In connection with the evaluation of the DTI required by Section 14184.71, the department’s report of data and quality measures submitted to the federal Centers for Medicare and Medicaid Services and made publicly available pursuant to the Special Terms and Conditions for the Caries Risk Assessment (CRA) and Disease Management Pilot domain shall include, but not be limited to, all of the following:

1. (a) A detailed description of how the department has operationalized the domain, including information identifying which entities have responsibility for the components of the domain.
2. (b) The number of individual incentives paid and the total amount expended, by county, under the domain in the current demonstration year.

3. (c) A descriptive assessment of the impact of the domain on targeted children in the age ranges of under one year of age, one through two years of age, three through four years of age, and five through six years of age, for all of the following:

   1. (1) Provision of CRAs.
   2. (2) Provision of dental exams.
   3. (3) Use of, and expenditures on, preventive dental services.
   4. (4) Use of, and expenditures on, dental treatment services.
   5. (5) Use of, and expenditures on, dental-related general anesthesia, including facility costs.