Measures Not Included in PCDH Framework

Not applicable

Use of diverse provider types for needed care and maintenance support

This indicator looks at the percentage of oral health assessments provided to children in medical settings versus dental settings. The indicator is determined by looking at all claims for oral health assessments, CDT code D0191, and then whether that claim was submitted as a dental claim (services provided by dentists) or a medical claim (services provided in medical settings). The indicator also looks at performing providers (physician, advance practice nurse or physician assistants) that had a medical claim for CDT code D0191 within medical settings.

Measure

Children

Program/Plan

Administrative enrollment and claims data

Oregon Health Authority

Oregon Health Authority