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Type		 Code CMS Id Weight Measure Avg. Score Avg. Star
DM EDFUH DMC01 0 Follow-up Visit after Hospital Stay for Mental Illness (within 30 days of discharge) 50 0 DMC01DM-Follow-up Visit after Hospital Stay for Mental Illness (within 30 days of discharge)DM-HED-FUH
DM EDAMM DMC02 0 Antidepressant Medication Management (6 months) 64 0 DMC02DM-Antidepressant Medication Management (6 months)DM-HED-AMM
DM EDCBBT DMC03 0 Continuous Beta Blocker Treatment 89 0 DMC03DM-Continuous Beta Blocker TreatmentDM-HED-CBBT
DM EDOTO DMC04 0 Osteoporosis Testing 74 0 DMC04DM-Osteoporosis TestingDM-HED-OTO
DM EDTCCOPD DMC05 0 Testing to Confirm Chronic Obstructive Pulmonary Disease 30 0 DMC05DM-Testing to Confirm Chronic Obstructive Pulmonary DiseaseDM-HED-TCCOPD
DM AHDCW DMC06 0 Doctors who Communicate Well 92 0 DMC06DM-Doctors who Communicate WellDM-CAH-DCW
DM MSC-CBHT DMC07 0 Call Center - Beneficiary Hold Time 0.36 0 DMC07DM-Call Center - Beneficiary Hold TimeDM-CMS-C-CBHT
DM AHPNU DMC08 0 Pneumonia Vaccine 69 0 DMC08DM-Pneumonia VaccineDM-CAH-PNU
DM EDAPCDV DMC09 0 Access to Primary Care Doctor Visits 94 0 DMC09DM-Access to Primary Care Doctor VisitsDM-HED-APCDV
DM MSC-CCHP DMC10 0 Call Center - Calls Disconnected When Customer Calls Health Plan 2.32 0 DMC10DM-Call Center - Calls Disconnected When Customer Calls Health PlanDM-CMS-C-CCHP
DM EDPMSC DMC11 0 Pharmacotherapy Management of COPD Exacerbation - Systemic Corticosteroid 73 0 DMC11DM-Pharmacotherapy Management of COPD Exacerbation - Systemic CorticosteroidDM-HED-PMSC
DM EDPMB DMC12 0 Pharmacotherapy Management of COPD Exacerbation - Bronchodilator 82 0 DMC12DM-Pharmacotherapy Management of COPD Exacerbation - BronchodilatorDM-HED-PMB
DM EDIADT DMC13 0 Initiation of Substance Use Disorder Treatment 33 0 DMC13DM-Initiation of Substance Use Disorder TreatmentDM-HED-IADT
DM EDEADT DMC14 0 Engagement of Substance Use Disorder Treatment 5 0 DMC14DM-Engagement of Substance Use Disorder TreatmentDM-HED-EADT
DM EDHPPC DMC15 0 Hospitalization for Potentially Preventable Complications 16 0 DMC15DM-Hospitalization for Potentially Preventable ComplicationsDM-HED-HPPC
DM EDCBP DMC16 0 Controlling High Blood Pressure 63 0 DMC16DM-Controlling High Blood PressureDM-HED-CBP
DM EDFEDVP DMC17 0 Follow-up after Emergency Department Visit for Patients with Multiple Chronic Conditions 58 0 DMC17DM-Follow-up after Emergency Department Visit for Patients with Multiple Chronic ConditionsDM-HED-FEDVP
DM EDTRCMRP DMC18 0 Transitions of Care - Medication Reconciliation Post-Discharge 64 0 DMC18DM-Transitions of Care - Medication Reconciliation Post-DischargeDM-HED-TRCMRP
DM EDTRCNIA DMC19 0 Transitions of Care - Notification of Inpatient Admission 22 0 DMC19DM-Transitions of Care - Notification of Inpatient AdmissionDM-HED-TRCNIA
DM EDTRCAID DMC20 0 Transitions of Care - Patient Engagement After Inpatient Discharge 82 0 DMC20DM-Transitions of Care - Patient Engagement After Inpatient DischargeDM-HED-TRCAID
DM EDTRCRDI DMC21 0 Transitions of Care - Receipt of Discharge Information 17 0 DMC21DM-Transitions of Care - Receipt of Discharge InformationDM-HED-TRCRDI
DM EDTRCA DMC22 0 Transitions of Care - Average 46 0 DMC22DM-Transitions of Care - AverageDM-HED-TRCA
DM EDPCR18 DMC23 0 Plan All-Cause Readmissions (18+) 12 0 DMC23DM-Plan All-Cause Readmissions (18+)DM-HED-PCR18
DM EDPCR64 DMC24 0 Plan All-Cause Readmissions (18-64) 12 0 DMC24DM-Plan All-Cause Readmissions (18-64)DM-HED-PCR64
DM EDPCR65 DMC25 0 Plan All-Cause Readmissions (65+) 12 0 DMC25DM-Plan All-Cause Readmissions (65+)DM-HED-PCR65
DM OSPFADL DMC26 0 Physical Functioning Activities of Daily Living 94 0 DMC26DM-Physical Functioning Activities of Daily LivingDM-HOS-PFADL
DM EDCOAFS DMC27 0 Care for Older Adults - Functional Status 78 0 DMC27DM-Care for Older Adults - Functional StatusDM-HED-COAFS
DM EDKHEPD DMC28 0 Kidney Health Evaluation for Patients With Diabetes 40 0 DMC28DM-Kidney Health Evaluation for Patients With DiabetesDM-HED-KHEPD
DM OSPHL DMC29 0 Improving or Maintaining Physical Health2 68 0 DMC29DM-Improving or Maintaining Physical Health2DM-HOS-PHL
DM OSMHL DMC30 0 Improving or Maintaining Mental Health2 80 0 DMC30DM-Improving or Maintaining Mental Health2DM-HOS-MHL
DM MSCDCCHP DMD01 0 Call Center - Calls Disconnected When Customer Calls Drug Plan 2.3 0 DMD01DM-Call Center - Calls Disconnected When Customer Calls Drug PlanDM-CMS-CDCCHP
DM MSD-CBHT DMD02 0 Call Center - Beneficiary Hold Time 0.35 0 DMD02DM-Call Center - Beneficiary Hold TimeDM-CMS-D-CBHT
DM MSMPFS DMD03 0 MPF - Stability 100 0 DMD03DM-MPF - StabilityDM-CMS-MPFS
DM MSD-HOLD DMD04 0 Call Center - Pharmacy Hold Time 0.26 0 DMD04DM-Call Center - Pharmacy Hold TimeDM-CMS-D-HOLD
DM MSPSHPD DMD05 0 Plan Submitted Higher Prices for Display on MPF 76 0 DMD05DM-Plan Submitted Higher Prices for Display on MPFDM-CMS-PSHPD
DM AHRFP DMD06 0 Reminders to Fill Prescriptions 54 0 DMD06DM-Reminders to Fill PrescriptionsDM-CAH-RFP
DM AHRTM DMD07 0 Reminders to Take Medications 33 0 DMD07DM-Reminders to Take MedicationsDM-CAH-RTM
DM QAAPD DMD08 0 Antipsychotic Use in Persons with Dementia (APD) 8 0 DMD08DM-Antipsychotic Use in Persons with Dementia (APD)DM-PQA-APD
DM QAAPDLTN DMD09 0 Antipsychotic Use in Persons with Dementia - for Long-Term Nursing Home Residents (APD- LTNH) 7 0 DMD09DM-Antipsychotic Use in Persons with Dementia - for Long-Term Nursing Home Residents (APD- LTNH)DM-PQA-APDLTN
DM QACOB DMD10 0 Concurrent Use of Opioids and Benzodiazepines (COB) 16.49 0 DMD10DM-Concurrent Use of Opioids and Benzodiazepines (COB)DM-PQA-COB
DM QAOHD DMD11 0 Use of Opioids at High Dosage in Persons Without Cancer (OHD) 7 0 DMD11DM-Use of Opioids at High Dosage in Persons Without Cancer (OHD)DM-PQA-OHD
DM QAOMP DMD12 0 Use of Opioids from Multiple Providers in Persons Without Cancer (OMP) 0.45 0 DMD12DM-Use of Opioids from Multiple Providers in Persons Without Cancer (OMP)DM-PQA-OMP
DM QAPMAMOA DMD13 0 Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) 8.7 0 DMD13DM-Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)DM-PQA-PMAMOA
DM QAMAMOA DMD14 0 Polypharmacy: Use of Multiple CNS-Active Medications in Older Adults (Poly-CNS) 6.5 0 DMD14DM-Polypharmacy: Use of Multiple CNS-Active Medications in Older Adults (Poly-CNS)DM-PQA-MAMOA
DM RGR DME01 0 Grievance Rate 5.56 0 DME01DM-Grievance RateDM-DR-GR
DM RPGP DME02 0 Disenrollment Reasons - Problems Getting the Plan to Provide and Pay for Needed Care (MA-PD MA-only) 17 0 DME02DM-Disenrollment Reasons - Problems Getting the Plan to Provide and Pay for Needed Care (MA-PD MA-only)DM-DR-PGP
DM RPCD DME03 0 Disenrollment Reasons - Problems with Coverage of Doctors and Hospitals (MA-PD MA-only) 23 0 DME03DM-Disenrollment Reasons - Problems with Coverage of Doctors and Hospitals (MA-PD MA-only)DM-DR-PCD
DM RFRD DME04 0 Disenrollment Reasons - Financial Reasons for Disenrollment (MA-PD MA-only PDP) 24 0 DME04DM-Disenrollment Reasons - Financial Reasons for Disenrollment (MA-PD MA-only PDP)DM-DR-FRD
DM RPDBC DME05 0 Disenrollment Reasons - Problems with Prescription Drug Benefits and Coverage (MA-PD PDP) 10 0 DME05DM-Disenrollment Reasons - Problems with Prescription Drug Benefits and Coverage (MA-PD PDP)DM-DR-PDBC
DM RPGIHP DME06 0 Disenrollment Reasons - Problems Getting Information and Help from the Plan (MA-PD PDP) 13 0 DME06DM-Disenrollment Reasons - Problems Getting Information and Help from the Plan (MA-PD PDP)DM-DR-PGIHP
DM MSD-BAPP DME07 0 Beneficiary Access and Performance Problems 96 0 DME07DM-Beneficiary Access and Performance ProblemsDM-CMS-D-BAPP

MY 2023 Stars Changes

  • Plan All-Cause Readmissions to 3x1,2

MY 2024 Stars Changes

  Program changes

  • 2027 Health Equity Index performance capture starts3

  Weight changes

  • CAHPS measures to 2x (Patient experience, complaints, and access measures)3

 New Measures:3

  • Improving/Maintaining Physical Health (1x)
  • Improving/Maintaining Mental Health (1x)
  • Kidney Health for Patients with Diabetes (1x)

MY 2025 Stars Changes

 Program changes

  • Health Equity Index introduced; RF replaced3

 Weight Changes

  • Improving/Maintaining Physical Health increases to 3x4
  • Improving/Maintaining Mental Health increases to 3x4

 New Measures:5

  • Care for Older Adults—Functional Status Assessment (1x)
  • Concurrent Use of Opioids and Benzodiazepines (COB) (1x)
  • Polypharmacy Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (1x)

 Retired Measures:5

  • Care for Older Adults – Pain Assessment
  • Medication Reconciliation Post-discharge (MRP)
  • MTM Program Completion Rate for Comprehensive Medication Review (CMR) – Retired to display