Thank you for your inquiry regarding CMS2v14: Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Please note, we have attached v14 of the Preventive Care and Screening: Screening for Depression and Follow-Up Plan measure flow for reference as your questions reference v14 of the measure, not v13, though the updated flow does not impact responses to your inquiry.   In regards to your first question, the measure considers any qualifying encounter during the measurement period for consideration in the denominator, not the first qualifying encounter captured during the measurement period. For numerator consideration however, the screening should occur during a qualifying encounter or up to 14 calendar days prior to the date of the qualifying encounter. The measure assesses the most recent depression screening completed either during the qualifying encounter or within the 14 calendar days prior to that encounter. Therefore, a clinician would not be able to complete another screening at the time of the encounter to count towards a follow-up, because that would serve as the most recent screening. For your second question, this is dependent upon how your facility is reporting data to CMS for MIPS. If each clinician is reporting data to CMS as an individual, the measure will be reported based on individual performance for the clinicians who choose the measure. If the facility is participating as a group, the aggregated measure performance of all clinicians billing under your TIN will be reported. In the case of group reporting, the measure will be attributed to every qualifying clinician billing under the TIN. For more information on measure attribution and calculation as it relates to reporting, please refer to Individual or Group Participation ( https://qpp.cms.gov/mips/individual-or-group-participation ) .