Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists

Measure Information	2022 Performance Period
CMS eCQM ID	CMS74v11
NQF Number	Not Applicable
Description	Percentage of children, 6 months - 20 years of age, who received a fluoride varnish application during the measurement period
Initial Population	Children, 6 months - 20 years of age, with a visit during the measurement period
Denominator	Equals Initial Population
Denominator Exclusions	Exclude patients who are in hospice care for any part of the measurement period.
Numerator	Children who receive a fluoride varnish application during the measurement period
Numerator Exclusions	Not Applicable
Denominator Exceptions	None
Measure Steward	Centers for Medicare & Medicaid Services (CMS)
Measure Scoring	Proportion measure
Measure Type	Process measure
Improvement Notation	A higher score indicates better quality
Guidance	This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.
MIPS Quality ID	379
Telehealth Eligible	Yes
Next Version	CMS74v12
Previous Version	CMS74v10

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Measure Information	2021 Performance Period	2022 Performance Period	2023 Performance Period
Title	Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists	Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists	Primary Caries Prevention Intervention as Offered by Dentists
CMS eCQM ID	CMS74v10	CMS74v11	CMS74v12
NQF Number	Not Applicable	Not Applicable	Not Applicable
Description	Percentage of children, 6 months - 20 years of age, who received a fluoride varnish application during the measurement period	Percentage of children, 6 months - 20 years of age, who received a fluoride varnish application during the measurement period	Percentage of children, 6 months - 20 years of age, who received a fluoride varnish application during the measurement period as determined by a dentist
Initial Population	Children, 6 months - 20 years of age, with a visit during the measurement period	Children, 6 months - 20 years of age, with a visit during the measurement period	Children, 6 months - 20 years of age at the start of the measurement period, with a clinical oral evaluation by a dentist during the measurement period
Denominator	Equals Initial Population	Equals Initial Population	Equals Initial Population
Denominator Exclusions	Exclude patients whose hospice care overlaps the measurement period	Exclude patients who are in hospice care for any part of the measurement period.	Exclude patients who are in hospice care for any part of the measurement period
Numerator	Children who receive a fluoride varnish application during the measurement period	Children who receive a fluoride varnish application during the measurement period	Children who receive a fluoride varnish application during the measurement period
Numerator Exclusions	Not Applicable	Not Applicable	Not Applicable
Denominator Exceptions	None	None	None
Measure Steward	Centers for Medicare & Medicaid Services (CMS)	Centers for Medicare & Medicaid Services (CMS)	Centers for Medicare & Medicaid Services (CMS)
Measure Scoring	Proportion measure	Proportion measure	Proportion measure
Measure Type	Process measure	Process measure	Process measure
Improvement Notation	A higher score indicates better quality	A higher score indicates better quality	A higher score indicates better quality
Guidance	This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.	This eCQM is a patient-based measure. This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.	This eCQM is a patient-based measure. Telehealth encounters are not eligible for this measure because the measure does not contain telehealth-eligible codes and requires a clinical action that cannot be conducted via telehealth. This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.
MIPS Quality ID	379	379	379
Telehealth Eligible	Yes	Yes	No
Next Version	CMS74v11	CMS74v12	No Version Available
Previous Version	No Version Available	CMS74v10	CMS74v11

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Specifications

Attachment	Size
CMS74v11.html	64.9 KB
CMS74v11.zip	67.26 KB
CMS74v11-TRN.xlsx	18.73 KB

Data Element Repository

Data Elements contained within CMS74v11

Value Sets

Value Sets to be used with CMS74v11

Release Notes

CMS74v11-TRN.xlsx

Header

Updated the eCQM version number.

Measure Section: eCQM Version Number

Source of Change: Annual Update
Updated copyright.

Measure Section: Copyright

Source of Change: Annual Update
Replaced 'overlaps' or 'overlapping' in the denominator exclusions with plain language to clarify the measure intent.

Measure Section: Denominator Exclusions

Source of Change: Measure Lead

Logic

Added online assessments and telephone visits as appropriate encounters based on the increased use of telehealth services.

Measure Section: Initial Population

Source of Change: Measure Lead
Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-6.2.000). Updated the 'Inpatient Encounter' definition to include a 'day of' timing clarification. Added the following timing functions: Normalize Interval, Has Start, Has End, Latest, Latest Of, Earliest, and Earliest Of. Please see individual measure details for application of specific timing functions.

Measure Section: Multiple Sections

Source of Change: Standards Update
Added new NormalizeInterval function to timing attributes to decrease implementation burden due to variable use of timing attributes for select QDM data types. The NormalizeInterval function was applied, where applicable, for the following data elements: Assessment, Performed; Device, Applied; Diagnostic Study, Performed; Intervention, Performed; Laboratory Test, Performed; Medication, Administered; Medication, Dispensed; Physical Exam, Performed; Procedure, Performed; Substance, Administered.

Measure Section: Multiple Sections

Source of Change: Standards Update
Updated Hospice CQL Library to version 3.0.000.

Measure Section: Multiple Sections

Source of Change: Measure Lead

Value Set

The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.

Added value set Online Assessment (2.16.840.1.113883.3.464.1003.101.12.1089) based on change in measure requirements/measure specification.

Measure Section: Terminology

Source of Change: Measure Lead
Added value set Telephone Visits (2.16.840.1.113883.3.464.1003.101.12.1080) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead