Excel Sheet Download 31031 | Mivaluesetsworkbook02282018

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Sheet 1: Measure to Value Set Crosswalk

	
	
	
	
		Measure Number
		Measure Name
		Value Set
	
	
		MI2.5
		Members with first follow-up visit within 30 days of hospital discharge
		Ambulatory Visits 
	
	
		MI2.5
		Members with first follow-up visit within 30 days of hospital discharge
		Other Ambulatory Visits
	
	
		MI2.5
		Members with first follow-up visit within 30 days of hospital discharge
		Inpatient Stay
	
	
		MI2.5
		Members with first follow-up visit within 30 days of hospital discharge
		Nonacute Inpatient Stay
	
	
		MI2.5
		Members with first follow-up visit within 30 days of hospital discharge
		Discharges due to Death 
	
	
		MI2.6
		Members, regardless of age, discharged from an inpatient facility to home or any other site of care for whom a transition record was transmitted within 24 hours of discharge to the facility or primary care provider or other health care professional designated for follow-up care
		Type of Bill #1
	
	
		MI2.6
		Members, regardless of age, discharged from an inpatient facility to home or any other site of care for whom a transition record was transmitted within 24 hours of discharge to the facility or primary care provider or other health care professional designated for follow-up care
		Discharge Status
	
	
		MI2.6
		Members, regardless of age, discharged from an inpatient facility to home or any other site of care for whom a transition record was transmitted within 24 hours of discharge to the facility or primary care provider or other health care professional designated for follow-up care
		Type of Bill #2
	
	
		MI2.6
		Members, regardless of age, discharged from an inpatient facility to home or any other site of care for whom a transition record was transmitted within 24 hours of discharge to the facility or primary care provider or other health care professional designated for follow-up care
		Revenue Code
	
	
		MI2.6
		Members, regardless of age, discharged from an inpatient facility to home or any other site of care for whom a transition record was transmitted within 24 hours of discharge to the facility or primary care provider or other health care professional designated for follow-up care
		Inpatient Facility Discharge Exclusions
	
	
		MI5.2
		Members using self-directed arrangements through a fiscal intermediary
		Waiver Services
	
	
		MI5.2
		Members using self-directed arrangements through a fiscal intermediary
		Chore Services
	
	
		MI5.2
		Members using self-directed arrangements through a fiscal intermediary
		Environmental Modifications
	
	
		MI5.2
		Members using self-directed arrangements through a fiscal intermediary
		Expanded Community Living Supports
	
	
		MI5.2
		Members using self-directed arrangements through a fiscal intermediary
		Non-Medical Transportation
	
	
		MI5.2
		Members using self-directed arrangements through a fiscal intermediary
		Preventive Nursing Services
	
	
		MI5.2
		Members using self-directed arrangements through a fiscal intermediary
		Private Duty Nursing
	
	
		MI5.2
		Members using self-directed arrangements through a fiscal intermediary
		Respite
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		Hospice
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		BH Stand Alone Acute Inpatient
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		Schizophrenia
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		BH Acute Inpatient
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		BH Acute Inpatient POS
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		BH Stand Alone Outpatient/PH/IOP
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		BH Outpatient/PH/IOP
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		BH Outpatient/PH/IOP POS
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		ED
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		BH ED
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		ED POS
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		BH Stand Alone Nonacute Inpatient
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		BH Nonacute Inpatient
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		BH Nonacute Inpatient POS
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		Dementia
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		Long-Acting Injections 14 Days Supply
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		Long-Acting Injections 28 Days Supply
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		Oral Antipsychotic Medications List
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		Long-Acting Injections 14 Days Supply Medications List
	
	
		MI5.3
		Adherence to antipsychotic medications for individuals with schizophrenia
		Long-Acting Injections 28 Days Supply Medications List
	
	
		MI5.6
		Care for adults - medication review
		Hospice
	
	
		MI5.6
		Care for adults - medication review
		Medication Review
	
	
		MI5.6
		Care for adults - medication review
		Medication List 
	
	
		MI5.6
		Care for adults - medication review
		Transitional Care Management Services
	
	
		MI7.1
		Emergency department visits for ambulatory care-sensitive conditions
		ED
	
	
		MI7.3
		Annual Dental Visit
		Hospice
	
	
		MI7.3
		Annual Dental Visit
		Dental Visits
	
	
		

		

		

	
	
		

		

		

	
	
		Current Procedural Terminology (CPT)® is a registered trademark of the American Medical Association. CPT copyright 2014 American Medical Association. All rights reserved.

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...Sheet measure to value set crosswalk number name mi members with first followup visit within days of hospital discharge ambulatory visits other inpatient stay nonacute discharges due death regardless age discharged from an facility home or any site care for whom a transition record was transmitted hours the primary provider health professional designated type bill status revenue code exclusions using selfdirected arrangements through fiscal intermediary waiver services chore environmental modifications expanded community living supports nonmedical transportation preventive nursing private duty respite adherence antipsychotic medications individuals schizophrenia hospice bh stand alone acute pos outpatientphiop ed dementia longacting injections supply oral list adults medication review transitional management emergency department caresensitive conditions annual dental current procedural terminology cpt reg is registered trademark american medical association copyright all rights reserve...

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Measure Number	Measure Name	Value Set
MI2.5	Members with first follow-up visit within 30 days of hospital discharge	Ambulatory Visits
MI2.5	Members with first follow-up visit within 30 days of hospital discharge	Other Ambulatory Visits
MI2.5	Members with first follow-up visit within 30 days of hospital discharge	Inpatient Stay
MI2.5	Members with first follow-up visit within 30 days of hospital discharge	Nonacute Inpatient Stay
MI2.5	Members with first follow-up visit within 30 days of hospital discharge	Discharges due to Death
MI2.6	Members, regardless of age, discharged from an inpatient facility to home or any other site of care for whom a transition record was transmitted within 24 hours of discharge to the facility or primary care provider or other health care professional designated for follow-up care	Type of Bill #1
MI2.6	Members, regardless of age, discharged from an inpatient facility to home or any other site of care for whom a transition record was transmitted within 24 hours of discharge to the facility or primary care provider or other health care professional designated for follow-up care	Discharge Status
MI2.6	Members, regardless of age, discharged from an inpatient facility to home or any other site of care for whom a transition record was transmitted within 24 hours of discharge to the facility or primary care provider or other health care professional designated for follow-up care	Type of Bill #2
MI2.6	Members, regardless of age, discharged from an inpatient facility to home or any other site of care for whom a transition record was transmitted within 24 hours of discharge to the facility or primary care provider or other health care professional designated for follow-up care	Revenue Code
MI2.6	Members, regardless of age, discharged from an inpatient facility to home or any other site of care for whom a transition record was transmitted within 24 hours of discharge to the facility or primary care provider or other health care professional designated for follow-up care	Inpatient Facility Discharge Exclusions
MI5.2	Members using self-directed arrangements through a fiscal intermediary	Waiver Services
MI5.2	Members using self-directed arrangements through a fiscal intermediary	Chore Services
MI5.2	Members using self-directed arrangements through a fiscal intermediary	Environmental Modifications
MI5.2	Members using self-directed arrangements through a fiscal intermediary	Expanded Community Living Supports
MI5.2	Members using self-directed arrangements through a fiscal intermediary	Non-Medical Transportation
MI5.2	Members using self-directed arrangements through a fiscal intermediary	Preventive Nursing Services
MI5.2	Members using self-directed arrangements through a fiscal intermediary	Private Duty Nursing
MI5.2	Members using self-directed arrangements through a fiscal intermediary	Respite
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	Hospice
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	BH Stand Alone Acute Inpatient
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	Schizophrenia
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	BH Acute Inpatient
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	BH Acute Inpatient POS
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	BH Stand Alone Outpatient/PH/IOP
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	BH Outpatient/PH/IOP
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	BH Outpatient/PH/IOP POS
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	ED
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	BH ED
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	ED POS
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	BH Stand Alone Nonacute Inpatient
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	BH Nonacute Inpatient
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	BH Nonacute Inpatient POS
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	Dementia
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	Long-Acting Injections 14 Days Supply
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	Long-Acting Injections 28 Days Supply
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	Oral Antipsychotic Medications List
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	Long-Acting Injections 14 Days Supply Medications List
MI5.3	Adherence to antipsychotic medications for individuals with schizophrenia	Long-Acting Injections 28 Days Supply Medications List
MI5.6	Care for adults - medication review	Hospice
MI5.6	Care for adults - medication review	Medication Review
MI5.6	Care for adults - medication review	Medication List
MI5.6	Care for adults - medication review	Transitional Care Management Services
MI7.1	Emergency department visits for ambulatory care-sensitive conditions	ED
MI7.3	Annual Dental Visit	Hospice
MI7.3	Annual Dental Visit	Dental Visits


Current Procedural Terminology (CPT)® is a registered trademark of the American Medical Association. CPT copyright 2014 American Medical Association. All rights reserved.

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