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MN Community Measurement
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QUESTION FOR MNCM? PLEASE SEARCH THE KNOWLEDGE BASE!


CHIRP PROGRAM (4 ARTICLES)

 * PIPE Instructions for Medical Groups Participating in CHIRP
   Wednesday, April 3, 2024
 * CHIRP Provider to Payer Resources
   Updated: Thursday, April 25, 2024
 * CHIRP Provider Agreement Addendum
   Updated: Wednesday, November 8, 2023
 * CHIRP FAQ for Providers
   Updated: Monday, October 16, 2023

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MNCM STATUS PAGE (1 ARTICLES)

 * MNCM Status Page
   Updated: Monday, June 26, 2023

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PIPE MEDICAL GROUPS RESOURCES


PIPE MEDICAL GROUP ONBOARDING (13 ARTICLES)

 * MNCM PIPE Onboarding Office Hours Updated
   Updated: Wednesday, July 3, 2024
 * MNCM's February 2024 Webinar Recording
   Updated: Friday, March 1, 2024
 * Welcome to the PIPE Onboarding Page! Updated
   Updated: Monday, July 1, 2024
 * Milestone 1 - Pre-Implementation Tasks
   Updated: Monday, May 22, 2023
 * Milestone 2A - Query and Data File Format (First File Set)
   Updated: Friday, May 19, 2023

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PIPE MEDICAL GROUP GUIDES & SPECS (12 ARTICLES)

 * Social Risk Factors
   Updated: Thursday, February 15, 2024
 * NEW PIPE Data File Field Specifications v2.3
   Updated: Wednesday, January 10, 2024 data submission pipe pipe data file
   field specifications
 * PIPE File Extract Guidance
   Updated: Friday, May 10, 2024
 * PIPE Data Submission Instructions for Medical Groups
   Updated: Tuesday, August 8, 2023
 * PIPE Sandbox Guide
   Updated: Wednesday, December 28, 2022

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PIPE MEDICAL GROUP VIDEOS (13 ARTICLES)

 * Completing Annual Registration
   Monday, July 24, 2023
 * Readiness Assessment Video
   Updated: Friday, May 5, 2023
 * PIPE Milestones and Timeline
   Friday, May 5, 2023
 * PIPE File Extract Guide Walkthrough
   Friday, May 5, 2023
 * Requesting New User Accounts for PIPE Sites
   Friday, May 5, 2023

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PIPE MEDICAL GROUP FAQ (13 ARTICLES)

 * PIPE Submissions: What data from outside clinics/facilities should be
   included?
   Updated: Monday, June 17, 2024
 * PIPE Data Submission Certification questions
   Wednesday, November 1, 2023
 * PIPE Onboarding Tips
   Updated: Monday, December 4, 2023
 * How to open text file as excel
   Tuesday, June 20, 2023
 * 2019 Total Knee Replacement Appendices
   Monday, January 23, 2023

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PIPE PAYER RESOURCES


PIPE PAYER ONBOARDING (3 ARTICLES)

 * Welcome to the PIPE Onboarding for Payers Page!
   Updated: Friday, April 21, 2023
 * Payer PIPE Assessment and Readiness Confirmation
   Updated: Friday, April 21, 2023
 * PIPE Onboarding Work Plan for Payers
   Updated: Wednesday, January 17, 2024

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PIPE PAYER GUIDES & FILE FIELD SPECIFICATIONS (2 ARTICLES)

 * PIPE Enrollment Data File Field Specifications for Health Plan Member
   Verification
   Updated: Thursday, October 12, 2023 chirp health plan member verification
   match attach pipe data file field specifications
 * PIPE Data Submission Instructions for Health Plans
   Tuesday, August 8, 2023

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PIPE PAYER FAQ (6 ARTICLES)

 * The match and attach process was only done once a year. How often are you
   expecting this file to be sent?
   Updated: Monday, December 18, 2023
 * What enrollment span are you expecting for this list? (Historical and
   Incremental Files)
   Updated: Monday, December 18, 2023
 * What states should members be included from?
   Updated: Monday, December 18, 2023
 * FAQ: How can we submit enrollment changes if we do not have an efficient way
   to identify and manage enrollment changes month by month?
   Updated: Monday, December 18, 2023
 * FAQ: How do we submit retroactive changes that we identify after a monthly
   submission?
   Updated: Monday, December 18, 2023

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REGISTRATION & PORTAL MAINTENANCE


CLINIC AND PROVIDER REGISTRATION (RESOURCES) (6 ARTICLES)

 * Data Submission Planning Calendar
   Updated: Monday, October 30, 2023
 * DDS Registration Instructions and Addendum
   Updated: Monday, November 27, 2023
 * Provider Registration Template
   Updated: Thursday, October 27, 2022
 * Full Time Equivalent (FTE) Calculation tool
   Updated: Monday, October 30, 2023
 * Steps to update the provider registration file
   Updated: Saturday, October 30, 2021

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CLINIC AND PROVIDER REGISTRATION (FAQS) (11 ARTICLES)

 * Which clinics need to register?
   Updated: Tuesday, November 30, 2021
 * Should we include providers who were employed for a only portion of the year?
   Updated: Saturday, October 30, 2021
 * Should the provider FTE reflect clinic time with patients? Or, should it
   reflect both clinic time and time spent in other administrative roles?
   Updated: Saturday, October 30, 2021
 * Our medical group closed one or more clinics during the year and providers
   were absorbed into other existing clinics. How do we record the provider FTEs
   in the provider registration file?
   Updated: Saturday, October 30, 2021
 * Is a Doctor of Nursing Practice (DNP) required to be registered? 
   Updated: Saturday, October 30, 2021

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TECHNICAL, SUBMISSION & VALIDATION SUPPORT


DIRECT DATA SUBMISSION (DDS) RESOURCES (20 ARTICLES)

 * DDS Presubmission Data Certification Forms
   Monday, November 13, 2023
 * 2023 Measurement Year Submission Deadlines (Reported in 2024)
   Updated: Thursday, September 7, 2023
 * Adolescent Mental Health and/or Depression Screening Guides
   Updated: Thursday, October 26, 2023
 * Optimal Asthma Control, Asthma Education & Self-Management DDS Guides
   Updated: Thursday, October 26, 2023
 * Colorectal Cancer Screening Guides
   Updated: Thursday, October 26, 2023

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TECHNICAL QUESTIONS (6 ARTICLES)

 * Steps to clear out saved passwords
   Updated: Tuesday, November 16, 2021 data portal password
 * How can I view/download my clinic's data that was submitted for a previous
   reporting period?
   Monday, August 17, 2020 previous results technical dds portal
 * Steps to whitelist MNCM in email system
   Updated: Thursday, October 22, 2020 email log-in screen mncm portal outlook
   password request new password safe senders safe senders list spam/junk
   folders whitelist
 * What numbers do I enter for "Number of Eligible Patients (exclusions
   removed)" and "Number of Patients Submitting"?
   Tuesday, July 30, 2019 data submission
 * Steps for saving an excel file as a csv file
   Updated: Wednesday, February 2, 2022

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STATEWIDE RESULTS


PRELIMINARY CLINICAL QUALITY MEASURE RESULTS (2 ARTICLES)

 * Preliminary 2023 MY Statewide Clinical Quality Measure Results for Medical
   Group Review until April 21st
   Updated: Monday, March 25, 2024
 * Preliminary 2021 MY Depression Care Statewide Clinical Quality Measure
   Results for Medical Group Review
   Updated: Tuesday, April 19, 2022

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PRELIMINARY HEDIS PERFORMANCE RESULTS (1 ARTICLES)

 * Preliminary HEDIS Measure Review
   Updated: Friday, November 3, 2023 hedis preliminary two week review

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FINAL CLINICAL QUALITY MEASURE RESULTS (1 ARTICLES)

 * Preview 2022MY Risk Adjusted Final Clinical Quality Measures
   Updated: Monday, October 23, 2023

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MEASURE QUESTIONS


ADOLESCENT MENTAL HEALTH /DEPRESSION SCREENING (4 ARTICLES)

 * Should all patients be included in the Adolescent Mental Health denominator
   if they had an eligible telehealth visit? 
   Updated: Tuesday, November 9, 2021
 * Adolescent Mental Health and/or Depression Screening: If a patient has
   multiple well-child visits during the measurement period, which should be
   submitted? 
   Updated: Thursday, September 30, 2021
 * Adolescent Mental Health and/or Depression Screening: Can mental health
   screening tool scores obtained outside of a face-to-face office visit be
   submitted? 
   Updated: Thursday, September 30, 2021
 * Adolescent Mental Health screening required exclusions time frame
   Updated: Thursday, September 30, 2021

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ASTHMA (9 ARTICLES)

 * Are the Asthma measures also a Health Care Home (HCH) measure?
   Updated: Friday, July 10, 2020 asthma
 * Asthma PRO tool links
   Updated: Tuesday, July 7, 2020 asthma optimal asthma control pro tools prom
   proms
 * Asthma risk: If the patient's record does not show any documentation about ER
   vistis or hospitalizations due to asthma, can I assume the answer is
   "0"/zero? 
   Updated: Tuesday, August 1, 2023 asthma
 * Can asthma control test scores be obtained outside of a face-to-face office
   visit be submitted? 
   Updated: Friday, July 10, 2020 asthma asthma control test
 * Does the actual paper copy of the Asthma Management Plan need to be scanned
   into the EHR or can a template built within the EHR count? Or do we need
   both? 
   Updated: Tuesday, July 7, 2020 asthma

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COLORECTAL CANCER SCREENING (7 ARTICLES)

 * Are stool samples collected by a digital rectal exam (DRE) allowed to be used
   for the gFOBT and FIT tests? 
   Updated: Wednesday, July 8, 2020 colorectal cancer screening crc stb stool
   blood test
 * Are Certified Nurse Midwives included as eligible providers for the
   Colorectal Cancer measure? 
   Updated: Tuesday, July 7, 2020 colorectal cancer screening crc
 * Can I submit a Cologuard screening?
   Updated: Wednesday, July 8, 2020 colorectal cancer screening crc
 * Can you clarify what "date of order" means for Stool Blood Tests? 
   Updated: Wednesday, July 8, 2020 colorectal cancer screening crc stb stool
   blood test
 * Colorectal Cancer Exclusion for SNP or POS
   Updated: Tuesday, July 7, 2020 cms colorectal cancer screening crc exclusion
   pos qpp snp special needs

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DEPRESSION (18 ARTICLES)

 * Depression patient ID Template
   Thursday, February 18, 2021 depression care emr change id change patient id
 * Depression Care summary
   Updated: Thursday, January 13, 2022
 * Can PHQ-9 scores obtained outside of a face-to-face office visit be
   submitted?
   Updated: Friday, July 10, 2020 depression
 * Can the PHQ-2 be used for the MNCM Depression measure? What is the difference
   between the PHQ-2 and the PHQ-9? 
   Updated: Tuesday, July 7, 2020 depression depression care measures
 * Can we submit a PHQ-9/PHQ-9M screening that was completed before the patient
   had an office visit or indexed?
   Updated: Wednesday, July 8, 2020 depression depression care measures phq9
   phq-9 phq9m phq-9m pre-visit planning screening

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DIABETES & VASCULAR (10 ARTICLES)

 * Should PCSK9 inhibitors (PCSK9i) be classified as statin medications that are
   used in clinical measure calculation, given their shared ability to reduce
   LDL cholesterol levels?
   Updated: Monday, November 13, 2023
 * DDS Acceptable Blood Pressure Readings for Quality Measures
   Updated: Tuesday, May 7, 2024
 * Diabetes measure:  Is an A1c result from a home test kit acceptable for
   reporting?
   Updated: Tuesday, August 1, 2023 a1c diabetes hba1c home test lab
 * Diabetes measure: Should a patient who has Gestational Diabetes be included
   in the data submission? 
   Updated: Friday, July 10, 2020 diabetes
 * Is a patient who meets inclusion criteria for IVD measure and also has
   Gestational Diabetes considered to have a co-morbidity of diabetes? 
   Updated: Tuesday, July 7, 2020 comorbidity cycle a diabetes gestational
   diabetes ivd ovc vascular

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GENERAL MEASURE QUESTION (4 ARTICLES)

 * E-Cigarettes 
   Updated: Tuesday, May 17, 2022 cessation e-cig e-cigarette electronic
   nicotine delivery systems ends smoke smoking tobacco
 * Risk Adjustment: How is the expected rate calculated? 
   Updated: Tuesday, November 5, 2019 expected rate risk adjustment
 * When will the Value Sets be available for the next report year?
   Updated: Thursday, February 2, 2023
 * Which Patient Reported Outcome (PRO) tools obtained outside of a face-to-face
   office visits can be submitted?
   Updated: Tuesday, February 13, 2024 adolescent adolescent mental health amh
   crc depression depression care measures ortho orthopedic pro tools spine
   spine surgery tkr

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HEDIS QUESTIONS (5 ARTICLES)

 * HEDIS Measure Specifications
   Updated: Thursday, May 4, 2023 hedis hedis measure specifications
 * HEDIS: Are there clinic level results?
   Thursday, May 4, 2023 clinic hedis
 * HEDIS: Patient Eligibility, Medical Group Attribution & Reportability
   Thresholds, and Hybrid Measure Sampling
   Thursday, May 4, 2023 hedis reportable
 * Guardian Angel Consulting
   Updated: Tuesday, May 14, 2024
 * HEDIS thresholds for public reporting
   Updated: Tuesday, July 7, 2020 eligible hedis minimum patients public
   reporting reportable reporting threshold

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INSURANCE AND RELC SUPPLEMENTAL DATA (8 ARTICLES)

 * COVID HRSA Insurance
   Updated: Wednesday, January 6, 2021 covid covid hrsa mhcp
 * How to handle insurance for patients with two primary insurers
   Updated: Wednesday, January 22, 2020 commercial dual insurance medicaid
   medicare primary
 * How do I properly code Sage insurance?
   Updated: Wednesday, November 6, 2019 insurance
 * How to properly code Blue Cross and Blue Shield (BCBS) insurance product. 
   Updated: Wednesday, November 6, 2019 insurance
 * What is the difference between the 97 and 98 codes for "choose not to
   disclose" and "unknown"?
   Updated: Wednesday, November 6, 2019 2020 2020 reporting country of origin
   ethnicity preferred language race rel relc

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ORTHOPEDIC MEASURES (6 ARTICLES)

 * Spine Surgery PRO Tool: Visual Analog Pain Scale
   Updated: Friday, August 11, 2023
 * Bilateral Total Knee Replacement Guidance
   Updated: Tuesday, August 1, 2023
 * Orthopedic/Neurosurgery Measures | Updated 2023
   Updated: Tuesday, March 19, 2024
 * PIPE Supplemental Guide: Orthopedic Measure Calculations and Value Set
   Updated: Friday, May 17, 2024 orthopedic pipe
 * Total Knee Replacement PRO tools
   Updated: Thursday, February 2, 2023

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ONCOLOGY MEASURES (3 ARTICLES)

 * Instructions for Obtaining PRO-CTCAE
   Updated: Thursday, March 24, 2022
 * Oncology Measures - Symptom Control During Chemotherapy
   Updated: Monday, July 24, 2023 cancer
 * PRO-CTCAE tool links archive
   Updated: Thursday, March 24, 2022 cancer scdc symptom symptom control during
   chemotherapy

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UPDATES AND MEASURE CHANGES


CLINICAL MEASURE UPDATES (1 ARTICLES)

 * 2023MY Measure Updates
   Updated: Wednesday, June 5, 2024

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SURVEY QUESTIONS


HIT SURVEY QUESTIONS (1 ARTICLES)

 * HIT Survey administered every other year
   Updated: Wednesday, September 16, 2020 2020 health information technology hit
   mdh survey

View all


SPECIAL PROJECTS


MNCM WEBINAR SERIES (5 ARTICLES)

 * A New Approach for Data Sharing Among Health Care Payers and Providers
   Updated: Thursday, July 29, 2021 chirp
 * A New Approach to Measurement: Introduction to PIPE Recorded Presentation and
   Slide Deck
   Updated: Thursday, July 29, 2021
 * Preparing to Onboard to PIPE: A Detailed Look at the Process and Requirements
   Recorded Webinar and Slide Deck
   Updated: Monday, April 24, 2023
 * Health Care Cost and Utilization in Minnesota: A Review of Results from 2019
   Recorded Presentation and Slide Deck
   Updated: Thursday, July 29, 2021 cost
 * Expanding the Care Team to Improve Outcomes: Minnesota Evaluation Project
   Highlights Impact of Pharmacy-Based Interventions Recorded Presentation and
   Slide Deck
   Updated: Thursday, July 29, 2021

View all


MINNESOTA CARE COORDINATION EFFECTIVENESS STUDY (MNCARES) (4 ARTICLES)

 * MNCARES Information Page for Clinics - Primary Cohort 2022 Submission
   Updated: Friday, May 13, 2022
 * MNCARES: Frequently Asked Questions (Primary Cohort)
   Tuesday, March 29, 2022
 * Defining Care Coordination via Standard Codes
   Updated: Wednesday, July 7, 2021 mncares
 * Welcome to MNCARES Webinar
   Updated: Wednesday, May 26, 2021

View all


SECURITY


SECURITY POLICIES (1 ARTICLES)

 * Security Policies
   Updated: Wednesday, August 12, 2020

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depression (17) asthma (9) crc (9) colorectal cancer screening (8) pro tools (8)
diabetes (7) depression care measures (6) vascular (6) 2020 (5) hedis (5) View
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(3) insurance (3) odc (3) pipe data file field specifications (3) rel (3) relc
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(2) spine surgery (2) -99 (1) 99 (1) a1c (1) act (1) adolescent (1) adolescent
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gestational diabetes (1) glossary of terms (1) hba1c (1) health information
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home test (1) id change (1) index (1) index event (1) ivd (1) ldl (1) log-in
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