Primary Caries Prevention Intervention as Part of Well/Ill Child Care as Offered by Primary Care Medical Providers
Characteristics
Measures Not Included in PCDH Framework
Measure Concept
Use of diverse provider types for needed care and maintenance support
Descriptions
The measure will a) track the extent to which the PCMP or clinic (determined by the provider number used for billing) applies FV as part of the EPSDT examination and b) track the degree to which each billing entity’s use of the EPSDT with FV codes increases from year to year (more children varnished and more children receiving FV four times a year according to ADA recommendations for high-risk children).
Numerator: The number of EPSDT examinations done with FV
Denominator: All high-risk children (Medicaid/CHIP-eligible) who receive an EPSDT examination from a provider (PCMP or clinic)
Measure or Standard
Measure
Level of Measure
Practice/Health Center
Data Source
Administrative enrollment and claims data
Measure Identification
NQF Quality Positioning System; DQA Starter Set Measures Environmental Scan (2012); DQA Practice Based Measures Environmental Scan (2015); NQF Environmental Scan (2012)
Developer/Steward
University of Minnesota
Stage of Development/Use
Specified and tested
Measure Endorsement
Previously NQF Endorsed