individuals enrolled in Medicaid and CHIP as of the last day of the reporting period. Medicaid, ARHOME, and ARKids Clients. This measure reports state performance on the percentage of women ages 50 to 74 who received a mammogram to screen for breast cancer during the measurement year or two years prior to the measurement year. The Adult Core Set specifications include guidance for calculating this measure using the administrative method. All users who use CMS Identity and Access Management System (I&A) to log into their applications, this includes I&A, NPPES, PECOS, and HITECH, will need to set up an option for MFA. For example, a state may include beneficiaries who are enrolled in managed care, but exclude beneficiaries who are covered on a fee-for-service (FFS) basis. The medications also have side effects. you may contact the HP Provider Contact Center at 1-800-766-4456. Information and personal contact information willbe securely transmitted directly to MTM and will be kept confidential to theextent required by HIPAA. The following states did not report data to the Centers for Medicare & Medicaid Services (CMS) for this measure: ID and MT. Some states reported exclusions from the denominator, as noted in the state-specific comments. Specifications for this measure changed substantially for Federal Fiscal Year (FFY) 2019. The following states did not report data to the Centers for Medicare & Medicaid Services (CMS)for this measure: AK, CO, DC, FL, GA, ID, IL, IN, KY, ME, MT, NM, NV, OR, PR, RI, UT, VA, and WI. How Does Multi-Factor Authentication (MFA) Work? If a nursing home sends many residents to the hospital, it may indicate that the nursing home is not properly assessing or taking care of its residents. Outcomes Based Assessment, or OBA, is an improved assessment framework to review T-MSIS data quality. Does the Practice Location office have medical equipment accessible to individuals with mobility disabilities? For more information on the Ambulatory Care: Emergency DepartmentVisits (AMB-CH) measure, visitChild Health Care Quality Measures. A federal government managed website by theCenters for Medicare & Medicaid Services.7500 Security Boulevard Baltimore, MD 21244, An official website of the United States government, Improving Care for Medicaid Beneficiaries with Complex Care Needs and High Costs, Promoting Community Integration Through Long-Term Services and Supports, Eligibility & Administration SPA Implementation Guides, Medicaid Data Collection Tool (MDCT) Portal, Using Section 1115 Demonstrations for Disaster Response, Home & Community-Based Services in Public Health Emergencies, Unwinding and Returning to Regular Operations after COVID-19, Medicaid and CHIP Eligibility & Enrollment Webinars, Affordable Care Act Program Integrity Provisions, Medicaid and CHIP Quality Resource Library, Lawfully Residing Immigrant Children & Pregnant Women, Home & Community Based Services Authorities, July 2022 Medicaid & CHIP Enrollment Data Highlights, Medicaid Enrollment Data Collected Through MBES, Performance Indicator Technical Assistance, 1115 Demonstration Monitoring & Evaluation, 1115 Substance Use Disorder Demonstrations, Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations, Seniors & Medicare and Medicaid Enrollees, Medicaid Third Party Liability & Coordination of Benefits, Medicaid Eligibility Quality Control Program, State Budget & Expenditure Reporting for Medicaid and CHIP, CMS-64 FFCRA Increased FMAP Expenditure Data, Actuarial Report on the Financial Outlook for Medicaid, Section 223 Demonstration Program to Improve Community Mental Health Services, Medicaid Information Technology Architecture, Medicaid Enterprise Certification Toolkit, Medicaid Eligibility & Enrollment Toolkit, SUPPORT Act Innovative State Initiatives and Strategies, SUPPORT Act Provider Capacity Demonstration, State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services, Early and Periodic Screening, Diagnostic, and Treatment, Vision and Hearing Screening Services for Children and Adolescents, Alternatives to Psychiatric Residential Treatment Facilities Demonstration, Testing Experience & Functional Tools demonstration, Medicaid MAGI & CHIP Application Processing Time, Follow-Up After Hospitalization for Mental Illness: Ages 6 to 17, Follow-Up After Hospitalization for Mental Illness: Age 18 and Older, Follow-Up After Emergency Department Visit for Mental Illness: Age 18 and Older, Use of Opioids at High Dosage in Persons Without Cancer: Age 18 and Older, Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment: Age 18 and Older, PQI 01: Diabetes Short-Term Complications Admission Rate: Age 18 and Older, Number of Hospitalizations per 1,000 Long-Stay Nursing Home Resident Days, Percentage of Long-Stay Nursing Home Residents who got an Antipsychotic Medication, Prenatal and Postpartum Care: Postpartum Care, Live Births Weighing Less Than 2,500 Grams, Well-Child Visits in the First 15 Months of Life, Well-Child Visits in the Third, Fourth, Fifth, and Sixth Years of Life, Adolescent Well-Care Visits: Ages 12 to 21, Percentage of Eligibles Who Received Preventive Dental Services: Ages 1 to 20, Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%): Ages 18 to 75, Controlling High Blood Pressure: Ages 18 to 85, Ambulatory Care: Emergency Department (ED) Visits: Ages 0 to 19, State Use of Experience of Care Surveys for Beneficiaries Using Long-Term Services and Supports. 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