NR = not reported   NA = not applicable      -- = the state was not required to complete this section of the state plan             template and did not volunteer the information.

Identifiers				Performance Measures
				HEDIS Measures Used, If Not Full Set
State	Program	Phase or Component	Amend.#	Immunization Rates	Well Child Visits	Adolescent Well Care Visits	Satisfaction	Mental Health Care	Dental Care	Other HEDIS	Specify Other
AK	AK Denali KidCare		NA	No	No	No	No	No	No	No
AL	AL SCHIP	Phase 1
AL	AL SCHIP	Phase 1	NA	Yes	Yes	Yes	Yes	No	No	No
AL	AL SCHIP	All Kids (Phase 2)
AL	AL SCHIP	All Kids (Phase 2)	1	NA	NA	NA	NA	NA	NA	NA
AL	AL SCHIP	All Kids (Phase 2)	2	Yes	Yes	Yes	Yes	Yes	Yes	No
AL	AL SCHIP	Plus (Phase 3)
AL	AL SCHIP	Plus (Phase 3)	2	Yes	Yes	Yes	Yes	Yes	Yes	No
AR	AR SCHIP	Phase I - ARKids A
AR	AR SCHIP	Phase I - ARKids A	NA	Yes	Yes	Yes	Yes	No	No	No
AR	AR SCHIP	Phase II - ARKids B
AR	AR SCHIP	Phase II - ARKids B	1	Yes	Yes	Yes	Yes	NR	NR	NR
AS	AS SCHIP		NA	NR	NR	NR	NR	NR	NR
AZ	KidsCare		NA	Yes	Yes	No	Yes	No	Yes	NR
AZ	KidsCare		1
AZ	KidsCare		2
AZ	KidsCare		3
AZ	KidsCare		4
CA	Healthy Families	Medi-Cal Expansion
CA	Healthy Families	Medi-Cal Expansion	NA	NA	NA	NA	NA	NA	NA	NA
CA	Healthy Families	Medi-Cal Expansion	1
CA	Healthy Families	Medi-Cal Expansion	2
CA	Healthy Families	Health Insurance Plan (MRMIB)
CA	Healthy Families	Health Insurance Plan (MRMIB)	NA	NA	NA	NA	NA	NA	NA	NA
CA	Healthy Families	Health Insurance Plan (MRMIB)	2
CA	Healthy Families	Health Insurance Plan (MRMIB)	3
CA	Healthy Families	Health Insurance Plan (MRMIB)	4
CA	Healthy Families	Health Insurance Plan (MRMIB)	5
CA	Healthy Families	Access for Infants and Mothers (AIM)
CA	Healthy Families	Access for Infants and Mothers (AIM)	NA	NA	NA	NA	NA	NA	NA	NA
CA	Healthy Families	Access for Infants and Mothers (AIM)	2
CA	Healthy Families	Access for Infants and Mothers (AIM)	3
CA	Healthy Families	Access for Infants and Mothers (AIM)	4
CA	Healthy Families	Access for Infants and Mothers (AIM)	5
CA	Healthy Families	Child Health and Disability Prevention Program
CA	Healthy Families	Child Health and Disability Prevention Program	NA	NA	NA	NA	NA	NA	NA	NA
CA	Healthy Families	Child Health and Disability Prevention Program	2
CA	Healthy Families	Child Health and Disability Prevention Program	3
CA	Healthy Families	California Children`s Services
CA	Healthy Families	California Children`s Services	NA	NA	NA	NA	NA	NA	NA	NA
CA	Healthy Families	California Children`s Services	2
CA	Healthy Families	County Mental Health Program
CA	Healthy Families	County Mental Health Program	NA	NA	NA	NA	NA	NA	NA	NA
CA	Healthy Families	County Mental Health Program	2
CO	CHP+		NA	NA	NA	NA	NA	NA	NA	NA
CO	CHP+		1
CO	CHP+		2
CT	HUSKY Program	Part A
CT	HUSKY Program	Part A	NA	NA	NA	NA	NA	NA	NA	NA
CT	HUSKY Program	Part A	0
CT	HUSKY Program	Part A	1
CT	HUSKY Program	Part B
CT	HUSKY Program	Part B	NA	NA	NA	NA	NA	NA	NA	NA
CT	HUSKY Program	Part B	1
CT	HUSKY Program	HUSKY Plus Plan for Children with Special Physical Health Needs	NA	NA	NA	NA	NA	NA	NA	NA
CT	HUSKY Program	HUSKY Plus Plan for Children with Special Physical Health Needs	1
CT	HUSKY Program	HUSKY Plus Behavioral Health Plan	NA	NA	NA	NA	NA	NA	NA	NA
CT	HUSKY Program	HUSKY Plus Behavioral Health Plan	1
DC	DC Healthy Kids		NA	Yes	Yes	Yes	Yes	No	Yes	Yes	EPSDT screening
DE	Delaware Healthy Children`s Program		NA	Yes	Yes	No	No	Yes	No	Yes	ER visits
DE	Delaware Healthy Children`s Program		1
FL	FL KidCare	Medicaid expansion
FL	FL KidCare	Medicaid expansion	NA	Yes	Yes	Yes	Yes	Yes	Yes	No
FL	FL KidCare	Medicaid expansion	1						No
FL	FL KidCare	Healthy Kids
FL	FL KidCare	Healthy Kids	NA	Yes	Yes	Yes	Yes	Yes	Yes	No
FL	FL KidCare	Healthy Kids	1						No
FL	FL KidCare	Healthy Kids	3
FL	FL KidCare	Healthy Kids	4
FL	FL KidCare	Medi-Kids	1	Yes	Yes	Yes	Yes	Yes	No	No
FL	FL KidCare	Medi-Kids	4
FL	FL KidCare	CMS	1	Yes	Yes	Yes	Yes	Yes	No	No
FL	FL KidCare	CMS	4
GA	Peach Care for Kids		NA	Yes	Yes	Yes	Yes	Yes	No	No
GA	Peach Care for Kids		0
GA	Peach Care for Kids		1
GU	Guam SCHIP		NA	Yes	Yes	Yes	Yes	No	Yes	No
HI	HI SCHIP	Phase I	NA	No	Yes	Yes	Yes	Yes	Yes	Yes	Utilization of primary care providers; appointment wait times; EPSDT periodicity screens.
HI	HI SCHIP	Phase I	1
IA	Hawk-I	Medicaid Expansion	NA	Yes	Yes	Yes	No	No	Yes	No
IA	Hawk-I	Medicaid Expansion	4
IA	Hawk-I	Separate State Program	1	Yes	Yes	Yes	Yes	Yes	Yes	NR
IA	Hawk-I	Separate State Program	2
IA	Hawk-I	Separate State Program	3
IA	Hawk-I	Separate State Program	4
ID	ID SCHIP		NA	Yes	Yes	Yes	No	No	No	No
ID	ID SCHIP		1
ID	ID SCHIP		2	No	No	No
IL	Kidcare	Phase 1	NA	Yes	Yes	Yes	No	No	No	Yes	Infant mortality; childhood lead poisoning; school absenteeism; hospitalization of enrolled children for ambulatory care-sensitive conditions (dehydration and asthma) low birthweight babies born to teens.
IL	Kidcare	Phase 2	1	NR	NR	NR	NR	NR	NR	NR
IN	Hoosier Healthwise	Phase 1	NA	Yes	Yes	No	No	No	No	No
IN	Hoosier Healthwise	Phase 1	0
IN	Hoosier Healthwise	Phase 2	2	Yes	No	No	No	No	No	No
KS	HealthWave		NA	Yes	Yes	Yes	Yes	Yes	No	No
KS	HealthWave		1
KY	KCHIP	Medicaid Expansion
KY	KCHIP	Medicaid Expansion	NA	NA	NA	NA	NA	NA	NA	NA
KY	KCHIP	Medicaid Expansion	1
KY	KCHIP	Insurance Product
KY	KCHIP	Insurance Product	NA	NA	NA	NA	NA	NA	NA	NA
KY	KCHIP	Insurance Product	1
KY	KCHIP	Insurance Product	2	Yes	Yes	Yes	Yes	No	No	No
LA	LaCHIP		NA	Yes	Yes	Yes	Yes	Yes	No	Yes	Indicators for access; indicators for continuity/coordination of care.
LA	LaCHIP		1
MA	MassHealth	Standard	NA	NA	NA	NA	NA	NA	NA	NA
MA	MassHealth	Family Assistance Direct Coverage	NA	NA	NA	NA	NA	NA	NA	NA
MA	MassHealth	Family Assistance Premium Assistance	NA	NA	NA	NA	NA	NA	NA	NA
MA	MassHealth	Common Health	NA	NA	NA	NA	NA	NA	NA	NA
MD	Maryland Children`s Health Program	Phase I	NA	NA	NA	NA	NA	NA	NA	NA
MD	Maryland Children`s Health Program	Phase I	1
MD	Maryland Children`s Health Program	Phase II	2	No	Yes	No	Yes	No	Yes	No
MD	Maryland Children`s Health Program	Phase II- ESI	2	No	Yes	No	Yes	No	Yes	No
ME	ME CHIP Medicaid Expansion		NA	NA	NA	NA	NA	NA	NA	NA
ME	Cubcare		NA	NA	NA	NA	NA	NA	NA	NA
ME	Cubcare		1
MI	MI SCHIP	MI CHILD	NA	NA	NA	NA	NA	NA	NA	NA
MI	MI SCHIP	MI CHILD	1
MI	MI SCHIP	MI CHILD	2
MI	MI SCHIP	Medicaid Expansion	1	NA	NA	NA	NA	NA	NA	NA
MI	MI SCHIP	Medicaid Expansion	2
MN	Minnesota Medical Assistance Program		NA	Yes	No	No	No	No	No	Yes	Inpatient utilization; acute care and non acute care; ambulatory care; births and average lengths of stay for newborns; percent receiving inpatient and ambulatory mental health services; impatient discharges and average length of stay of mental health admissions; readmission for selected mental health disorders; effectiveness of care measures such as prenatal care in first trimester.
MO	MC+ for Kids		NA	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Complaints and grievances with resolution; number and reason for transfers; cervical cancer screening; follow-ups after hospitilization for mental illness; check-ups after delivery; ambulatory care; mental health utilization; monitoring of 24 hour coverage; chemical dependency utilization; sentinel events; well-child visits in the first 15 months; prenatal care and pregnancy outcomes; STDs.
MO	MC+ for Kids		1
MP	CNMI SCHIP		NA	No	No	No	Yes	No	No	No
MS	MS SCHIP	Phase I
MS	MS SCHIP	Phase I	NA	NA	NA	NA	NA	NA	NA	NA
MS	MS SCHIP	Phase II
MS	MS SCHIP	Phase II	1	NA	NA	NA	NA	NA	NA	NA
MS	MS SCHIP	Phase II	2
MS	MS SCHIP	Phase II	3
MS	MS SCHIP	Employer-sponsored coverage	1	NA	NA	NA	NA	NA	NA	NA
MT	MT SCHIP		NA	Yes	Yes	Yes	No	No	No	Yes	Access to primary care providers.
MT	MT SCHIP		1
NC	NC SCHIP		NA	NA	NA	NA	NA	NA	NA	NA
NC	NC SCHIP		1
NC	NC SCHIP		2
NC	NC SCHIP		3
NC	NC SCHIP		4
NC	NC SCHIP		5
ND	Healthy Steps	Phase I
ND	Healthy Steps	Phase I	NA	Yes	No	No	Yes	No	No	Yes	Access to primary care; asthma impatient reduction; nutritional services.
ND	Healthy Steps	Phase II
ND	Healthy Steps	Phase II	1	NR	NR	NR	NR	NR	NR	NR
NE	Kid`s Connection		NA	No	Yes	No	No	No	Yes	No
NE	Kid`s Connection		1
NH	Healthy Kids	Gold	NA	NA	NA	NA	NA	NA	NA	NA
NH	Healthy Kids	Gold	1
NH	Healthy Kids	Silver	NA	NA	NA	NA	NA	NA	NA	NA
NJ	KidCare	Plan A	NA	Yes	Yes	Yes	Yes	Yes	Yes	No
NJ	KidCare	Plan B	NA	Yes	Yes	Yes	Yes	Yes	Yes	No
NJ	KidCare	Plan B	1
NJ	KidCare	Plan B	3
NJ	KidCare	Plan B	4
NJ	KidCare	Plan C	NA	Yes	Yes	Yes	Yes	Yes	Yes	No
NJ	KidCare	Plan C	1
NJ	KidCare	Plan C	3
NJ	KidCare	Plan C	4
NJ	KidCare	Plan D	2	Yes	Yes	Yes	Yes	Yes	Yes	No
NJ	KidCare	Plan D	3
NJ	KidCare	Plan D	4
NJ	KidCare	1115 Demonstration	NA
NM	NM SCHIP		NA	NA	NA	NA	NA	NA	NA	NA
NM	NM SCHIP		2
NM	NM SCHIP	1115 Demonstration	NA
NV	Nevada Check-Up		NA	NA	NA	NA	NA	NA	NA	NA
NV	Nevada Check-Up		1
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS	NA	Yes	Yes	Yes	Yes	No	No	No
NY	NY SCHIP	CHPLUS	2
NY	NY SCHIP	Medicaid Expansion	2	Yes	Yes	Yes	Yes	No	No	No
OH	OH Child Health Plan		NA	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Pediatric asthma
OH	OH Child Health Plan		1
OK	SoonerCare		NA	NA	NA	NA	NA	NA	NA	NA
OK	SoonerCare		1
OR	OR SCHIP		NA	NA	NA	NA	NA	NA	NA	NA
OR	OR SCHIP		2
OR	OR SCHIP		3
PA	PA SCHIP		NA	Yes	Yes	Yes	Yes	No	Yes	No
PA	PA SCHIP		1
PA	PA SCHIP		2
PA	PA SCHIP		3
PA	PA SCHIP		4
PR	PR SCHIP		NA	Yes	No	No	No	No	No	No
RI	RIte Care		NA	Yes	Yes	Yes	Yes	Yes	Yes	No
RI	RIte Care		1
RI	RIte Care	1115 Demonstration	NA
SC	Partners for Healthy Children		NA	NR	NR	NR	NR	NR	NR	NR
SD	SD SCHIP		NA	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Optometric and substance abuse.
SD	SD SCHIP		1
SD	SD SCHIP		2
SD	SD SCHIP	CHIP NM	3	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Optometric and substance abuse
TN	Tennessee`s CHIP	Phase I	NA	No	No	No	No	No	No	No
TX	Texas Healthy Steps	Phase I
TX	Texas Healthy Steps	Phase I	NA	No	No	Yes	No	No	Yes	No
TX	Texas Healthy Steps	Phase II
TX	Texas Healthy Steps	Phase II	1	Yes	Yes	Yes	No	No	No	No
UT	UT SCHIP		NA	NA	NA	NA	NA	NA	NA	NA
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	NA	Yes	Yes	No	No	No	No	No
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	1				Yes
VA	VA SCHIP	Family Access to Medical Insurance Security Plan (FAMIS) - ESI	1	Yes	Yes	No	Yes	No	No	No
VI	Virgin Island`s SCHIP		NA	No	Yes	Yes	Yes	No	Yes	No
VI	Virgin Island`s SCHIP		1
VT	VT SCHIP		NA	No	No	No	No	No	No	NR
VT	VT SCHIP		1
VT	VT SCHIP		2
VT	VT SCHIP		3
WA	WA SCHIP		NA	Yes	Yes	Yes	Yes	No	No	NR
WA	WA SCHIP		1
WI	BadgerCare	Medicaid expansion
WI	BadgerCare	Medicaid expansion	NA	Yes	Yes	Yes	Yes	Yes	Yes	No
WI	BadgerCare	Medicaid expansion	1
WI	BadgerCare	Employer-sponsored Coverage	1	NR	NR	NR	NR	NR	NR	--
WI	BadgerCare		NA
WV	WV SCHIP	Phase I	NA	NA	NA	NA	NA	NA	NA	NA
WV	WV SCHIP	Phase I	2
WV	WV SCHIP	Phase II	1	NA	NA	NA	NA	NA	NA	NA
WV	WV SCHIP	Phase II	2	Yes	Yes	Yes	Yes	Yes	Yes
WV	WV SCHIP	Phase II	3
WY	WY SCHIP	CHIP One	NA	No	No	No	No	No	No	No