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Primary Caries Prevention Intervention as Offered by Dentists

Compare Versions of: "Primary Caries Prevention Intervention as Offered by Dentists"

The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.

Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.

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Measure Information 2022 Performance Period 2023 Performance Period 2024 Performance Period
Title Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists Primary Caries Prevention Intervention as Offered by Dentists Primary Caries Prevention Intervention as Offered by Dentists
CMS eCQM ID CMS74v11 CMS74v12 CMS74v13
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 as determined by a dentist

Percentage of children, 1 - 20 years of age, who received two fluoride varnish applications 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 at the start of the measurement period, with a clinical oral evaluation by a dentist during the measurement period

Children, 1 - 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 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 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 two fluoride varnish applications on different days 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.

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.

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 No No
Next Version No Version Available
Previous Version No Version Available

Header

  • Revised the age range from 6 months-20 years old to 1-20 years old to align with existing dental measures, such as those in the Medicaid Child Core set.

    Measure Section: Description

    Source of Change: Measure Lead

  • Updated the measure to require two fluoride applications as opposed to one fluoride application to reflect current evidence and clinical recommendations, and to align with similar quality measures.

    Measure Section: Description

    Source of Change: Measure Lead

  • Updated copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • Revised the age range from 6 months-20 years old to 1-20 years old to align with existing dental measures, such as those in the Medicaid Child Core set.

    Measure Section: Stratification

    Source of Change: Measure Lead

  • Updated the rationale based upon more recent literature and evidence to support the measure.

    Measure Section: Rationale

    Source of Change: Measure Lead

  • Updated the clinical recommendation statement based upon more recent literature and evidence to support the measure.

    Measure Section: Clinical Recommendation Statement

    Source of Change: Measure Lead

  • Updated references.

    Measure Section: Reference

    Source of Change: Measure Lead

  • Revised the age range from 6 months-20 years old to 1-20 years old to align with existing dental measures, such as those in the Medicaid Child Core set.

    Measure Section: Initial Population

    Source of Change: Measure Lead

  • Updated the measure to require two fluoride applications as opposed to one fluoride application to reflect current evidence and clinical recommendations, and to align with similar quality measures.

    Measure Section: Numerator

    Source of Change: Measure Lead

Logic

  • Revised the age range from 6 months-20 years old to 1-20 years old to align with existing dental measures, such as those in the Medicaid Child Core set.

    Measure Section: Initial Population

    Source of Change: Measure Lead

  • Updated the measure to require two fluoride applications as opposed to one fluoride application to reflect current evidence and clinical recommendations, and to align with similar quality measures.

    Measure Section: Numerator

    Source of Change: Measure Lead

  • Revised the age range from 6 months-20 years old to 1-20 years old to align with existing dental measures, such as those in the Medicaid Child Core set.

    Measure Section: Stratification

    Source of Change: Measure Lead

  • Added 'day of' specificity to hospice expressions for consistency.

    Measure Section: Definitions

    Source of Change: Measure Lead

  • Added QDM datatype 'Diagnosis' to the Hospice. 'Has Hospice Services' definition referencing a new value set containing SNOMED finding codes to provide an additional approach for identifying patients receiving hospice care.

    Measure Section: Definitions

    Source of Change: Measure Lead

  • Updated the version number of the Hospice Library to v5.0.000.

    Measure Section: Definitions

    Source of Change: Annual Update

  • Updated the version number of the Hospice Library to v5.0.000.

    Measure Section: Functions

    Source of Change: Annual Update

Value Set

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

  • Value set Hospice Care Ambulatory (2.16.840.1.113883.3.526.3.1584): Deleted 3 SNOMED CT codes (170935008, 170936009, 305911006) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Added value set Hospice Diagnosis (2.16.840.1.113883.3.464.1003.1165) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Value set Hospice Encounter (2.16.840.1.113883.3.464.1003.1003): Added 2 SNOMED CT codes (305911006, 385765002) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

  • Value set Payer (2.16.840.1.114222.4.11.3591): Added 5 SOP codes (1111, 1112, 142, 344, 141) based on review by technical experts, SMEs, and/or public feedback.

    Measure Section: Terminology

    Source of Change: Measure Lead

Last Updated: Jan 22, 2024