Dental Quality Measures

DQA measures address prevention and disease management to promote oral health for both children and adults.

2026 Measure Specifications

Implementing the Latest Standards

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 “2026” version if you are using claims data from 2025.

  • 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.


User Guides

2026 DQA Adult Measures User Guide (PDF)

2026 DQA Pediatric Measures User Guide (PDF) 

Measures

Adult

Adults with Diabetes - Oral Evaluation

Ambulatory Care Sensitive Emergency Department Visits for Non-Traumatic Dental Conditions in Adults (CMIT #1784)

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

Maintenance for Adults with Periodontitis

Practice Level Specifications

Non-Surgical Ongoing Periodontal Care for People with Periodontitis

Periodontal Evaluation in Adults with Periodontitis

Topical Fluoride for Adults at Elevated Caries Risk

Pediatric

Ambulatory Care Sensitive Emergency Department Visits for Dental Caries in Children

Care Continuity

Program and Plan Level Specifications

Practice Level Specifications

Caries Risk Documentation

Early Childhood Oral Evaluation by a Dental Provider Following a Medical Preventive Service Visit

Follow-Up after Emergency Department Visits for Dental Caries in Children

Oral Evaluation (CMIT #897)

Per Member Per Month Cost of Clinical Services

Preventive Services for Children

Receipt of Sealants on First Permanent Molar (CMIT #830)

Program and Plan Level Specifications

Practice Level Specifications

Receipt of Sealants on Second Permanent Molar

Topical Fluoride for Children (CMIT #1672)

Program and Plan Level Specifications

Practice Level Specifications

Treatment Services

Usual Sources of Care

Utilization of Services

Pregnancy

Oral Evaluation During Pregnancy (CMIT #1783)

Utilization of Services During Pregnancy