On an as needed basis we will use a "CLINICAL ALERT" to bring to your attention critically important measures or issues. The HEDIS measures highlighted in this alert are not specific to the DSRIP program and they may be measures that you are also held accountable for through quality programs with payers. In the DSRIP program, Measurement Years for performance start on July 1 and end June 30.
We are currently in DSRIP Measurement Year 5 (MY5), which encompasses the period of July 1, 2018, through June 30, 2019. We have 9 months to make an impact on measures that were missed in the prior measurement year and to focus on access measures that can influence outcomes. We ask your assistance in ensuring that within your practice the following measures are met for all eligible patients as applicable for this measurement year.
RENEWED FOCUS! T
hese measures are not on track to achieve targets--there is a need for renewed efforts to try to close the gaps in care related to these measures:
Three (3) follow-up visits for
patients 6-12 years old who receive a prescription for ADHD medication as a new diagnosis or history of prior medication administration but without any dispensed for a period of 120 days or more:
1 visit within 30 days of medication being dispensed with a practitioner with prescribing authority
2 follow-up visits within 9 months of the initial visit with any practitioner
All adults and children are expected to have at least one preventive or ambulatory care visit (adults) or one primary care visit (children) during the measurement year. Providers should be aware that Managed Medicaid beneficiaries are assigned to PCPs via their MCO. Providers may access the full panel of patients that are assigned to them through the MCO.
To access Tips to Manage your Medicaid MCO Assigned Panel visit our website at:
HbA1c and LDL-C - Tests completed during measurement year
Thank you for your continued efforts and collaboration on behalf of your patients. Please let me know if you or your staff need further information or assistance. We at the Suffolk Care Collaborative are here to assist and support your efforts.