Question for MNCM? Please search the Knowledge Base!
CHIRP Program
4
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PIPE Instructions for Medical Groups Participating in CHIRP
Wednesday, April 3, 2024
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CHIRP Provider to Payer Resources
Updated: Thursday, April 25, 2024
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CHIRP Provider Agreement Addendum
Updated: Wednesday, November 8, 2023
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CHIRP FAQ for Providers
Updated: Monday, October 16, 2023
MNCM Status Page
1
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MNCM Status Page
Updated: Monday, June 26, 2023
PIPE Medical Groups Resources
PIPE Medical Group Onboarding
13
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MNCM PIPE Onboarding Office Hours
Updated: Monday, July 22, 2024
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MNCM's February 2024 Webinar Recording
Updated: Friday, March 1, 2024
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Welcome to the PIPE Onboarding Page!
Updated: Monday, July 1, 2024
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Milestone
1 - Pre-Implementation Tasks
Updated: Monday, May 22, 2023
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Milestone 2A - Query and Data File Format (First File Set)
Updated: Friday, May 19, 2023
PIPE Medical Group Guides & Specs
14
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Social Risk Factors
Updated: Thursday, February 15, 2024
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NEW PIPE Data File Field Specifications v2.3
Updated: Wednesday, January 10, 2024 data submission pipe pipe data file field specifications
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PIPE File Extract Guidance
Updated: Friday, May 10, 2024
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PIPE Data Submission Instructions for Medical Groups
Updated: Tuesday, August 8, 2023
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PIPE Sandbox Guide
Updated: Wednesday, December 28, 2022
PIPE Medical Group Videos
13
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Completing Annual Registration
Monday, July 24, 2023
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Readiness Assessment Video
Updated: Friday, May 5, 2023
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PIPE Milestones and Timeline
Friday, May 5, 2023
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PIPE File Extract Guide Walkthrough
Friday, May 5, 2023
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Requesting New User Accounts for PIPE Sites
Friday, May 5, 2023
PIPE Medical Group FAQ
15
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PIPE Submissions: What data from outside clinics/facilities should be included?
Updated: Monday, June 17, 2024
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PIPE Data Submission Certification questions
Wednesday, November 1, 2023
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PIPE Onboarding Tips
Updated: Monday, December 4, 2023
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How to open text file as excel
Tuesday, June 20, 2023
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2019 Total Knee Replacement Appendices
Monday, January 23, 2023
PIPE Payer Resources
PIPE Payer Onboarding
3
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Welcome to the PIPE Onboarding for Payers Page!
Updated: Friday, April 21, 2023
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Payer PIPE Assessment and Readiness Confirmation
Updated: Friday, April 21, 2023
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PIPE Onboarding Work Plan for Payers
Updated: Wednesday, January 17, 2024
PIPE Payer Guides & File Field Specifications
2
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PIPE Enrollment Data File Field Specifications for Health Plan Member Verification
Updated: Thursday, October 12, 2023 chirp health plan member verification match attach pipe data file field specifications
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PIPE Data Submission Instructions for Health Plans
Tuesday, August 8, 2023
PIPE Payer FAQ
6
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The match and attach process was only done once a year. How often are you expecting this file to be sent?
Updated: Monday, December 18, 2023
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What enrollment span are you expecting for this list? (Historical and Incremental Files)
Updated: Monday, December 18, 2023
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What states should members be included from?
Updated: Monday, December 18, 2023
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FAQ: How can we submit enrollment changes if we do not have an efficient way to identify and manage enrollment changes month by month?
Updated: Monday, December 18, 2023
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FAQ: How do we submit retroactive changes that we identify after a monthly submission?
Updated: Monday, December 18, 2023
Registration & Portal Maintenance
Clinic and Provider Registration (Resources)
3
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Data Submission Planning Calendar
Updated: Monday, October 30, 2023
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Full Time Equivalent (FTE) Calculation tool
Updated: Monday, October 30, 2023
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PIPE Registration Guide and Provider template
Updated: Friday, August 9, 2024 registration
Clinic and Provider Registration (FAQs)
11
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Which clinics need to register?
Updated: Tuesday, November 30, 2021
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Should we include providers who were employed for a only portion of the year?
Updated: Saturday, October 30, 2021
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Should the provider FTE reflect clinic time with patients? Or, should it reflect both clinic time and time spent in other administrative roles?
Updated: Saturday, October 30, 2021
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Our medical group closed one or more clinics during the year and providers were absorbed into other existing clinics. How do we record the provider FTEs in the provider registration file?
Updated: Saturday, October 30, 2021
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Is a Doctor of Nursing Practice (DNP) required to be registered?
Updated: Saturday, October 30, 2021
Technical, Submission & Validation Support
Technical Questions
3
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Steps to clear out saved passwords
Updated: Tuesday, November 16, 2021 data portal password
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Steps to whitelist MNCM in email system
Updated: Thursday, October 22, 2020 email log-in screen mncm portal outlook password request new password safe senders safe senders list spam/junk folders whitelist
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Steps for saving an excel file as a csv file
Updated: Wednesday, February 2, 2022
Statewide Results
Preliminary Clinical Quality Measure Results
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Preliminary 2023 MY Statewide Clinical Quality Measure Results for Medical Group Review until April 21st
Updated: Monday, March 25, 2024
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Preliminary 2021 MY Depression Care Statewide Clinical Quality Measure Results for Medical Group Review
Updated: Tuesday, April 19, 2022
Preliminary HEDIS Performance Results
1
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Preliminary HEDIS Measure Review
Updated: Thursday, October 31, 2024 hedis preliminary two week review
Final Clinical Quality Measure Results
1
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Preview 2023MY Risk Adjusted Final Clinical Quality Measures
Updated: Friday, August 23, 2024 risk adjustment
Measure Questions
Adolescent Mental Health /Depression Screening
4
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Should all patients be included in the Adolescent Mental Health denominator if they had an eligible telehealth visit?
Updated: Tuesday, November 9, 2021
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Adolescent Mental Health and/or Depression Screening: If a patient has multiple well-child visits during the measurement period, which should be submitted?
Updated: Thursday, September 30, 2021
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Adolescent Mental Health and/or Depression Screening: Can mental health screening tool scores obtained outside of a face-to-face office visit be submitted?
Updated: Thursday, September 30, 2021
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Adolescent Mental Health screening required exclusions time frame
Updated: Thursday, September 30, 2021
Asthma
9
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Are the Asthma measures also a Health Care Home (HCH) measure?
Updated: Friday, July 10, 2020 asthma
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Asthma PRO tool links
Updated: Tuesday, July 7, 2020 asthma optimal asthma control pro tools prom proms
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Asthma risk: If the patient's record does not show any documentation about ER vistis or hospitalizations due to asthma, can I assume the answer is "0"/zero?
Updated: Tuesday, August 1, 2023 asthma
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Can asthma control test scores be obtained outside of a face-to-face office visit be submitted?
Updated: Friday, July 10, 2020 asthma asthma control test
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Does the actual paper copy of the Asthma Management Plan need to be scanned into the EHR or can a template built within the EHR count? Or do we need both?
Updated: Tuesday, July 7, 2020 asthma
Colorectal Cancer Screening
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Are stool samples collected by a digital rectal exam (DRE) allowed to be used for the gFOBT and FIT tests?
Updated: Wednesday, July 8, 2020 colorectal cancer screening crc stb stool blood test
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Are Certified Nurse Midwives included as eligible providers for the Colorectal Cancer measure?
Updated: Tuesday, July 7, 2020 colorectal cancer screening crc
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Can I submit a Cologuard screening?
Updated: Wednesday, July 8, 2020 colorectal cancer screening crc
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Can you clarify what "date of order" means for Stool Blood Tests?
Updated: Wednesday, July 8, 2020 colorectal cancer screening crc stb stool blood test
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Colorectal Cancer Exclusion for SNP or POS
Updated: Tuesday, July 7, 2020 cms colorectal cancer screening crc exclusion pos qpp snp special needs
Depression
16
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Depression patient ID Template
Thursday, February 18, 2021 depression care emr change id change patient id
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Depression Care summary
Updated: Thursday, January 13, 2022
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Can PHQ-9 scores obtained outside of a face-to-face office visit be submitted?
Updated: Friday, July 10, 2020 depression
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Can the PHQ-2 be used for the MNCM Depression measure? What is the difference between the PHQ-2 and the PHQ-9?
Updated: Tuesday, July 7, 2020 depression depression care measures
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Can we submit a PHQ-9/PHQ-9M screening that was completed before the patient had an office visit or indexed?
Updated: Wednesday, July 8, 2020 depression depression care measures phq9 phq-9 phq9m phq-9m pre-visit planning screening
Diabetes & Vascular
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Should PCSK9 inhibitors (PCSK9i) be classified as statin medications that are used in clinical measure calculation, given their shared ability to reduce LDL cholesterol levels?
Updated: Monday, November 13, 2023
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DDS Acceptable Blood Pressure Readings for Quality Measures
Updated: Tuesday, May 7, 2024
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Diabetes measure: Is an A1c result from a home test kit acceptable for reporting?
Updated: Tuesday, August 1, 2023 a1c diabetes hba1c home test lab
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Diabetes measure: Should a patient who has Gestational Diabetes be included in the data submission?
Updated: Friday, July 10, 2020 diabetes
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Is a patient who meets inclusion criteria for IVD measure and also has Gestational Diabetes considered to have a co-morbidity of diabetes?
Updated: Tuesday, July 7, 2020 comorbidity cycle a diabetes gestational diabetes ivd ovc vascular
General Measure Question
4
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E-Cigarettes
Updated: Tuesday, May 17, 2022 cessation e-cig e-cigarette electronic nicotine delivery systems ends smoke smoking tobacco
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Risk Adjustment: How is the expected rate calculated?
Updated: Tuesday, November 5, 2019 expected rate risk adjustment
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When will the Value Sets be available for the next report year?
Updated: Thursday, February 2, 2023
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Which Patient Reported Outcome (PRO) tools obtained outside of a face-to-face office visits can be submitted?
Updated: Tuesday, February 13, 2024 adolescent adolescent mental health amh crc depression depression care measures ortho orthopedic pro tools spine spine surgery tkr
HEDIS Questions
5
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HEDIS Measure Specifications
Updated: Thursday, May 4, 2023 hedis hedis measure specifications
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HEDIS: Are there clinic level results?
Thursday, May 4, 2023 clinic hedis
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HEDIS: Patient Eligibility, Medical Group Attribution & Reportability Thresholds, and Hybrid Measure Sampling
Updated
Updated: Tuesday, November 12, 2024 hedis reportable
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Guardian Angel Consulting
Updated: Tuesday, May 14, 2024
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HEDIS thresholds for public reporting
Updated: Tuesday, July 7, 2020 eligible hedis minimum patients public reporting reportable reporting threshold
Insurance and RELC supplemental data
8
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COVID HRSA Insurance
Updated: Wednesday, January 6, 2021 covid covid hrsa mhcp
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How to handle insurance for patients with two primary insurers
Updated: Wednesday, January 22, 2020 commercial dual insurance medicaid medicare primary
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How do I properly code Sage insurance?
Updated: Wednesday, November 6, 2019 insurance
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How to properly code Blue Cross and Blue Shield (BCBS) insurance product.
Updated: Wednesday, November 6, 2019 insurance
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What is the difference between the 97 and 98 codes for "choose not to disclose" and "unknown"?
Updated: Wednesday, November 6, 2019 2020 2020 reporting country of origin ethnicity preferred language race rel relc
Orthopedic Measures
6
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Spine Surgery PRO Tool: Visual Analog Pain Scale
Updated: Friday, August 11, 2023
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Bilateral Total Knee Replacement Guidance
Updated: Tuesday, August 1, 2023
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Orthopedic/Neurosurgery Measures | Updated 2023
Updated: Tuesday, March 19, 2024
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PIPE Supplemental Guide: Orthopedic Measure Calculations and Value Set
Updated: Friday, May 17, 2024 orthopedic pipe
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Total Knee Replacement PRO tools
Updated: Thursday, February 2, 2023
Oncology Measures
3
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Instructions for Obtaining PRO-CTCAE
Updated: Thursday, March 24, 2022
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Oncology Measures - Symptom Control During Chemotherapy
Updated: Monday, July 24, 2023 cancer
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PRO-CTCAE tool links archive
Updated: Thursday, March 24, 2022 cancer scdc symptom symptom control during chemotherapy
Updates and Measure Changes
Clinical Measure Updates
1
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2023MY Measure Updates
Updated: Wednesday, June 5, 2024
Survey Questions
HIT Survey Questions
1
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HIT Survey administered every other year
Updated: Wednesday, September 16, 2020 2020 health information technology hit mdh survey
Special Projects
MNCM Webinar Series
5
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A New Approach for Data Sharing Among Health Care Payers and Providers
Updated: Thursday, July 29, 2021 chirp
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A New Approach to Measurement: Introduction to PIPE Recorded Presentation and Slide Deck
Updated: Thursday, July 29, 2021
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Preparing to Onboard to PIPE: A Detailed Look at the Process and Requirements Recorded Webinar and Slide Deck
Updated: Monday, April 24, 2023
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Health Care Cost and Utilization in Minnesota: A Review of Results from 2019 Recorded Presentation and Slide Deck
Updated: Thursday, July 29, 2021 cost
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Expanding the Care Team to Improve Outcomes: Minnesota Evaluation Project Highlights Impact of Pharmacy-Based Interventions Recorded Presentation and Slide Deck
Updated: Thursday, July 29, 2021
Minnesota Care Coordination Effectiveness Study (MNCARES)
4
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MNCARES Information Page for Clinics - Primary Cohort 2022 Submission
Updated: Friday, May 13, 2022
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MNCARES: Frequently Asked Questions (Primary Cohort)
Tuesday, March 29, 2022
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Defining Care Coordination via Standard Codes
Updated: Wednesday, July 7, 2021 mncares
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Welcome to MNCARES Webinar
Updated: Wednesday, May 26, 2021
Security
Security Policies
1
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Security Policies
Updated: Wednesday, August 12, 2020