Examinations/Oral Health Evaluations
Characteristics
Measures Not Included in PCDH Framework
Measure Concept
Oral evaluation/ examination
Descriptions
Percentage of members enrolled for at least 11 of the past 12 months who received a comprehensive or periodic oral evaluation (or, for members <3, who received an oral evaluation and counseling w/ primary caregivers) in past year
Numerator: Number of members enrolled for at least 11 of the past 12 months who received a comprehensive or periodic exam (D0120 or D0150) or, for members under three years of age, who received an oral evaluation and counseling with the primary caregiver (D0145) in the past year
Denominator: Number of members enrolled for at least 11 of the past 12 months
Measure or Standard
Measure
Populations
Not specified or not applicable
Level of Measure
Program/Plan
Data Source
Administrative enrollment and claims data
Measure Identification
DQA Starter Set Measures Environmental Scan (2012); NQF Environmental Scan (2012)
Developer/Steward
Managed Risk Medical Insurance Board (CA)
Stage of Development/Use
NQF Scan (2012): collected in 2008