MIPS # 001 Diabetes: Glycemic Status Assessment Greater Than 9%
2026 measure specification review pending.
2025: Measure changes from 2024 highlighted below.
Practice Insights coding changes completed for 2025
MEASURE DESCRIPTION
Percentage of patients 18-75 years of age with diabetes who had a glycemic status assessment (hemoglobin A1c [HbA1c] or glucose management indicator [GMI]) > 9.0% during the measurement period
Numerator
Patients with diabetes with a visit during the measurement period whose most recent HbA1c level (performed during the measurement period) is >9.0% or is missing or was not performed during the measurement period.
Denominator
Patients 18-75 years of age by the end of the measurement period, with diabetes with a visit during the measurement period
Exclusion/Exceptions
Exclude patients who are in hospice care for any part of the measurement period.
Exclude patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period.
Exclude patients 66 and older by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria:
Advanced illness diagnosis during the measurement period or the year prior
OR taking dementia medications during the measurement period or the year prior
Exclude patients receiving palliative care for any part of the measurement period.
Telehealth? Yes
Scoring Up to 10 points
RESOURCES
