Description: The percentage of members 3–6 years of age who had one or more well-child visits with a PCP during the measurement year.


Denominator:

Product lines- Commercial, Medicaid, Marketplace (report each product line separately).

 Ages- 3–6 years as of December 31 of the measurement year.

Continuous enrollment- The measurement year.

Allowable gap- no more than one gap in enrollment of up to 45 days during the continuous enrollment period.

Anchor date- December 31 of the measurement year.

Benefit Medical.

Event/diagnosis None.


Numerator:

At least one well-child visit (Well-Care Value Set) with a PCP during the measurement year.

The well-child visit must occur with a PCP, but the PCP does not have to be the practitioner assigned to the child.