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.
This dataset has the following 14 columns:
| Column Name | API Column Name | Data Type | Description | Sample Values |
|---|---|---|---|---|
| Metric ID | metric_id | number | Metric ID that uniquely identifies the OMH Medicaid Behavioral Health Measures. 4 - 30-Day MH Readmission, 5 - 90-Day MH Readmission. | 5 4 view top 100 |
| Metric Description | metric_description | text | Metric ID Description | 90-Day MH Readmission 30-Day MH Readmission view top 100 |
| Grouping Level | grouping_level | number | Indicator of corresponding aggregation level. 1 – STATEWIDE; 2 - COVERAGE CATEGORY; 3 - PROVIDER REGION; 4 - COVERAGE CATEGORY BY PROVIDER REGION | 4 2 3 1 view top 100 |
| Grouping Description | grouping_description | text | Grouping level description. | COVERAGE CATEGORY BY PROVIDER REGION COVERAGE CATEGORY PROVIDER REGION STATEWIDE view top 100 |
| Region or Coverage Category | region_or_coverage_category | text | Name of Provider Region or Medicaid Coverage Category. (‘STATEWIDE’, ‘NEW YORK CITY’, ‘REST OF STATE’,’ HARP’,’ FFS’,’ HIV SNP’, ‘MAINSTREAM’, etc.) | FFS NEW YORK CITY MAINSTREAM-NEW YORK CITY REST OF STATE MAINSTREAM-REST OF STATE view top 100 |
| Age Inpatient Type | age_inpatient_type | text | Age group combined with inpatient type. ('Adult-Art28 and 31', 'Youth-Art28 and 31') | Adult-Art28 and 31 Youth-Art28 and 31 view top 100 |
| Year | year | number | 4 Digit year for which the measures is calculated. (‘2014’, etc.) | 2021 2019 2018 2017 2020 view top 100 |
| Quarter | quarter | text | 2 Digit Quarter for which the measures are calculated. (‘Q1’, ‘Q2’, etc.) | Q4 Q3 Q2 Q1 view top 100 |
| Numerator | numerator | number | Count 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. | 28 40 30 23 38 view top 100 |
| Denominator | denominator | number | Count 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. | 128 124 108 112 114 view top 100 |
| Rate | rate | number | The rate of each measure as calculated by dividing the Denominator by the Numerator. | 0.125 0.090909091 0.214285714 0.232 0.268115942 view top 100 |
| YTD Numerator | ytd_numerator | number | Count 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. | 30 69 92 50 104 view top 100 |
| YTD Denominator | ytd_denominator | number | Count 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. | 108 275 124 419 338 view top 100 |
| YTD Rate | ytd_rate | number | The rate of each measure as calculated by dividing the YTD Denominator by the YTD Numerator. | 0.175853018 0.294117647 0.263157895 0.460869565 0.283018868 view top 100 |