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Measure Name | Health home capitation ratio |
---|---|
File Type | Multiple Files |
Measure ID | MCR-55-004-4 |
Measure Type | Ratio |
Content area | MCR |
Validation Type | Inferential |
---|
Measure Priority | N/A |
---|---|
Focus Area | N/A |
Category | N/A |
Claim Type | N/A |
---|---|
Adjustment Type | N/A |
Crossover Type | N/A |
Minimum | N/A |
---|---|
Maximum | N/A |
TA Minimun | |
TA Maximum | |
Longitudinal Threshold | N/A |
For TA
(for including in compliance training) |
No |
For TA
(Longitudinal) |
No |
DD Data Element | TYPE-OF-SERVICE |
---|---|
DD Data Element Number | COT186 |
Annotation | Calculate overall capitation ratio for plan ids in the EL-8-002-2 table with plan type equal to 70 |
---|---|
Specification |
STEP 1: Health Home Plan Type Of the Plan_Ids identified in EL-8-002-2, limit to Plan_Ids where: 1. Plan_Type_El = "70" STEP 2: Capitation Ratio Of the Plan_Ids that meet the criteria in STEP 1, calculate the HHome_Capitation_Ratio as sum of Capitation_Total / sum of Enrollment |