2020 MIPS IA_AHE_1: Engagement of new Medicaid patients and follow-up

Activity ID


Activity Weighting


Subcategory Name

Achieving Health Equity

Activity Description

Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.


Functionality of practice in seeing new and follow-up Medicaid patients in a timely manner including patients dually eligible. "Engaging" patients may include, but is not limited to: Establishing patient-provider relationship, assisting patient with care management plan, medication management and reconciliation, use of patient portal, use of community health worker or other provider(s) to help patients navigate health care services

Suggested Documentation

1) Timely Appointments for Medicaid and Dually Eligible Medicaid/Medicare Patients - Statistics from EHR or scheduling system (may be manual) on time from request for appointment to first appointment offered or appointment made by type of visit for Medicaid and dual eligible patients; and
2) Improvement Activities - Assessment of new and follow-up visit appointment statistics and other patient-level data to identify and implement improvement activities. Documentation should include planned and in-progress improvement activities and intended aims.

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