Primary Caries Prevention Intervention as Offered by Dentists

Measure Information	2023 Performance Period
CMS eCQM ID	CMS74v12
NQF Number	Not Applicable
Description	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 at the start of the measurement period, with a clinical oral evaluation by a dentist 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. 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
Telehealth Eligible	No
Next Version	No Version Available
Previous Version	CMS74v11

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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
CMS74v12.html	57.95 KB
CMS74v12.zip	65.68 KB
CMS74v12-TRN.xlsx	21.84 KB

Data Element Repository

Data Elements contained within CMS74v12

Value Sets

Value Sets to be used with CMS74v12

Release Notes

CMS74v12-TRN.xlsx

Header

Updated copyright.

Measure Section: Copyright

Source of Change: Annual Update
Revised the stratification language in the header to better align with the logic and measure intent.

Measure Section: Stratification

Source of Change: Measure Lead
Updated the clinical recommendation statement based on the most recent findings from published literature and guidelines.

Measure Section: Clinical Recommendation Statement

Source of Change: Measure Lead
Updated references.

Measure Section: Reference

Source of Change: Measure Lead
Updated version number of the Quality Data Model (QDM) used in the measure specification to v5.6.

Measure Section: Guidance

Source of Change: Standards/Technical Update
Updated the header to explicitly state that the age criteria should be at the start of the measurement period to provide additional clarity.

Measure Section: Initial Population

Source of Change: Measure Lead
Revised the description and initial population statements to align with revisions to limit the measure reporting to dentists only.

Measure Section: Multiple Sections

Source of Change: Measure Lead
Removed references to 'Primary Care Providers' in the measure title and header to clarify that this measure is to be reported by dentists.

Measure Section: Multiple Sections

Source of Change: Measure Lead
Updated grammar and punctuation to improve readability.

Measure Section: Multiple Sections

Source of Change: Measure Lead

Logic

Updated the logic to limit the eligible encounter for the denominator to the clinical oral evaluation value set, applicable to dentists only.

Measure Section: Definitions

Source of Change: Measure Lead
Added QDM datatypes Encounter, Performed and Assessment, Performed and associated logic to the Hospice.'Has Hospice Services' definition to provide additional approaches for identifying patients receiving hospice services.

Measure Section: Definitions

Source of Change: Measure Lead
Updated the version of the Quality Data Model (QDM) to 5.6 and Clinical Quality Language (CQL) to 1.5.

Measure Section: Multiple Sections

Source of Change: Standards/Technical Update
Updated the version number of the Hospice Library to v4.0.000.

Measure Section: Multiple Sections

Source of Change: Measure Lead
Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.

Measure Section: Multiple Sections

Source of Change: Standards/Technical Update
Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library to v7.0.000.

Measure Section: Multiple Sections

Source of Change: Standards/Technical Update
Updated the stratification logic, to use closed brackets to capture the age intervals, and to better align with the measure header.

Measure Section: Multiple Sections

Source of Change: Measure Lead
Updated the timing precision in the definitions from datetime to date by adding 'day of', 'date from', and/or function 'ToDateInterval' to align with the measure intent.

Measure Section: Multiple Sections

Source of Change: Measure Lead
Refined the logic to update use of parentheses for added clarity.

Measure Section: Multiple Sections

Source of Change: Measure Lead
Updated the age criteria in the logic to include patients who are 20 years of age at the start of the measurement period to align with the measure intent.

Measure Section: Multiple Sections

Source of Change: Measure Lead
Replaced the Global.CalendarAgeInYearsAt function with the native CQL function AgeInYearsAt to take advantage of existing CQL features and increase human readability. As a result of this change, the LOINC code 21112-8 is no longer required and has been removed from the Terminology section of the human readable specification.

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 direct reference code LOINC code (45755-6) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed direct reference code LOINC code (21112-8) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Value set Fluoride Varnish Application for Children (2.16.840.1.113883.3.464.1003.125.12.1002): Deleted 1 CPT code (99188) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Preventive Care Services-Initial Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1023) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Preventive Care Services - Established Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1025) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed 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
Removed value set Online Assessments (2.16.840.1.113883.3.464.1003.101.12.1089) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Preventive Care Services, Initial Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1022) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Added value set Hospice Encounter (2.16.840.1.113883.3.464.1003.1003) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Replaced value set Hospice Care Ambulatory (2.16.840.1.113762.1.4.1108.15) with value set Hospice Care Ambulatory (2.16.840.1.113883.3.526.3.1584) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Removed value set Preventive Care, Established Office Visit, 0 to 17 (2.16.840.1.113883.3.464.1003.101.12.1024) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead
Added direct reference code SNOMED CT code (373066001) based on review by technical experts, SMEs, and/or public feedback.

Measure Section: Terminology

Source of Change: Measure Lead