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Explore MIPS Value Pathways (MVPs) page

Supportive Care for Neurodegenerative Conditions

MVP ID: M0004

Most applicable medical specialty(s):
Neurology

The Supportive Care for Neurodegenerative Conditions MVP focuses on the clinical theme of promoting quality care for patients with cognitive-based neurological disorders such as dementia, Parkinson’s Disease (PD), and Amyotrophic Lateral Sclerosis (ALS).

Measures/Activites and Requirements (MVP ID: M0004):

To fulfill quality requirements:

  1. You must select 4 quality measures from the list below
  2. (exception for clinicians in a small practice - see # 3 below)
  3. At least 1 measure must be an outcome measure
    • If no outcome measures are available, you may report a high priority measure.
  4. If you are part of a small practice (i.e., 15 or fewer clinicians) reporting quality measures through Medicare Part B claims, you don't need to report additional measures beyond the Medicare Part B claims measures available in this MVP. Reporting all of the Medicare Part B claims measures in this MVP will fulfill your quality reporting requirements.
  5. You must collect data for each measure for the 12-month performance period of the associated performance year (e.g., January 1, 2024 - December 31, 2024).

TIP: For small practices (participating at the individual, group or subgroup level) reporting Medicare Part B claims measures: To meet data completeness requirements, you'll need to start reporting the Medicare Part B claims measures in your selected MVP in January 2024, prior to the MVP registration period.

TIP: Make sure that you select measures that are appropriate to your patient population. Measures that don't meet case minimum or data completeness criteria will earn zero points.

Quality Measures (MVP ID: M0004)
MeasureMeasure DescriptionCollection TypeSpecification(s)
Measure

Quality ID: 047

Advance Care Plan

Measure Type: Process

High Priority: Yes

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision m...

MIPS clinical quality measures (MIPS CQMs)

Medicare Part B claims measures

Download Q047 MIPS CQM Specification (PDF)Download Q047 Medicare Part B Claims Specification (PDF)
Measure

Quality ID: 238

Use of High-Risk Medications in Older Adults

Measure Type: Process

High Priority: Yes

Percentage of patients 65 years of age and older who were ordered at least two high-risk medications...

Electronic clinical quality measures (eCQMs)

MIPS clinical quality measures (MIPS CQMs)

Review Q238 eCQM SpecificationDownload Q238 MIPS CQM Specification (PDF)
Measure

Quality ID: 281

Dementia: Cognitive Assessment

Measure Type: Process

High Priority: No

Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of co...

Electronic clinical quality measures (eCQMs)

Review Q281 eCQM Specification
Measure

Quality ID: 282

Dementia: Functional Status Assessment

Measure Type: Process

High Priority: No

Percentage of patients with dementia for whom an assessment of functional status was performed at le...

MIPS clinical quality measures (MIPS CQMs)

Download Q282 MIPS CQM Specification (PDF)
Measure

Quality ID: 286

Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia

Measure Type: Process

High Priority: Yes

Percentage of patients with dementia or their caregiver(s) for whom there was a documented safety co...

MIPS clinical quality measures (MIPS CQMs)

Download Q286 MIPS CQM Specification (PDF)
Measure

Quality ID: 288

Dementia: Education and Support of Caregivers for Patients with Dementia

Measure Type: Process

High Priority: Yes

Percentage of patients with dementia whose caregiver(s) were provided with education on dementia dis...

MIPS clinical quality measures (MIPS CQMs)

Download Q288 MIPS CQM Specification (PDF)
Measure

Quality ID: 290

Assessment of Mood Disorders and Psychosis for Patients with Parkinson's Disease

Measure Type: Process

High Priority: No

Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed for depres...

MIPS clinical quality measures (MIPS CQMs)

Download Q290 MIPS CQM Specification (PDF)
Measure

Quality ID: 291

Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson's Disease

Measure Type: Process

High Priority: No

Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed for cognit...

MIPS clinical quality measures (MIPS CQMs)

Download Q291 MIPS CQM Specification (PDF)
Measure

Quality ID: 293

Rehabilitative Therapy Referral for Patients with Parkinson's Disease

Measure Type: Process

High Priority: Yes

Percentage of all patients with a diagnosis of Parkinson's Disease who were referred to physical, o...

MIPS clinical quality measures (MIPS CQMs)

Download Q293 MIPS CQM Specification (PDF)
Measure

Quality ID: 386

Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences

Measure Type: Process

High Priority: Yes

Percentage of patients diagnosed with Amyotrophic Lateral Sclerosis (ALS) who were offered assistanc...

MIPS clinical quality measures (MIPS CQMs)

Download Q386 MIPS CQM Specification (PDF)
Measure

Quality ID: 487

Screening for Social Drivers of Health

Measure Type: Process

High Priority: Yes

Percent of patients 18 years and older screened for food insecurity, housing instability, transporta...

MIPS clinical quality measures (MIPS CQMs)

Download Q487 MIPS CQM Specification (PDF)

You must report 1 of the following 3 options:

1. Two medium weighted improvement activities from the list below, or

2. One high weighted improvement activity from the list below, or

3. The IA_PCMH activity (participation in a certified or recognized patient-centered medical home or a comparable specialty practice).

Download 2024 Improvement Activities Inventory (ZIP)
Improvement Activities (MVP ID: M0004)
ActivityActivity DescriptionActivity Weighting
Activity

Activity ID: IA_AHE_3

Promote Use of Patient-Reported Outcome Tools

Demonstrate performance of activities for employing patient-reported outcome (PRO) tools and corresp...high
Activity

Activity ID: IA_BE_16

Promote Self-management in Usual Care

To help patients self-manage their care, incorporate culturally and linguistically tailored evidence...medium
Activity

Activity ID: IA_BE_24

Financial Navigation Program

In order to receive credit for this activity, MIPS eligible clinicians must attest that their practi...medium
Activity

Activity ID: IA_BE_4

Engagement of patients through implementation of improvements in patient portal

To receive credit for this activity, MIPS eligible clinicians must provide access to an enhanced pat...medium
Activity

Activity ID: IA_BE_6

Regularly Assess Patient Experience of Care and Follow Up on Findings

Collect and follow up on patient experience and satisfaction data. This activity also requires follo...high
Activity

Activity ID: IA_BMH_4

Depression screening

Depression screening and follow-up plan: Regular engagement of MIPS eligible clinicians or groups i...medium
Activity

Activity ID: IA_BMH_8

Electronic Health Record Enhancements for BH data capture

Enhancements to an electronic health record to capture additional data on behavioral health (BH) pop...medium
Activity

Activity ID: IA_CC_1

Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop

Performance of regular practices that include providing specialist reports back to the referring ind...medium
Activity

Activity ID: IA_EPA_1

Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record

Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent care ...high
Activity

Activity ID: IA_EPA_2

Use of telehealth services that expand practice access

Create and implement a standardized process for providing telehealth services to expand access to ca...medium
Activity

Activity ID: IA_MVP

Practice-Wide Quality Improvement in MIPS Value Pathways

Create a quality improvement initiative within your practice and create a culture in which all staff...high
Activity

Activity ID: IA_PCMH

Electronic submission of Patient Centered Medical Home accreditation

I attest that I am a Patient Centered Medical Home (PCMH) or Comparable Specialty Practice that has ...
Activity

Activity ID: IA_PM_11

Regular review practices in place on targeted patient population needs

Implement regular reviews of targeted patient population needs, such as structured clinical case rev...medium
Activity

Activity ID: IA_PM_16

Implementation of medication management practice improvements

Manage medications to maximize efficiency, effectiveness and safety that could include one or more o...medium
Activity

Activity ID: IA_PM_21

Advance Care Planning

Implementation of practices/processes to develop advance care planning that includes: documenting th...medium
Activity

Activity ID: IA_PSPA_21

Implementation of fall screening and assessment programs

Implementation of fall screening and assessment programs to identify patients at risk for falls and ...medium

Important information to consider:

  1. You don’t have to submit any data for this performance category. We'll use Medicare claims data to calculate your cost measure performance.
    • You don't select cost measures during MVP registration. CMS will calculate your performance on all the cost measures included in the MVP based on available Medicare claims data.
  2. You'll only be scored on the cost measures in this MVP for which you meet or exceed the established case minimum.
Cost Measures (MVP ID: M0004)
MeasureDescriptionSpecification(s)
Measure

Measure ID: MSPB_1

Medicare Spending Per Beneficiary (MSPB) Clinician

The MSPB Clinician measure assesses the risk-adjusted cost to Medicare for services performed as a r...

Download MSPB_1 Specification (PDF)

To fulfill Promoting Interoperability requirements:

  1. Submit the required Promoting Interoperability measures (the same as under traditional MIPS) listed below. Bonus points are available for reporting measures that aren't required.
    • If you're reporting as a subgroup, you'll submit your affiliated group's data for the Promoting Interoperability performance category.
  2. Review if you qualify for automatic reweighting of the Promoting Interoperability performance category based on your clinician type, special status, or an approved Promoting Interoperability Performance Category Hardship Exception Application.

Clinician Types for Automatic Reweighting:

    • Clinical social worker

Special Status for Automatic Reweighting:

    • Ambulatory Surgical Center (ASC)-based
    • Hospital-based
    • Non-patient facing
    • Small practice

Promoting Interoperability Performance Category Hardship Exception Qualifications:

    • Decertified EHR technology
    • Insufficient internet connectivity
    • Experience extreme and uncontrollable circumstances (e.g., disaster, practice closure, severe financial distress, vendor issues)
    • Lack control over availability of CEHRT (Certified Electronic Health Record Technology)

Note: Promoting Interoperability requirements are the same in MVPs as they are in traditional MIPS. Learn more about Promoting Interoperability requirements.

Promoting Interoperability Measures (All MVPs)
MeasureObjective nameRequired/OptionalSpecification(s)
Measure

Measure ID: PI_EP_1

e-Prescribing

Electronic PrescribingRequired

Review 2024 PI_EP_1 Measure Specification

Measure

Measure ID: PI_EP_2

Query of the Prescription Drug Monitoring Program (PDMP)

Electronic PrescribingRequired

Review 2024 PI_EP_2 Measure Specification

Measure

Measure ID: PI_EP_2_EX_1

Query of the Prescription Drug Monitoring Program (PDMP) Exclusion

Electronic PrescribingOptional

Review 2024 PI_EP_2_EX_1 Measure Specification

Measure

Measure ID: PI_EP_2_EX_2

Query of the Prescription Drug Monitoring Program (PDMP) Exclusion

Electronic PrescribingOptional

Review 2024 PI_EP_2_EX_2 Measure Specification

Measure

Measure ID: PI_HIE_1

Support Electronic Referral Loops By Sending Health Information

Health Information ExchangeRequired, unless submitting PI_HIE_5 or PI_HIE_6

Review 2024 PI_HIE_1 Measure Specification

Measure

Measure ID: PI_HIE_4

Support Electronic Referral Loops By Receiving and Reconciling Health Information

Health Information ExchangeRequired, unless submitting PI_HIE_5 or PI_HIE_6

Review 2024 PI_HIE_4 Measure Specification

Measure

Measure ID: PI_HIE_5

Health Information Exchange (HIE) Bi-Directional Exchange

Health Information ExchangeRequired, unless submitting PI_HIE_6 or the combination of PI_HIE_1 and PI_HIE_4

Review 2024 PI_HIE_5 Measure Specification

Measure

Measure ID: PI_HIE_6

Enabling Exchange Under TEFCA

Health Information ExchangeRequired, unless submitting PI_HIE_5 or the combination of PI_HIE_1 and PI_HIE_4

Review 2024 PI_HIE_6 Measure Specification

Measure

Measure ID: PI_INFBLO_1

Actions to Limit or Restrict the Compatibility of CEHRT

AttestationRequired

Review 2024 PI_INFBLO_1 Fact Sheet

Measure

Measure ID: PI_LVITC_2

Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion

Health Information ExchangeOptional

Review 2024 PI_LVITC_2 Measure Specification

Measure

Measure ID: PI_LVOTC_1

Support Electronic Referral Loops By Sending Health Information Exclusion

Health Information ExchangeOptional

Review 2024 PI_LVOTC_1 Measure Specification

Measure

Measure ID: PI_LVPP_1

e-Prescribing Exclusion

Electronic PrescribingOptional

Review 2024 PI_LVPP_1 Measure Specification

Measure

Measure ID: PI_ONCACB_1

ONC-ACB Surveillance Attestation

AttestationOptional

Review 2024 PI_ONCACB_1 Measure Specification

Measure

Measure ID: PI_ONCDIR_1

ONC Direct Review Attestation

AttestationRequired

Review 2024 PI_ONCDIR_1 Details

Measure

Measure ID: PI_PEA_1

Provide Patients Electronic Access to Their Health Information

Provider To Patient ExchangeRequired

Review 2024 PI_PEA_1 Measure Specification

Measure

Measure ID: PI_PHCDRR_1

Immunization Registry Reporting

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_1 Measure Specification

Measure

Measure ID: PI_PHCDRR_1_EX_1

Immunization Registry Reporting Exclusion

Public Health And Clinical Data ExchangeOptional

Review 2024 PI_PHCDRR_1_EX_1 Measure Specification

Measure

Measure ID: PI_PHCDRR_1_EX_2

Immunization Registry Reporting Exclusion

Public Health And Clinical Data ExchangeOptional

Review 2024 PI_PHCDRR_1_EX_2 Measure Specification

Measure

Measure ID: PI_PHCDRR_1_EX_3

Immunization Registry Reporting Exclusion

Public Health And Clinical Data ExchangeOptional

Review 2024 PI_PHCDRR_1_EX_3 Measure Specification

Measure

Measure ID: PI_PHCDRR_1_PRE

Immunization Registry Reporting Active Engagement Level 1

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_1_PRE Measure Specification

Measure

Measure ID: PI_PHCDRR_1_PROD

Immunization Registry Reporting Active Engagement Level 2

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_1_PROD Measure Specification

Measure

Measure ID: PI_PHCDRR_2

Syndromic Surveillance Reporting

Public Health And Clinical Data ExchangeOptional

Review 2024 PI_PHCDRR_2 Measure Specification

Measure

Measure ID: PI_PHCDRR_2_PRE

Syndromic Surveillance Reporting Active Engagement Level 1

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_2_PRE Measure Specification

Measure

Measure ID: PI_PHCDRR_2_PROD

Syndromic Surveillance Reporting Active Engagement Level 2

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_2_PROD Measure Specification

Measure

Measure ID: PI_PHCDRR_3

Electronic Case Reporting

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_3 Measure Specification

Measure

Measure ID: PI_PHCDRR_3_EX_1

Electronic Case Reporting Exclusion

Public Health And Clinical Data ExchangeOptional

Review 2024 PI_PHCDRR_3_EX_1 Measure Specification

Measure

Measure ID: PI_PHCDRR_3_EX_2

Electronic Case Reporting Exclusion

Public Health And Clinical Data ExchangeOptional

Review 2024 PI_PHCDRR_3_EX_2 Measure Specification

Measure

Measure ID: PI_PHCDRR_3_EX_3

Electronic Case Reporting Exclusion

Public Health And Clinical Data ExchangeOptional

Review 2024 PI_PHCDRR_3_EX_3 Measure Specification

Measure

Measure ID: PI_PHCDRR_3_PRE

Electronic Case Reporting Active Engagement Level 1

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_3_PRE Measure Specification

Measure

Measure ID: PI_PHCDRR_3_PROD

Electronic Case Reporting Active Engagement Level 2

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_3_PROD Measure Specification

Measure

Measure ID: PI_PHCDRR_4

Public Health Registry Reporting

Public Health And Clinical Data ExchangeOptional

Review 2024 PI_PHCDRR_4 Measure Specification

Measure

Measure ID: PI_PHCDRR_4_PRE

Public Health Registry Reporting Active Engagement Level 1

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_4_PRE Measure Specification

Measure

Measure ID: PI_PHCDRR_4_PROD

Public Health Registry Reporting Active Engagement Level 2

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_4_PROD Measure Specification

Measure

Measure ID: PI_PHCDRR_5

Clinical Data Registry Reporting

Public Health And Clinical Data ExchangeOptional

Review 2024 PI_PHCDRR_5 Measure Specification

Measure

Measure ID: PI_PHCDRR_5_PRE

Clinical Data Registry Reporting Active Engagement Level 1

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_5_PRE Measure Specification

Measure

Measure ID: PI_PHCDRR_5_PROD

Clinical Data Registry Reporting Active Engagement Level 2

Public Health And Clinical Data ExchangeRequired

Review 2024 PI_PHCDRR_5_PROD Measure Specification

Measure

Measure ID: PI_PPHI_1

Security Risk Analysis

Protect Patient Health InformationRequired

Review 2024 PI_PPHI_1 Measure Specification

Measure

Measure ID: PI_PPHI_2

SAFER Guides High Priority Practices Guide

Protect Patient Health InformationRequired

Review 2024 PI_PPHI_2 Measure Specification

You must select 1 population health measure at the time of MVP registration.

  • You don't have to submit any data for this measure, we'll calculate the population health measures for you using administrative claims data.
  • This measure will be excluded from scoring if the measure doesn't have a benchmark or meet the case minimum.
  • Population health isn't a new performance category. The population health measure you select during MVP registration will be scored as part of the quality performance category provided you meet the case minimum.
  • Subgroups will be evaluated at the affiliated group level.
Population Health Measures (All MVPs)
QualityDescriptionCollection TypeSpecification(s)
Quality

Quality ID: 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for the Merit-Based Incentive Payment System (MIPS) Groups

Measure Type: Outcome

High Priority: Yes

This measure is a re-specified version of the measure, "Risk-adjusted readmission rate (RARR) of unp...

Administrative claims measures

Download 2024 Q479 Measure Specifications (ZIP)

Quality

Quality ID: 484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions

Measure Type: Outcome

High Priority: Yes

Annual risk-standardized rate of acute, unplanned hospital admissions among Medicare Fee-for-Service...

Administrative claims measures

Download 2024 Q484 Measure Specifications (ZIP)