DENTAL QUALITY ALLIANCE: 2021 ANNUAL MEASURES REVIEW - JUNE 2021

The MDMC additionally evaluated the rationale and implications of the elevated risk criteria more broadly for inclusion in the denominator for each of the measures that restricts the denominator to individuals inferred to be at elevated risk for dental caries. [...] Similar methodology to identify adults at elevated risk for dental caries has been used in the peer-reviewed literature.5 The committee concluded that it is beyond the scope of this review to adequately respond to concerns that may be associated with the provision of unnecessary care and the impact on the administration of the measure. [...] 13 | P a g e 2021 ANNUAL MEASURE REVIEW REPORT individuals younger than 18 years of age.7 Clinical guidelines and literature support the recommended age for the first oral evaluation to be at the time of the eruption of the first tooth and no later than 12 months of age.8,9,10,11,12 Consequently, the DQA maintains the measure is applicable to all children under the age of 21 years. [...] the subject has no history of a dental visit in any of the three years prior to the reporting year, (NOTE: The subject does not need to be enrolled in any of the prior three years for the denominator enrollment criteria; this is a "look back" for subjects consistent with the existing criteria.) -- see comment C Comment A – include the following CDT Codes to the current value set. [...] the subject has no history of a dental visit in any of the three years prior to the reporting year, (NOTE: The subject does not need to be enrolled in any of the prior three years for the denominator enrollment criteria; this is a "look back" for subjects consistent with the existing criteria.) -- see comment C Comment A – include the following CDT Codes to the current value set.