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Dental Quality Measures

Considering Measures: Why Adopt DQA Measures?

Measures: Medicaid and Dental Plan Assessments

Please refer to the DQA User Guide before implementing these measures. All DQA measures undergo annual review. Please ensure you use the correct version for the measurement year. Use “2020” version if you are using claims data from 2019. Use “2019” version if you are using claims data from 2018. To access older versions of DQA measures specification or for questions related to the versions, please contact the DQA Staff at dqa@ada.org.

“Dental” vs. “Oral Health” Services 

For the purpose of measurement, based on definitions from the Centers for Medicare & Medicaid Services: “Dental” services refer to services provided by or under the supervision of a dentist. “Oral health” services refer to services provided by other personnel e.g. pediatricians. 

Refer to User Guides below for more detail. 


ADULT
 
Adults with Diabetes - Oral Evaluation 

Ambulatory Care Sensitive Emergency Department Visits for Non-Traumatic Dental Conditions in Adults

Follow-Up after Emergency Department Visits for Non-Traumatic Dental Conditions in Adults 

Topical Fluoride for Adults at Elevated Caries Risk

Periodontal Evaluation in Adults with Periodontitis

Non-Surgical Ongoing Periodontal Care for People with Periodontitis


PEDIATRIC


Utilization of Services (NQF#2511)

Preventive Services for Children at Elevated Caries Risk 

Treatment Services

Caries Risk Documentation

Oral Evaluation (NQF#2517)

Topical Fluoride for Children at Elevated Caries Risk (NQF#2528)

 Receipt of Sealants by Age 10 on First Permanent Molar

  • 2020 In Development. 

Receipt of Sealants by Age [TBD] on Second Permanent Molar

  • 2020 In Development. 

Annual Delivery: Sealants for 6–9 Year-Old Children at Elevated Caries Risk 

Annual Delivery: Sealants for 10-14 Year-Old Children at Elevated Caries Risk 

 Sealants: eMeasure

Care Continuity

Care Continuity: eMeasure

Usual Sources of Care

Ambulatory Care Sensitive Emergency Department Visits for Dental Caries in Children (NQF#2689)

Follow-Up after Emergency Department Visits for Dental Caries in Children (NQF#2695)

Per Member Per Month Cost of Clinical Services