Measure Specification Files
To access measure specifications and related resources for NCQA measures used in the Innovation in Behavioral Health (IBH) model, please click on the links below for the applicable model year.
| Model Year | Measure Specifications |
|---|
| N/A* | - Breast Cancer Screening (BCS)
- Breast Cancer Screening (BCS-AD)
- Colorectal Cancer Screening (COL)
- Colorectal Cancer Screening (COL-AD)
- Controlling High Blood Pressure (CBP)
- Diabetes screening for people with schizophrenia or bipolar disorder who are using antipsychotic medications (SSD)
- Diabetes screening for people with schizophrenia or bipolar disorder who are using antipsychotic medications (SSD-AD)
- Emergency Department Utilization (EDU)**
- Follow‐Up After Emergency Department Visit for Substance Use (FUA)
- Follow‐Up After Emergency Department Visit for Substance Use (FUA-AD)
- Follow-Up After Hospitalization for Mental Illness (FUH)
- Follow-Up After Hospitalization for Mental Illness (FUH-AD)
- Glycemic Status Assessment for Patients With Diabetes (GSD)
- Person-Centered Outcomes (PCO)
- Plan All-Cause Readmissions (PCR)**
- Plan All-Cause Readmissions (PCR-AD)**
- Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
*Measure specifications currently posted reflect the most up-to-date versions of the measures. Specifications for Model Year 2028 will be released when available. **This is a risk-adjusted utilization measure that compares observed to expected rates. The exact risk weights that will be used for this measure in this Innovation Center model will be determined at a date closer to implementation. Therefore, NCQA is providing access to the specifications without the risk weights needed for calculating expected values. |
