• Starting in MY2020: to reduce state burden and streamline reporting, CMS is giving states the option to have CMS calculate a Medicaid state-level rate for this measure using the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) tool, which uses state birth certificate data compiled by the National Center for Health Statistics.
• This is a Centers for Disease Control (CDC) measure.
• The annual reported rate captures activity during the stated measurement year (MY).
• There is no benchmark available for this administrative measure.

This measure shows the percentage of nulliparous (first birth), term (37 or more completed weeks based on the obstetric estimate), singleton (one fetus), in a cephalic presentation (head-first) births delivered by cesarean during the measurement year.

For MY2021, the rate was calculated for LRCD-CH using natality data submitted by Vermont and compiled by the National Center for Health Statistics (NCHS) in CDC WONDER.  

Last updated: January 2024