Care for Older Adults - Functional Status

Identifying Attributes

Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Medicare Advantage (Part C) and Part D Star Ratings
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Function and ADLs

Defining Attributes

Definition

The percentage of Medicare Advantage Special Needs Plan enrollees 66 years and older (denominator) who received at least one functional status assessment (Functional Status Assessment Value Set) during the measurement year (numerator).

Numerator

The number of Medicare Advantage Special Needs Plan enrollees 66 years and older who received at least one functional status assessment (Functional Status Assessment Value Set) during the measurement year.

Denominator

The total number of Medicare Advantage Special Needs Plan enrollees 66 years and older.

Exclusions

SNP benefit packages whose enrolment was less than 30 as of February 2022 SNP Comprehensive Report.

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Healthcare Effectiveness Data and Information Set

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025