About

Frequently Asked Questions

FAQs regarding QIC, logistics, Year 4 measures, dashboard, assignment and attribtuion will be posted on this page. If your questions are not answered below or elsewhere on the site, please contact us at TIPQIC@asu.edu.

QIC

1. What are the QIC attendance expectations?

A: For each TI organization (at the TIN level), at least one licensed clinical representative and one administrative representative must attend the January 27, 2020 in-person Kick-off meeting as well as 80% of the relevant virtual QIC sessions. Organizations with only one site participating in the TI program may elect to have only one representative, if that person has both clinical and administrative Program responsibilities.
To get credit for attending a virtual QIC session, each person must register individually and log in to the webinar individually. If you attend a virtual QIC with more than one representative from your organization on one computer, both (or more) representatives must each log into the webinar separately to assure both (all) are counted as attending.
2. If my organization participates in two TI programs, do I need to attend both QICs?

A: Yes, if a TI organization participates in multiple TI programs, then they must attend the QIC sessions for each program and are expected to meet the attendance expectations for each QIC.

Data Dashboard

1. What level of detail will we be able to see within the QIC data dashboard?

A: Dashboard will show the number of patients in the denominator for your organization's data. Protected health information (PHI) cannot be displayed on the dashboard.
2. Will the dashboard show what patients were included in the numerator and denominator of the calculation?

A: We are still working through agreements to determine what detail can be displayed.
3. How does the data account for churn?

A: Please see the PCP Attribution Methodology.
4. Will there be a baseline panel? Who will be included in this?

A: Please see the PCP Attribution Methodology.
5. How far in advance will the data be available?

A: Beginning in April 2020, we aim to have data available one week prior to your monthly QIC.
6. Will we be able to remove non-TI-participating sites from TIN trends and target setting?

A: Site-level data is not available before October 2019.
7. What is the claims lag?

A: It is variable based on when encounters are submitted to the MCO and the MCO submits to AHCCCS.

Attribution & Assignments

1. What is the attribution model used for PCP?

A: Please see the PCP Attribution Methodology.
2. What is the attribution model used for BH?

A: Please see the BH Attribution Method.
3. How are dual payer/ non-billed (or paid) claims considered?

A: Encounters must be submitted to Medicaid to count towards the measure. Even if a submitted claim is not paid by Medicaid, it will count towards the measure. Therefore, for dual payer patients, if TI Participant submits claims to both Medicare and Medicaid, then the TI Participant will get credit for TIP measure even if Medicare pays full claim.
4. How does assignment work for FQHCs?

A: FQHCs are not included in TIP.
5. Does attribution include temporary (fill-in) physicians?

A: Please see the PCP Attribution Methodology.
6. Does PCP attribution include non-physician specialties?

A: Yes. Please see the PCP Attribution Methodology.
7. How do we account for members seeking services from different providers?

A: For PCP measures, the patient is attributed to one provider as described in the PCP Attribution Methodology.
8. There are a large number of members assigned to my panel that get care from other practices. To whom are these patients attributed?

A: Please see the PCP Attribution Methodology.

Measures

1. Will day 0 be counted?

A: No, day 0 is not counted. This is a CMS/NCQA decision and AHCCCS wants to align with the national standards.
2. What are the measurement targets?

A: Please find targets on Dashboard page.
3. Do the 7-/30-day BH core measures require scheduling of appointments or that the patient kept the appointment?

A: The patient must keep the appointment to be included in the numerator.
4. How will TI Program respond to COVID-19?

A: We understand the implications that COVID-19 may be having on your practice. Given the uncertainty on how long it will last, we will continue to monitor and adjust as the data leads us and as the situation becomes clearer.

Continuing Education (CE)

1. How can I earn CE credit?

A: CE credit can be earned by attending any of the virtual QIC sessions and completing an evaluation survey made available following each session. Please see our CE page for more detail on the type and number of credits that can be earned.