Appendix B State Methodologies and Reporting for the GPRA Medicaid Childhood Immunization Goal (MMA2-03) Due to the various data collection and reporting methodologies used by individual States, immunization coverage levels are not directly comparable across States. Each State will measure its own progress, using a consistent measurement methodology. The following Appendix summarizes State-specific methodologies and includes relevant definitions, and presents each State's baseline and three-year targets for increasing childhood immunization rates. Group I States Although all Group I States have actively participated, there have been problems and barriers that have delayed reporting. Eleven of the 16 Group I States have reported their first remeasurement rate. California reports a change in personnel and reduced program funds as the cause for their delay in reporting. Oklahoma reports at the end of each calendar year. In Oklahoma and Kansas, the report is delayed for signatures at the State level. Rhode Island also reports a shortage of funds and personnel as cause for their delay in reporting. Idaho, which had a delay last year, intends to report its first and second remeasurement rates by August 2002. Group II States Group II States actively participated in the project, but also experienced delays. All Group II States submitted their State-specific methodologies, and six of 10 Group II States reported their baseline and three-year target rates. Alaska has reported a delay in reporting due to a re-organization of the State office physical locations. Colorado, North Carolina and North Dakota have had a change in personnel assigned to this program and have asked to report in early 2002 to give them time to review the plan and analyze the data. North Dakota has reported problems obtaining all the signatures needed for clearance. Group III States The third and final Group of this project is preparing their baseline methodologies and will report the baseline measures and target rates at the end of FY 2002. Appendix B Group I & II States Baseline Measurement Methodologies for the GPRA Medicaid Childhood Immunization Goal Group I States: Appendix B Group I & II States Baseline Measurement Methodologies for the Arizona 2-year old 1(a) 4(a, b, c) FY 1999 62% Medicaid enrollment 2(a) 65% 2/02 2/03 80% 4(d, e) Medicaid enrollment 2(a) 6/30/98 Fully immunized 3(c) California MCP & FFS 2-year old 1(a) Medicaid enrollment 2(a) 52% 4 (h) FFS Fully immunized 3(d) FFS 54% 80% Connecticut 2-year old 1(a) Medicaid enrollment 2(a) Fully immunized 3(c) 76% 6/03 Idaho 2-year old 1(b) 4(b, j) 1/1/01 sample 66% Pending 6/02 Medicaid enrollment 2(b) selection date Fully immunized 3(a) 90% 90% Kansas 2-year old 1(b) 4(e) FY 2000 42% Pending 12/02 4(c, i) 7/1/98 24% 32% 11/02 11/03 70% Medicaid enrollment 2(d) 6/30/99 Fully immunized 3(i) Massachusetts 2-year old 1(a) Medicaid enrollment 2(a) 4(1) CY 1997 64% 69% 12/02 12/03 80% Fully immunized 3() APPENDIX B Definition of two-year old: 1(a) 1(b) States choosing to measure number of two-year olds over a period of time (i.e. using State or States measuring by age (i.e. 24 - 35 months of age, between 19 and 35 months of age or 0 to 24 Medicaid enrollment: 2(a) 2(b) 2(c) 2(d) 2(e) 2(f) Twelve months enrollment and have no more than 30-45 days gap in enrollment. Enrolled for at sample date selected. Enrolled at least 6 months Ever enrolled. Enrolled in Medicaid managed care Enrolled at least 10 months with no more than 45 day gap in enrollment 3(c) 3(d) 3(e) 3(f) 3(g) 4 DTP, 3 OPV, 1 MMR, 3 Hib, 3 HBV, 1 VZV; HEDIS (2002 & 1, Comb 2) 4 DTP, 3 OPV, 1 MMR, 2 Hib, 3 HBV; HEDIS (2001 & 2000, Comb 1; 1999, Comb 2) 4 DTP, 3 OPV, 1 MMR, 2 Hib, 2 HBV; HEDIS (1999, Comb 1; 1998, Comb 2) 4 DTP, 3 OPV, 1 MMR, 2 Hib, 3 HBV, I VZV; HEDIS (2001 & 2000, Comb 2; 1999, Comb 3) 4 DTP, 3 OPV, I MMR, 3 Hib, 3 HBV; HEDIS (2002, Comb 1) 4 DTP, 3 OPV, 1 MMR, 1 Hib, 2 HBV; HEDIS (1998, Comb 1) 4 DTP, 3 OPV, 1 MMR, 1 Hib, 3 HBV 4 DTP, 3 OPV, 1 MMR, 4 Hib, 3 HBV (ACIP/AAP recommendations) 4 DTP, 3 OPV, 1 MMR, 3 Hib (NIS) 4 DTP, 3 OPV, 1 MMR, 1 Hib, 3 HBV, 1 VZV 4 DTP, 3 OPV, 1 MMR, 2 Hib, 2 HBV, 1 VZV; HEDIS (1998, Comb 3) Data Sources: Claims database HEDISR like specifications modified by the State State survey data Medicaid Management Information System/Decision Support System (MMIS/DSS) 4(e) 4(f) 4(g) 4(h) 4(i) 40) Provider survey Immunization program record reviews Independent-EQR meeting CMS standards based on medical record review Parental documentation of immunization record Medical Assistance Management Information System (MAMIS) reports from MCO's Medicaid Eligiblity Information System (MEIS) Alaska Permanent Fund Dividend Random Sample Resource Patient Management System (RPMS) birth Cohort Survey |