MN Community Measurement - Knowledge base

MNCM Status Page (1 articles)

MNCM Status Page
Updated: Monday, June 26, 2023

PIPE Medical Group Onboarding (11 articles)

Welcome to the PIPE Onboarding Page!
Updated: Thursday, May 18, 2023
Milestone 1 - Pre-Implementation Tasks
Updated: Monday, May 22, 2023
Milestone 2A - Query and Data File Format (First File Set)
Updated: Friday, May 19, 2023
Milestone 2B - Query and Data File Format (Second File Set)
Updated: Friday, May 19, 2023
Milestone 3 - Sandbox Imports and Verify Data Extract
Updated: Monday, July 24, 2023

PIPE Medical Group Guides & Specs (10 articles)

NEW PIPE Data File Field Specifications v2.1
Updated: Tuesday, January 31, 2023
PIPE File Extract Guidance
Updated: Tuesday, November 1, 2022
PIPE Data Submission Instructions for Medical Groups
Updated: Tuesday, August 8, 2023
PIPE Measure Calculation Instructions
Updated: Thursday, September 30, 2021
PIPE Registration Guide and Provider template
Updated: Monday, January 30, 2023

PIPE Medical Group Videos (13 articles)

PIPE Milestones and Timeline
Friday, May 5, 2023
PIPE File Extract Guide Walkthrough
Friday, May 5, 2023
File Upload and Import Process
Monday, July 24, 2023
General PIPE Sandbox and Production Portal Walkthrough
Updated: Friday, May 5, 2023
Creating Custom Measurement Periods
Monday, July 24, 2023

PIPE Medical Group FAQ (10 articles)

PIPE Onboarding Tips
Updated: Friday, September 1, 2023
How to open text file as excel
Tuesday, June 20, 2023
2019 Total Knee Replacement Appendices
Monday, January 23, 2023
PIPE Blood Pressure Appointment Type guidance
Updated: Wednesday, December 21, 2022
What qualifies as Total Colectomy procedure type 6 in PIPE?
Updated: Tuesday, August 29, 2023

PIPE Payer Onboarding (3 articles)

Welcome to the PIPE Onboarding for Payers Page!
Updated: Friday, April 21, 2023
Payer PIPE Assessment and Readiness Confirmation
Updated: Friday, April 21, 2023
PIPE Onboarding Work Plan for Payers
Updated: Wednesday, March 22, 2023

PIPE Payer Guides & File Field Specifications (2 articles)

PIPE Data File Field Specifications for Health Plan Member Verification
Updated: Friday, July 21, 2023 chirp health plan member verification match attach pipe data file field specifications
PIPE Data Submission Instructions for Health Plans
Tuesday, August 8, 2023

Preliminary Clinical Quality Measure Results (2 articles)

Preliminary 2022 MY Statewide Clinical Quality Measure Results for Medical Group Review until April 21st
Updated: Tuesday, April 11, 2023
Preliminary 2021 MY Depression Care Statewide Clinical Quality Measure Results for Medical Group Review
Updated: Tuesday, April 19, 2022

Direct Data Submission (DDS) Resources (18 articles)

Adolescent Mental Health and/or Depression Screening Guides
Updated: Friday, October 28, 2022
2023 Measurement Year Submission Deadlines (Reported in 2024)
Updated: Thursday, September 7, 2023
Optimal Asthma Control, Asthma Education & Self-Management DDS Guides
Updated: Friday, October 28, 2022
Colorectal Cancer Screening Guides
Updated: Friday, October 28, 2022
Depression Care Guides
Updated: Friday, October 28, 2022

Technical Questions (6 articles)

Steps to clear out saved passwords
Updated: Tuesday, November 16, 2021 data portal password
How can I view/download my clinic's data that was submitted for a previous reporting period?
Monday, August 17, 2020 previous results technical dds portal
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
What numbers do I enter for "Number of Eligible Patients (exclusions removed)" and "Number of Patients Submitting"?
Tuesday, July 30, 2019 data submission
Steps for saving an excel file as a csv file
Updated: Wednesday, February 2, 2022

Clinic and Provider Registration (Resources) (6 articles)

Data Submission Planning Calendar
Updated: Friday, October 28, 2022
Registration Instructions and Addendum
Updated: Sunday, October 30, 2022
Provider Registration Template
Updated: Thursday, October 27, 2022
Full Time Equivalent (FTE) Calculation tool
Updated: Thursday, October 27, 2022
Steps to update the provider registration file
Updated: Saturday, October 30, 2021

Clinic and Provider Registration (FAQs) (11 articles)

Which clinics need to register?
Updated: Tuesday, November 30, 2021
Should we include providers who were employed for a only portion of the year?
Updated: Saturday, October 30, 2021
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
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
Is a Doctor of Nursing Practice (DNP) required to be registered?
Updated: Saturday, October 30, 2021

HIT Survey Questions (1 articles)

HIT Survey administered every other year
Updated: Wednesday, September 16, 2020 2020 health information technology hit mdh survey

MNCM Webinar Series (5 articles)

A New Approach for Data Sharing Among Health Care Payers and Providers
Updated: Thursday, July 29, 2021 chirp
A New Approach to Measurement: Introduction to PIPE Recorded Presentation and Slide Deck
Updated: Thursday, July 29, 2021
Preparing to Onboard to PIPE: A Detailed Look at the Process and Requirements Recorded Webinar and Slide Deck
Updated: Monday, April 24, 2023
Health Care Cost and Utilization in Minnesota: A Review of Results from 2019 Recorded Presentation and Slide Deck
Updated: Thursday, July 29, 2021 cost
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 articles)

MNCARES Information Page for Clinics - Primary Cohort 2022 Submission
Updated: Friday, May 13, 2022
MNCARES: Frequently Asked Questions (Primary Cohort)
Tuesday, March 29, 2022
Defining Care Coordination via Standard Codes
Updated: Wednesday, July 7, 2021 mncares
Welcome to MNCARES Webinar
Updated: Wednesday, May 26, 2021

Adolescent Mental Health /Depression Screening (4 articles)

Should all patients be included in the Adolescent Mental Health denominator if they had an eligible telehealth visit?
Updated: Tuesday, November 9, 2021
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
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
Adolescent Mental Health screening required exclusions time frame
Updated: Thursday, September 30, 2021

Asthma (9 articles)

Are the Asthma measures also a Health Care Home (HCH) measure?
Updated: Friday, July 10, 2020 asthma
Asthma PRO tool links
Updated: Tuesday, July 7, 2020 asthma optimal asthma control pro tools prom proms
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
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
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 (7 articles)

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
Are Certified Nurse Midwives included as eligible providers for the Colorectal Cancer measure?
Updated: Tuesday, July 7, 2020 colorectal cancer screening crc
Can I submit a Cologuard screening?
Updated: Wednesday, July 8, 2020 colorectal cancer screening crc
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
Colorectal Cancer Exclusion for SNP or POS
Updated: Tuesday, July 7, 2020 cms colorectal cancer screening crc exclusion pos qpp snp special needs

Depression (19 articles)

Depression patient ID Template
Thursday, February 18, 2021 depression care emr change id change patient id
Depression Care summary
Updated: Thursday, January 13, 2022
Can PHQ-9 scores obtained outside of a face-to-face office visit be submitted?
Updated: Friday, July 10, 2020 depression
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
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 (9 articles)

Acceptable Blood Pressure Readings for Quality Measures
Updated: Wednesday, May 4, 2022
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
Diabetes measure: Should a patient who has Gestational Diabetes be included in the data submission?
Updated: Friday, July 10, 2020 diabetes
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
Is Fenofibrate lipid lowering medication an acceptable replacement for statin?
Updated: Friday, July 10, 2020 diabetes fenofibrate odc ovc statin vascular

General Measure Question (6 articles)

What changes have been made to MNCM quality measures in 2020 to reduce data collection burden?
Updated: Tuesday, April 12, 2022 2020 aspirin burden exceptions statin
Adolescent Mental Health and Colorectal Cancer Screening: If a patient refuses screening, does the patient come out of the denominator?
Updated: Friday, July 10, 2020 adolescent mental health amh colorectal cancer screening crc
E-Cigarettes
Updated: Tuesday, May 17, 2022 cessation e-cig e-cigarette electronic nicotine delivery systems ends smoke smoking tobacco
Risk Adjustment: How is the expected rate calculated?
Updated: Tuesday, November 5, 2019 expected rate risk adjustment
When will the Value Sets be available for the next report year?
Updated: Thursday, February 2, 2023

HEDIS Questions (5 articles)

HEDIS Measure Specifications
Updated: Thursday, May 4, 2023 hedis hedis measure specifications
HEDIS: Are there clinic level results?
Thursday, May 4, 2023 clinic hedis
HEDIS: Patient Eligibility, Medical Group Attribution & Reportability Thresholds, and Hybrid Measure Sampling
Thursday, May 4, 2023 hedis reportable
Guardian Angel Consulting
Updated: Tuesday, May 9, 2023
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 articles)

COVID HRSA Insurance
Updated: Wednesday, January 6, 2021 covid covid hrsa mhcp
How to handle insurance for patients with two primary insurers
Updated: Wednesday, January 22, 2020 commercial dual insurance medicaid medicare primary
How do I properly code Sage insurance?
Updated: Wednesday, November 6, 2019 insurance
How to properly code Blue Cross and Blue Shield (BCBS) insurance product.
Updated: Wednesday, November 6, 2019 insurance
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 (5 articles)

Spine Surgery PRO Tool: Visual Analog Pain Scale
Updated: Friday, August 11, 2023
Bilateral Total Knee Replacement Guidance
Updated: Tuesday, August 1, 2023
PIPE Supplemental Guide: Orthopedic Measure Calculations and Value Set
Updated: Thursday, February 2, 2023 orthopedic pipe
Total Knee Replacement PRO tools
Updated: Thursday, February 2, 2023
Spine Surgery PRO tools
Updated: Thursday, February 2, 2023 disc-lami fusion pro tools spine surgery

Oncology Measures (3 articles)

Instructions for Obtaining PRO-CTCAE
Updated: Thursday, March 24, 2022
Oncology Measures - Symptom Control During Chemotherapy
Updated: Monday, July 24, 2023 cancer
PRO-CTCAE tool links archive
Updated: Thursday, March 24, 2022 cancer scdc symptom symptom control during chemotherapy

Security Policies (1 articles)

Security Policies
Updated: Wednesday, August 12, 2020

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Question for MNCM? Please search the Knowledge Base!

MNCM Status Page (1 articles)

PIPE Medical Groups Resources

PIPE Medical Group Onboarding (11 articles)

PIPE Medical Group Guides & Specs (10 articles)

PIPE Medical Group Videos (13 articles)

PIPE Medical Group FAQ (10 articles)

PIPE Payer Resources

PIPE Payer Onboarding (3 articles)

PIPE Payer Guides & File Field Specifications (2 articles)

Statewide Results

Preliminary Clinical Quality Measure Results (2 articles)

Technical, Submission & Validation Support

Direct Data Submission (DDS) Resources (18 articles)

Technical Questions (6 articles)

Registration & Portal Maintenance

Clinic and Provider Registration (Resources) (6 articles)

Clinic and Provider Registration (FAQs) (11 articles)

Survey Questions

HIT Survey Questions (1 articles)

Special Projects

MNCM Webinar Series (5 articles)

Minnesota Care Coordination Effectiveness Study (MNCARES) (4 articles)

Measure Questions

Adolescent Mental Health /Depression Screening (4 articles)

Asthma (9 articles)

Colorectal Cancer Screening (7 articles)

Depression (19 articles)

Diabetes & Vascular (9 articles)

General Measure Question (6 articles)

HEDIS Questions (5 articles)

Insurance and RELC supplemental data (8 articles)

Orthopedic Measures (5 articles)

Oncology Measures (3 articles)

Security

Security Policies (1 articles)