[ { "State": "Alabama", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": 42.9, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes FFS and PCCM populations. Rate excludes Medicare-Medicaid Dual Eligibles. State used hospital claims data, case management data, and maternity claims data in addition to the measure value set to capture the number of deliveries.", "rate_used_in_calculating": "Yes" }, { "State": "California", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative & Hybrid", "State Rate": 72.7, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes FFS and managed care populations (25 MCOs). Rate excludes Medicare-Medicaid Dual Eligibles. Rate was derived using both administrative and hybrid method data. Three MCOs and the FFS population used the administrative method and 22 MCOs used the hybrid method. Denominator is the measure-eligible population. Rate was validated by the state's EQRO", "rate_used_in_calculating": "Yes" }, { "State": "Connecticut", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Hybrid", "State Rate": 81, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes FFS population. Rate excludes Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 11,072. Rate was audited by certified HEDIS auditor.", "rate_used_in_calculating": "Yes" }, { "State": "Delaware", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 72.7, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (2 MCOs), representing 81 percent of the population. Rate excludes FFS population, representing 19 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 4,011.", "rate_used_in_calculating": "Yes" }, { "State": "District of Columbia", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Hybrid", "State Rate": 74.7, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (4 MCOs), representing 78 percent of the population. Rate excludes FFS population, representing 22 percent of the population. Denominator is the sample size; measure-eligible population is 2,803. MCO rates were audited by certified HEDIS auditors.", "rate_used_in_calculating": "Yes" }, { "State": "Florida", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 73.3, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (17 MCOs), representing 65 percent of the population. Rate excludes FFS population, representing 35 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 72,007. MCO rates were audited by a certified HEDIS auditor.", "rate_used_in_calculating": "Yes" }, { "State": "Georgia", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 63, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (4 MCOs). Rate excludes Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 48,724. Rate was validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Hawaii", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Hybrid", "State Rate": 65.7, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (5 MCOs). Denominator is the sample size; measure-eligible population is 5,645. Rate was validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Illinois", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": 66.5, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes FFS and managed care populations (6 MCOs). Rate excludes Medicare-Medicaid Dual Eligibles. Rate was validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Indiana", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 87, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (4 MCOs), representing 79 percent of the population. Rate excludes FFS population, representing 21 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 2,107. State attributes rate increase to expanded Medicaid coverage for pregnant women during the measurement period. MCO rates were audited by HEDIS auditors.", "rate_used_in_calculating": "Yes" }, { "State": "Kansas", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Hybrid", "State Rate": 67, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (3 MCOs). Denominator is the sample size; measure-eligible population is 10,397. Rate was validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Kentucky", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Hybrid", "State Rate": 68.3, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (5 MCOs), representing 90 percent of the population. Rate excludes FFS population, representing 10 percent of the population. Denominator is the sample size; measure-eligible population is 24,393.", "rate_used_in_calculating": "Yes" }, { "State": "Louisiana", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Hybrid", "State Rate": 75.4, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes FFS and managed care populations (5 MCOs). Rate excludes Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 32,190. Rate was calculated using HEDIS-certified code and state conducted internal validation of the data.", "rate_used_in_calculating": "Yes" }, { "State": "Maryland", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Hybrid", "State Rate": 81, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (9 MCOs), representing 84 percent of the population. Rate excludes FFS population, representing 16 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 21,910. Rate was audited by certified HEDIS auditors.", "rate_used_in_calculating": "Yes" }, { "State": "Massachusetts", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Hybrid", "State Rate": 77, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes PCCM, Accountable Care Partnership ACO, and managed care populations (4 MCOs), representing 66 percent of the population. Rate excludes primary care ACO and FFS populations and enrollees in MCOs that could not report for FFY 2020, representing 34 percent of the population. Denominator is the sample size; measure-eligible population is 7,509.", "rate_used_in_calculating": "Yes" }, { "State": "Michigan", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": 66.4, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (10 MCOs), representing 76 percent of the population. Rate excludes FFS population, representing 24 percent of the population, and Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Mississippi", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 69.8, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (3 MCOs), representing 64 percent of the population. Rate excludes FFS population, representing 36 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 16,929.", "rate_used_in_calculating": "Yes" }, { "State": "Missouri", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": 52.7, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes FFS and managed care populations (3 MCOs). Rate excludes Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Nevada", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 69.6, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (3 MCOs), representing 73 percent of the population. Rate excludes FFS population, representing 27 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 11,361. Rate was validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "New Hampshire", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 79.2, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (2 MCOs), representing 94 percent of the population. Rate excludes FFS population, representing 6 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 2,498. MCO rates were audited by certified HEDIS auditors.", "rate_used_in_calculating": "Yes" }, { "State": "New Jersey", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Hybrid", "State Rate": 76.2, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (5 MCOs), representing 92 percent of the population. Rate excludes FFS population, representing 8 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 22,312.", "rate_used_in_calculating": "Yes" }, { "State": "New Mexico", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 66.3, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (3 MCOs), representing 73 percent of the population. Rate excludes FFS population, representing 27 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 10,644. MCO rates were audited by certified HEDIS auditors.", "rate_used_in_calculating": "Yes" }, { "State": "North Carolina", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": 68.8, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes FFS and PCCM populations. Rate excludes Medicare-Medicaid Dual Eligibles. Rate was validated using NCQA-certified software.", "rate_used_in_calculating": "Yes" }, { "State": "Ohio", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Hybrid", "State Rate": 77.5, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (5 MCOs), representing 84 percent of the population. Rate excludes FFS population, representing 16 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 50,649. MCO rates were audited by a certified HEDIS auditor.", "rate_used_in_calculating": "Yes" }, { "State": "Oklahoma", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": 30.1, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes FFS and PCCM populations. Rate excludes home- and community-based services waiver enrollees. The majority of the state's providers use global codes for prenatal and postpartum visits and these claims are excluded from the rate because they do not include the information needed to calculate the numerator. As a result, the rate is underestimated.", "rate_used_in_calculating": "Yes" }, { "State": "Pennsylvania", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 79.3, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (9 MCOs). Rate excludes Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 42,997. Data were submitted by MCOs and compiled by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Puerto Rico", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": 20.7, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (5 MCOs).", "rate_used_in_calculating": "Yes" }, { "State": "Rhode Island", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Hybrid", "State Rate": 78.8, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (3 MCOs), representing 87 percent of the population. Rate excludes FFS population, representing 13 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 3,999.", "rate_used_in_calculating": "Yes" }, { "State": "South Carolina", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Hybrid", "State Rate": 91.6, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (5 MCOs). Rate excludes Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 23,194.", "rate_used_in_calculating": "Yes" }, { "State": "South Dakota", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": 32.6, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes FFS population. Rate excludes services provided by the Indian Health Service and may not capture all services reimbursed on a per diem basis, such as those provided by rural health clinics and federally qualified health centers. State attributes lower rate to the use of global codes for pregnancy-related services.", "rate_used_in_calculating": "Yes" }, { "State": "Tennessee", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 70.2, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (4 MCOs), representing 10 health plans. Due to the COVID-19 public health emergency, 1 health plan reported using FFY 2019 data and 9 health plans reported using FFY 2020 data. Rate excludes Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 33,236. Rate was validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Texas", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative & Hybrid", "State Rate": 78.1, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes FFS and managed care populations (18 MCOs). Rate excludes Medicare-Medicaid Dual Eligibles. Rate was derived using both administrative and hybrid method data. Rates for the state's FFS population and two MCOs were calculated using the administrative method. Sixteen MCOs used the hybrid method. Denominator is the measure-eligible population. Rate was validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Utah", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Hybrid", "State Rate": 76.7, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (4 MCOs), representing 73 percent of the population. Rate excludes FFS population, representing 27 percent of the population. Denominator is the sample size; measure-eligible population is 6,753. MCO rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Vermont", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Hybrid", "State Rate": 65.4, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes statewide 1115 waiver population enrolled in a public non-risk prepaid inpatient health plan, representing the total Medicaid population. Rate excludes Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 2,088. Rate was validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Virginia", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Hybrid", "State Rate": 61.8, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (6 MCOs), representing 90 percent of the population. Rate excludes FFS population, representing 10 percent of the population. State obtained rate from the NCQA Quality Compass and denominator is not available.", "rate_used_in_calculating": "Yes" }, { "State": "Washington", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 73.6, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (5 MCOs), representing 95 percent of the population. Rate excludes FFS population, representing 5 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 24,486. Rate was validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "West Virginia", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 72.3, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (3 MCOs), representing 79 percent of the population. Rate excludes FFS population, representing 21 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is 6,878. Rate was validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Wisconsin", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid", "Methodology": "Hybrid", "State Rate": 76.5, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes managed care population (14 MCOs), representing 64 percent of the population. Rate excludes FFS population, representing 36 percent of the population, and Medicare-Medicaid Dual Eligibles. Denominator is the sample size; measure-eligible population is not available.", "rate_used_in_calculating": "Yes" }, { "State": "Wyoming", "Domain": "Maternal and Perinatal Health", "Reporting Program": "Adult Core Set", "Measure Name": "Prenatal and Postpartum Care: Postpartum Care", "Measure Abbreviation": "PPC-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage of Women Delivering a Live Birth who had a Postpartum Care Visit on or Between 7 and 84 Days after Delivery", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": 39.9, "Number of States Reporting": 39, "Median": 72.3, "Bottom Quartile": 65.7, "Top Quartile": 77, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rate includes FFS population.", "rate_used_in_calculating": "Yes" } ]