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 “2021” version if you are using claims data from 2020. Use “2020” version if you are using claims data from 2019. To access older versions of DQA measures specification or for questions related to the versions, please contact the DQA Staff at email@example.com.
“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.
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
(*)Indicates measures which include Practice-Level Reporting Guidance
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)
Care Continuity: eMeasure
Caries Risk Documentation*
Oral Evaluation (NQF#2517)
Per Member Per Month Cost of Clinical Services
Preventive Services for Children at Elevated Caries Risk
Topical Fluoride for Children at Elevated Caries Risk (NQF#2528)
Usual Sources of Care
Utilization of Services (NQF#2511)
Receipt of Sealants on First Permanent Molar
Receipt of Sealants on Second Permanent Molar
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