[ { "State": "Alabama", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "37.4", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and PCCM populations. Rates exclude Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Alabama", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "3.6", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and PCCM populations. Rates exclude Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Arizona", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "41.8", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (14 MCOs), representing 79 percent of the population. Rates exclude FFS population, representing 21 percent of the population. Rates are provisional. State conducted an internal audit of the data. ", "rate_used_in_calculating": "Yes" }, { "State": "Arizona", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "11.4", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (14 MCOs), representing 79 percent of the population. Rates exclude FFS population, representing 21 percent of the population. Rates are provisional. State conducted an internal audit of the data. ", "rate_used_in_calculating": "Yes" }, { "State": "California", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "36.0", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (25 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. State conducted an internal validation of the data.", "rate_used_in_calculating": "Yes" }, { "State": "California", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "8.9", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (25 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. State conducted an internal validation of the data.", "rate_used_in_calculating": "Yes" }, { "State": "Connecticut", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "42.9", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS population age 18 and older. Rates exclude Medicare-Medicaid Dual Eligibles. Rates were audited by HEDIS compliance auditor.", "rate_used_in_calculating": "Yes" }, { "State": "Connecticut", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "22.0", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS population age 18 and older. Rates exclude Medicare-Medicaid Dual Eligibles. Rates were audited by HEDIS compliance auditor.", "rate_used_in_calculating": "Yes" }, { "State": "Delaware", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "49.2", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (2 MCOs), representing 81 percent of the population. Rates exclude FFS population, representing 19 percent of the population. ", "rate_used_in_calculating": "Yes" }, { "State": "Delaware", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "15.0", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (2 MCOs), representing 81 percent of the population. Rates exclude FFS population, representing 19 percent of the population. ", "rate_used_in_calculating": "Yes" }, { "State": "Florida", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "43.1", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (18 MCOs) age 18 and older, representing 65 percent of the population. Rates exclude FFS population, representing 35 percent of the population, and Medicare-Medicaid Dual Eligibles. MCO rates were audited by a certified HEDIS auditor.", "rate_used_in_calculating": "Yes" }, { "State": "Florida", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "4.6", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (18 MCOs) age 18 and older, representing 65 percent of the population. Rates exclude FFS population, representing 35 percent of the population, and Medicare-Medicaid Dual Eligibles. MCO rates were audited by a certified HEDIS auditor.", "rate_used_in_calculating": "Yes" }, { "State": "Georgia", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "NR", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "NR = State did not report the measure for this population.", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (4 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. State was unable to report rates for diagnosis cohorts for FFY 2020. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Georgia", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "NR", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "NR = State did not report the measure for this population.", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (4 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. State was unable to report rates for diagnosis cohorts for FFY 2020. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Hawaii", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "41.7", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (5 MCOs). Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Hawaii", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "14.5", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (5 MCOs). Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Illinois", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "38.8", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (6 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Illinois", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "14.2", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (6 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Indiana", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "48.0", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (4 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. MCO rates were audited by HEDIS auditors.", "rate_used_in_calculating": "Yes" }, { "State": "Indiana", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "15.3", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (4 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. MCO rates were audited by HEDIS auditors.", "rate_used_in_calculating": "Yes" }, { "State": "Iowa", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "37.6", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (3 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. State excluded chemical dependency benefit requirement from calculation of continuous enrollment.", "rate_used_in_calculating": "Yes" }, { "State": "Iowa", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "17.5", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (3 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. State excluded chemical dependency benefit requirement from calculation of continuous enrollment.", "rate_used_in_calculating": "Yes" }, { "State": "Kansas", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "40.9", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (3 MCOs) age 18 and older. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Kansas", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "13.1", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (3 MCOs) age 18 and older. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Kentucky", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "44.0", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (5 MCOs) age 18 and older, representing 90 percent of the population. Rates exclude FFS population, representing 10 percent of the population.", "rate_used_in_calculating": "Yes" }, { "State": "Kentucky", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "15.3", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (5 MCOs) age 18 and older, representing 90 percent of the population. Rates exclude FFS population, representing 10 percent of the population.", "rate_used_in_calculating": "Yes" }, { "State": "Louisiana", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "49.8", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (5 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. Rates were calculated using HEDIS-certified code and state conducted internal validation of the data.", "rate_used_in_calculating": "Yes" }, { "State": "Louisiana", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "16.3", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (5 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. Rates were calculated using HEDIS-certified code and state conducted internal validation of the data.", "rate_used_in_calculating": "Yes" }, { "State": "Maryland", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "20.6", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (9 MCOs), representing 84 percent of the population. Rates exclude FFS population, representing 16 percent of the population, and Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Maryland", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "17.0", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (9 MCOs), representing 84 percent of the population. Rates exclude FFS population, representing 16 percent of the population, and Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Massachusetts", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "41.3", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include PCCM, Accountable Care Partnership ACO, and managed care populations (5 MCOs), representing 80 percent of the population. Rates exclude primary care ACO and FFS populations, representing 20 percent of the population. ", "rate_used_in_calculating": "Yes" }, { "State": "Massachusetts", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "9.8", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include PCCM, Accountable Care Partnership ACO, and managed care populations (5 MCOs), representing 80 percent of the population. Rates exclude primary care ACO and FFS populations, representing 20 percent of the population. ", "rate_used_in_calculating": "Yes" }, { "State": "Michigan", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "31.2", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (10 MCOs), representing 76 percent of the population. Rates exclude FFS population, representing 24 percent of the population, and Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Michigan", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "6.8", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (10 MCOs), representing 76 percent of the population. Rates exclude FFS population, representing 24 percent of the population, and Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Minnesota", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "40.5", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (8 MCOs). Rates include paid claims only. Rates were audited by a certified HEDIS auditor.", "rate_used_in_calculating": "Yes" }, { "State": "Minnesota", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "12.6", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (8 MCOs). Rates include paid claims only. Rates were audited by a certified HEDIS auditor.", "rate_used_in_calculating": "Yes" }, { "State": "Mississippi", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "44.5", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (3 MCOs), representing 64 percent of the population. Rates exclude FFS population, representing 36 percent of the population, and Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Mississippi", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "4.5", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (3 MCOs), representing 64 percent of the population. Rates exclude FFS population, representing 36 percent of the population, and Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Missouri", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "43.4", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (3 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Missouri", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "10.8", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (3 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Nevada", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "45.5", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (3 MCOs), representing 73 percent of the population. Rates exclude FFS population, representing 27 percent of the population, and Medicare-Medicaid Dual Eligibles. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Nevada", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "10.3", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (3 MCOs), representing 73 percent of the population. Rates exclude FFS population, representing 27 percent of the population, and Medicare-Medicaid Dual Eligibles. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "New Hampshire", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "38.5", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (2 MCOs), representing 94 percent of the population. Rates exclude FFS population, representing 6 percent of the population, and Medicare-Medicaid Dual Eligibles. ", "rate_used_in_calculating": "Yes" }, { "State": "New Hampshire", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "12.0", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (2 MCOs), representing 94 percent of the population. Rates exclude FFS population, representing 6 percent of the population, and Medicare-Medicaid Dual Eligibles. ", "rate_used_in_calculating": "Yes" }, { "State": "New Mexico", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "40.0", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (3 MCOs) age 18 and older, representing 73 percent of the population. Rates exclude FFS population, representing 27 percent of the population, and Medicare-Medicaid Dual Eligibles. MCO rates were audited by certified HEDIS auditors.", "rate_used_in_calculating": "Yes" }, { "State": "New Mexico", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "11.0", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (3 MCOs) age 18 and older, representing 73 percent of the population. Rates exclude FFS population, representing 27 percent of the population, and Medicare-Medicaid Dual Eligibles. MCO rates were audited by certified HEDIS auditors.", "rate_used_in_calculating": "Yes" }, { "State": "New York", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "48.0", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (60 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. State conducted an internal validation of the data. State attributes rate increases from FFY 2019 to programs for people living with mental health and substance use disorders, including the Health and Recovery Plan, statewide treatment service programs, and public awareness campaigns.", "rate_used_in_calculating": "Yes" }, { "State": "New York", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "20.5", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (60 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. State conducted an internal validation of the data. State attributes rate increases from FFY 2019 to programs for people living with mental health and substance use disorders, including the Health and Recovery Plan, statewide treatment service programs, and public awareness campaigns.", "rate_used_in_calculating": "Yes" }, { "State": "North Carolina", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "44.0", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and PCCM populations. Rates exclude Medicare-Medicaid Dual Eligibles. Rates were validated using NCQA-certified software.", "rate_used_in_calculating": "Yes" }, { "State": "North Carolina", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "13.6", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and PCCM populations. Rates exclude Medicare-Medicaid Dual Eligibles. Rates were validated using NCQA-certified software.", "rate_used_in_calculating": "Yes" }, { "State": "North Dakota", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "38.0", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS, PCCM, and managed care populations (1 MCO). Rates exclude Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "North Dakota", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "14.2", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS, PCCM, and managed care populations (1 MCO). Rates exclude Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Ohio", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "50.4", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (5 MCOs) age 18 and older, representing 84 percent of the population. Rates exclude FFS population, representing 16 percent of the population, and Medicare-Medicaid Dual Eligibles. MCO rates were audited by a certified HEDIS auditor. ", "rate_used_in_calculating": "Yes" }, { "State": "Ohio", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "18.2", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (5 MCOs) age 18 and older, representing 84 percent of the population. Rates exclude FFS population, representing 16 percent of the population, and Medicare-Medicaid Dual Eligibles. MCO rates were audited by a certified HEDIS auditor. ", "rate_used_in_calculating": "Yes" }, { "State": "Oklahoma", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "33.5", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and PCCM populations. Rates exclude home- and community-based services waiver enrollees.", "rate_used_in_calculating": "Yes" }, { "State": "Oklahoma", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "9.3", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and PCCM populations. Rates exclude home- and community-based services waiver enrollees.", "rate_used_in_calculating": "Yes" }, { "State": "Oregon", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "36.6", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (15 CCOs), representing 83 percent of the population. Rates exclude FFS population, representing 17 percent of the population.", "rate_used_in_calculating": "Yes" }, { "State": "Oregon", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "16.4", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (15 CCOs), representing 83 percent of the population. Rates exclude FFS population, representing 17 percent of the population.", "rate_used_in_calculating": "Yes" }, { "State": "Pennsylvania", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "35.7", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (9 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. Data were submitted by MCOs and compiled by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Pennsylvania", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "17.0", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (9 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles. Data were submitted by MCOs and compiled by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Rhode Island", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "41.8", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (3 MCOs) age 18 and older, representing 87 percent of the population. Rates exclude FFS population, representing 13 percent of the population, and Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Rhode Island", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "12.5", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (3 MCOs) age 18 and older, representing 87 percent of the population. Rates exclude FFS population, representing 13 percent of the population, and Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "South Carolina", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "38.1", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (5 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "South Carolina", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "9.2", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (5 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "South Dakota", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "40.2", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS population. Rates exclude 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.", "rate_used_in_calculating": "Yes" }, { "State": "South Dakota", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "5.8", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS population. Rates exclude 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.", "rate_used_in_calculating": "Yes" }, { "State": "Tennessee", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "47.9", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (4 MCOs) age 18 and older. Rates exclude Medicare-Medicaid Dual Eligibles. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Tennessee", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "14.5", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (4 MCOs) age 18 and older. Rates exclude Medicare-Medicaid Dual Eligibles. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Texas", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "40.5", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (18 MCOs) age 18 and older. Rates exclude Medicare-Medicaid Dual Eligibles. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Texas", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "7.6", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (18 MCOs) age 18 and older. Rates exclude Medicare-Medicaid Dual Eligibles. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Vermont", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "39.0", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include statewide 1115 waiver population enrolled in a public non-risk prepaid inpatient health plan, representing the total Medicaid population. Rates exclude Medicare-Medicaid Dual Eligibles. State modified measure to reflect that state Medicaid agency pays for substance abuse treatment services as a monthly unit of bundled treatment services. Rates include residential substance abuse treatment as initiation or engagement events where appropriate following the specifications for sub-acute inpatient care. When the residential substance abuse treatment is the index, both index and initiation dates are set as the last day of residential substance abuse treatment. If there is no gap in services, the next month is counted as engagement. State attributes rate increase from FFY 2019 to implementation of rapid access to medication (RAM) for opioid use disorder. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Vermont", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP", "Methodology": "Administrative", "State Rate": "12.1", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include statewide 1115 waiver population enrolled in a public non-risk prepaid inpatient health plan, representing the total Medicaid population. Rates exclude Medicare-Medicaid Dual Eligibles. State modified measure to reflect that state Medicaid agency pays for substance abuse treatment services as a monthly unit of bundled treatment services. Rates include residential substance abuse treatment as initiation or engagement events where appropriate following the specifications for sub-acute inpatient care. When the residential substance abuse treatment is the index, both index and initiation dates are set as the last day of residential substance abuse treatment. If there is no gap in services, the next month is counted as engagement. State attributes rate increase from FFY 2019 to implementation of rapid access to medication (RAM) for opioid use disorder. Rates were validated by the state's EQRO.", "rate_used_in_calculating": "Yes" }, { "State": "Virginia", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "45.8", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (6 MCOs) age 18 and older, representing 90 percent of the population. Rates exclude FFS population, representing 10 percent of the population. State obtained rates from the NCQA Quality Compass and denominators are not available. State attributes higher rates in part to the inclusion of the measure in value-based payment arrangements.", "rate_used_in_calculating": "Yes" }, { "State": "Virginia", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & CHIP & Dual Eligibles", "Methodology": "Administrative", "State Rate": "9.4", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (6 MCOs) age 18 and older, representing 90 percent of the population. Rates exclude FFS population, representing 10 percent of the population. State obtained rates from the NCQA Quality Compass and denominators are not available. State attributes higher rates in part to the inclusion of the measure in value-based payment arrangements.", "rate_used_in_calculating": "Yes" }, { "State": "Washington", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "32.6", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (5 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Washington", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "8.9", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (5 MCOs). Rates exclude Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "West Virginia", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "36.1", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (3 MCOs). State defined the intake period as the beginning of the measurement year through 47 days prior to the end of the measurement year.", "rate_used_in_calculating": "Yes" }, { "State": "West Virginia", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid & Dual Eligibles", "Methodology": "Administrative", "State Rate": "14.6", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include FFS and managed care populations (3 MCOs). State defined the intake period as the beginning of the measurement year through 47 days prior to the end of the measurement year.", "rate_used_in_calculating": "Yes" }, { "State": "Wisconsin", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated Alcohol or Other Drug Treatment within 14 Days of the Diagnosis: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "39.7", "Number of States Reporting": 39, "Median": 40.5, "Bottom Quartile": 37.6, "Top Quartile": 44, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (14 MCOs), representing 64 percent of the population. Rates exclude FFS population, representing 36 percent of the population, and Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" }, { "State": "Wisconsin", "Domain": "Behavioral Health Care", "Reporting Program": "Adult Core Set", "Measure Name": "Other Drug Abuse or Dependence", "Measure Abbreviation": "IET-AD", "Measure Type": "Higher rates are better for this measure", "Rate Definition": "Percentage with a New Episode of Other Drug Abuse or Dependence who Initiated and Engaged in Alcohol or Other Drug Treatment within 34 Days of the Initiation Visit: Ages 18 to 64", "FFY": 2020, "Population": "Medicaid", "Methodology": "Administrative", "State Rate": "12.2", "Number of States Reporting": 39, "Median": 12.5, "Bottom Quartile": 9.3, "Top Quartile": 15.3, "Notes": "", "Source": "Mathematica analysis of MACPro reports for the FFY 2020 reporting cycle as of June 18, 2021.", "State Specific Comments": "Rates include managed care population (14 MCOs), representing 64 percent of the population. Rates exclude FFS population, representing 36 percent of the population, and Medicare-Medicaid Dual Eligibles.", "rate_used_in_calculating": "Yes" } ]