CMS Measure ID:CMS137v6
Version:6
NQF Number:0004
Measure Description:Percentage of patients 13 years of age and older with a new episode of alcohol and other drug (AOD) dependence who received the following. Two rates are reported.
a. Percentage of patients who initiated treatment within 14 days of the diagnosis.
b. Percentage of patients who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit.
Initial Patient Population:Patients age 13 years of age and older who were diagnosed with a new episode of alcohol or drug dependency during a visit in the first 11 months of the measurement period
Denominator Statement:Equals Initial Population
Denominator Exclusions:Patients with a previous active diagnosis of alcohol or drug dependence in the 60 days prior to the first episode of alcohol or drug dependence.
Exclude patients who were in hospice care during the measurement year.
Numerator Statement:Numerator 1: Patients who initiated treatment within 14 days of the diagnosis
Numerator 2: Patients who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit
Numerator Exclusions:Not Applicable
Denominator Exceptions:None