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  2. CQM-5527

Provider attribution intent for CMS136v12

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
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      ​Thank you for your inquiry for CMS136v12 (2023 performance reporting), Follow-Up Care for Children Prescribed ADHD Medication (ADD). The measure logic is expressed such that the quality action for the patient will be assessed regardless of the prescribing clinician. In your example, the patient may be attributed to both Dr. X and Dr. Y in Initial Population 1, if they share the same patient records. This would also depend on if the provider is reporting as an individual or as a group according to QPP participation requirements (https://qpp.cms.gov/mips/individual-or-group-participation). We will consider your use case during a future revision of the measure.
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      ​Thank you for your inquiry for CMS136v12 (2023 performance reporting), Follow-Up Care for Children Prescribed ADHD Medication (ADD). The measure logic is expressed such that the quality action for the patient will be assessed regardless of the prescribing clinician. In your example, the patient may be attributed to both Dr. X and Dr. Y in Initial Population 1, if they share the same patient records. This would also depend on if the provider is reporting as an individual or as a group according to QPP participation requirements ( https://qpp.cms.gov/mips/individual-or-group-participation ). We will consider your use case during a future revision of the measure.
    • CMS0136v12

      In the event that the prescribing provider is not the follow up provider for the encounter in the measurement period, which provider should be attributed as the scored provider?

      For example,

      Dr X prescribes the ADHD medications returned by 
      "First ADHD Medication Prescribed During Intake Period"
      Dr Y is the provider performing the encounter returned by 
      "Qualifying Encounter"
      Should the measure result be attributed to X or Y?

            edave Mathematica EC eCQM Team
            mpickens Michael Pickens
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