ny-gov/mental-health-readmission-beginning-2014-ke9m-imcz
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Updated 12 months ago
Indexed 4 hours ago

Mental Health Readmission: Beginning 2014

New York State is moving Medicaid behavioral health services from a fee-for-service system into Managed Care.

OMH Medicaid Behavioral Health Measures were developed to help monitor the transition of mental health and substance use disorder services from a fee-for-service to behavioral managed care.

The MH Readmission dataset displays percentages of Medicaid discharges for members 6-64 years of age who were hospitalized in an inpatient setting with a primary diagnosis of mental illness that were followed by an unplanned Mental Health readmission within 30 and 90 days of discharge.

Columns

NameSocrata field nameColumn name in sgr mountData typeDescription
YTD Denominatorytd_denominatorytd_denominatorNumberCount of YTD denominator for each measure at specific grouping level. For detailed descriptions of Denominator for each measure, see the “Detailed Metric Definition” table in the attached data dictionary.
NumeratornumeratornumeratorNumberCount of numerator for each measure at specific grouping level. For detailed descriptions of Numerator for each measure, see the “Detailed Metric Definition” table in the attached data dictionary.
DenominatordenominatordenominatorNumberCount of denominator for each measure at specific grouping level. For detailed descriptions of Denominator for each measure, see the “Detailed Metric Definition” table in the attached data dictionary.
Metric Descriptionmetric_descriptionmetric_descriptionTextMetric ID Description
Region or Coverage Categoryregion_or_coverage_categoryregion_or_coverage_categoryTextName of Provider Region or Medicaid Coverage Category. (‘STATEWIDE’, ‘NEW YORK CITY’, ‘REST OF STATE’,’ HARP’,’ FFS’,’ HIV SNP’, ‘MAINSTREAM’, etc.)
QuarterquarterquarterText2 Digit Quarter for which the measures are calculated. (‘Q1’, ‘Q2’, etc.)
RateraterateNumberThe rate of each measure as calculated by dividing the Denominator by the Numerator.
YTD Numeratorytd_numeratorytd_numeratorNumberCount of YTD numerator for each measure at specific grouping level. For detailed descriptions of Numerator for each measure, see the “Detailed Metric Definition” table in the attached data dictionary.
YTD Rateytd_rateytd_rateNumberThe rate of each measure as calculated by dividing the YTD Denominator by the YTD Numerator.
Age Inpatient Typeage_inpatient_typeage_inpatient_typeTextAge group combined with inpatient type. ('Adult-Art28 and 31', 'Youth-Art28 and 31')
Grouping Descriptiongrouping_descriptiongrouping_descriptionTextGrouping level description.
YearyearyearNumber4 Digit year for which the measures is calculated. (‘2014’, etc.)
Metric IDmetric_idmetric_idNumberMetric ID that uniquely identifies the OMH Medicaid Behavioral Health Measures. 4 - 30-Day MH Readmission, 5 - 90-Day MH Readmission.
Grouping Levelgrouping_levelgrouping_levelNumberIndicator of corresponding aggregation level. 1 – STATEWIDE; 2 - COVERAGE CATEGORY; 3 - PROVIDER REGION; 4 - COVERAGE CATEGORY BY PROVIDER REGION
 
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  • mental_health_readmission_beginning_2014
     
Upstream Metadata