Per Member Per Month Cost of Clinical Services, Dental Services
Characteristics
Measures Not Included in PCDH Framework
Measure Concept
Financing
Descriptions
Total amount that is paid on direct provision of care (reimbursed for clinical services) per member per month for all enrolled children during the reporting year
Numerator: Total amount paid for dental services
Denominator: Total dental member months for all members enrolled in dental coverage for at least one month
Measure or Standard
Measure
Level of Measure
Program/Plan
Data Source
Administrative enrollment and claims data
Measure Identification
Dental Quality Alliance
Developer/Steward
Dental Quality Alliance (DQA)
Stage of Development/Use
Specified, tested, and in use by:
-State Medicaid programs
Measure Endorsement
DQA Approved