| Measure Information | 2024 Performance Period |
|---|---|
| CMS eCQM ID | CMS74v13 |
| NQF Number | Not Applicable |
| MIPS Quality ID | 379 |
| Description |
Percentage of children, 1 - 20 years of age, who received two fluoride varnish applications during the measurement period as determined by a dentist |
| Definition |
None |
| Initial Population |
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 |
| Numerator |
Children who receive two fluoride varnish applications on different days during the measurement period |
| Numerator Exclusions |
Not Applicable |
| Denominator |
Equals Initial Population |
| Denominator Exclusions |
Exclude patients who are in hospice care for any part of the measurement period |
| Denominator Exceptions |
None |
| 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. |
| Telehealth Eligible | No |
| Rationale |
The literature reflects that fluoride varnish, when applied to the teeth of high-risk children, reduces, in conjunction with anticipatory guidance provided to the caregiver, the risk of the child developing caries (Weyant et al., 2013). Evidence in the literature also specifically supports the effectiveness of professionally applied fluoride varnish at preventing caries in higher risk children (Chou et al., 2014). |
| Stratification |
Population 1: Patients age 1-5 years at the start of the Measurement Period Population 2: Patients age 6-12 years at the start of the Measurement Period Population 3: Patients age 13-20 years at the start of the Measurement Period |
| Risk Adjustment |
None |
| Clinical Recommendation |
The 2013 American Dental Association (ADA) clinical recommendations for use of professionally applied or prescription-strength, home-use topical fluorides for caries prevention in patients at elevated risk of developing caries: - Younger Than 6 Years - 2.26 percent fluoride varnish at least every three to six months - 6-18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF*) gel for four minutes at least every three to six months - Older Than 18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF) gel for four minutes at least every three to six months (Weyant et al., 2013) The United States Preventive Services Taskforce (USPSTF) recommends the use of professionally applied fluoride varnish for the prevention of dental caries in high risk children under 5 years of age (Chou et al., 2014). |
| Next Version | No Version Available |
| Previous Version |
Compare eCQM Versions
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Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.
| Measure Information | 2021 Performance Period | 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 Primary Care Providers, including Dentists | Primary Caries Prevention Intervention as Offered by Dentists | Primary Caries Prevention Intervention as Offered by Dentists |
| CMS eCQM ID | CMS74v10 | CMS74v11 | CMS74v12 | CMS74v13 |
| NQF Number | Not Applicable | 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 |
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, 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 |
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 | 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 |
Children who receive two fluoride varnish applications on different days during the measurement period |
| Numerator Exclusions |
Not Applicable |
Not Applicable |
Not Applicable |
Not Applicable |
| Denominator Exceptions |
None |
None |
None |
None |
| Measure Steward | Centers for Medicare & Medicaid Services (CMS) | 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 | Proportion measure |
| Measure Type | Process measure | 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 |
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. |
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 | 379 |
| Telehealth Eligible | Yes | Yes | No | No |
| Next Version | CMS74v11 | CMS74v12 | CMS74v13 | No Version Available |
| Previous Version | No Version Available |
Header
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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
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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
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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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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
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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
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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
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Added 'day of' specificity to hospice expressions for consistency.
Measure Section: Definitions
Source of Change: Measure Lead
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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
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Updated the version number of the Hospice Library to v5.0.000.
Measure Section: Definitions
Source of Change: Annual Update
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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.
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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
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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
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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
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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