Dental Quality Measures

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

Dental Quality 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 “2022” version if you are using claims data from 2021. Use “2021” version if you are using claims data from 2020. 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.

2022 DQA Adult Measures User Guide (PDF)

2022 DQA Pediatric Measures User Guide (PDF)

2021 DQA Adult Measures User Guide (PDF)

2021 DQA Pediatric Measures User Guide (PDF)

 

 

Measures

Adult

Adults with Diabetes - Oral Evaluation

2022 Adults with Diabetes - Oral Evaluation (PDF)

2021 Adults with Diabetes - Oral Evaluation (PDF)

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

2022 Ambulatory Care Sensitive Emergency Department Visits for Non-Traumatic Dental Conditions in Adults (PDF)

2021 Ambulatory Care Sensitive Emergency Department Visits for Non-Traumatic Dental Conditions in Adults (PDF) 

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

2022 Follow-Up after Emergency Department Visits for Non-Traumatic Dental Conditions in Adults (PDF)

2021 Follow-Up after Emergency Department Visits for Non-Traumatic Dental Conditions in Adults (PDF) 

Topical Fluoride for Adults at Elevated Caries Risk

2022 Adult Topical Fluoride (PDF)

2021 Adult Topical Fluoride (PDF)

Periodontal Evaluation in Adults with Periodontitis

2022 Periodontal Evaluation (PDF)

2021 Periodontal Evaluation (PDF) 

Non-Surgical Ongoing Periodontal Care for People with Periodontitis

2022 Non-Surgical Ongoing Periodontal Care for People with Periodontitis (PDF)

2021 Non-Surgical Ongoing Periodontal Care for People with Periodontitis (PDF)

Pediatric
 (*)Indicates measures which include Practice-Level Reporting Guidance  

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

2022 Ambulatory Care Sensitive Emergency Department Visits for Dental Caries in Children (PDF)

2021 Ambulatory Care Sensitive Emergency Department Visits for Dental Caries in Children (PDF)

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

2022 Follow-Up after Emergency Department Visits for Dental Caries in Children (PDF)

2021 Follow-Up after Emergency Department Visits for Dental Caries in Children (PDF)

Care Continuity*

2022 Dental Services: Care Continuity (PDF)

2021 Dental Services: Care Continuity (PDF)

Care Continuity: eMeasure

Oral Health Care Continuity for Children between 2-20 years

Caries Risk Documentation*

2022 Caries Risk Documentation (PDF)

2021 Caries Risk Documentation (PDF)

Oral Evaluation (NQF#2517)

2022 Oral Evaluation (PDF)

2021 Oral Evaluation (PDF)

Per Member Per Month Cost of Clinical Services

2022 Per Member Per Month Cost of Clinical Services (PDF)

2021 Per Member Per Month Cost of Clinical Services (PDF)

Preventive Services for Children

2022 Preventive Services for Children (PDF)

 

Retired. No further updates. Use 2021 version.

2021 Dental Services: Preventive Services (PDF)

2021 Oral Health Services: Preventive Services (PDF)

2021 Dental or Oral Health Services: Preventive Services (PDF)

Topical Fluoride for Children (NQF#2528)

2022 Topical Fluoride for Children (PDF)

 

Retired. No further updates. Use 2021 version.

2021 Dental Services: Topical Fluoride* (PDF)

2021 Oral Health Services: Topical Fluoride (PDF)

2021 Dental or Oral Health Services: Topical Fluoride (PDF)

Treatment Services

2022 Treatment Services (PDF)

2021 Treatment Services (PDF)

Usual Sources of Care

2022 Dental Services: Usual Sources of Care (PDF)

2021 Dental Services: Usual Sources of Care (PDF)

Utilization of Services (NQF#2511)

2022 Dental Services: Utilization of Services (PDF)

2022 Oral Health Services: Utilization of Services (PDF)

2022 Dental or Oral Health Services: Utilization of Services (PDF)

2021 Dental Services: Utilization of Services (PDF)

2021 Oral Health Services: Utilization of Services (PDF)

2021 Dental or Oral Health Services: Utilization of Services (PDF)

Receipt of Sealants on First Permanent Molar

2022 Receipt of Sealants on First Permanent Molar (PDF)

2021 Receipt of Sealants on First Permanent Molar (PDF)

Receipt of Sealants on Second Permanent Molar

2022 Receipt of Sealants on Second Permanent Molar (PDF)

2021 Receipt of Sealants on Second Permanent Molar (PDF)

Sealants: eMeasure

Oral Health Sealant for Children between 6-9 years

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

Retired. No Further Updates. Use 2019 Version.

2019 Dental Services: Sealants 6-9 Years (PDF)

2019 Oral Health Services: Sealants 6-9 Years (PDF)

2019 Dental or Oral Health Services: Sealants 6-9 Years (PDF)

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

Retired. No Further Updates. Use 2019 Version.

2019 Dental Services: Sealants 10-14 Years (PDF)

Measure development

Measure development process
Measures identified for future development