Our updated 2024 PIP manual is now available

We recently updated our 2024 PCP Incentive Program (PIP) manual (login required). Below is a summary of the changes:

Page 6: 2024 program measure grid

The commercial 90th percentile target was incorrect in the manual. The correct target is 46%

Page 19: Social Determinants of Health Screening

Added an additional screening code (G0136) that will count as numerator compliance.

Page 42: Appendix 5: Report inventory

Added Medicaid members’ foster care eligibility (start) dates to the following PIP reports:

  • HEDIS Gaps in Care (PIP_11C)
  • Membership Eligibility (PIP_075)

Removed CCDA and MiHIN PPQC data submission verification as available confirmation reports. These reports are not available currently.

Page 43: Appendix 6: Appropriate statin use in diabetic patients

Updated measure and medication information and tips for success.

Page 46: Appendix 7: Medication adherence in patients with diabetes, hypertension and high cholesterol

Updated measure and medication information and tips for success.