To help you address open gaps in care and maximize PIP/HEDIS scores as we approach the end of the 2026 performance year, ACNs have begun receiving the following weekly reports in Filemart:
- PIP Hypertension Worksheet (PIP_11H): ACN level report. Reflects blood pressure dates and result values, if applicable. Includes Type II NPI, PRA Group and PRA Subgroup.
- PIP Diabetes Lab Result Worksheet (PIP_11G): ACN level report. Reflects diabetes dates and result values, if applicable. Includes Type II NPI, PRA Group and PRA Subgroup.
ACNs began receiving these reports the first week of November, and reports will continue to be sent through January 2027.
Note: The PIP_11G and PIP_11H reports are informational only and show the most recent HbA1c and blood pressure results available from all data sources. However, they do not account for all HEDIS compliance requirements, including eligibility, exclusions, acute visits or confirmation of a second hypertension diagnosis, in the same way that PIP_11C does. The PIP_11C report is the source of truth for gap closure, incentive payment and scores.