2025 MIPS Measure #502: Improvement or Maintenance of Functioning for Individuals with a Mental and/or Substance Use Disorder

ID: 502

DESCRIPTION:

The percentage of patients aged 18 and older with a mental and/or substance use disorder who demonstrated improvement or maintenance of functioning based on results from the 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0) or Sheehan Disability Scale (SDS) 30 to 180 days after an index assessment.

DENOMINATOR:

Patients aged 18 years and older with a mental and/or substance use disorder and an encounter with an index assessment completed using the 12-item WHODAS 2.0 or Sheehan Disability Scale (SDS) during the denominator identification period.

INSTRUCTIONS:

This measure is to be submitted a minimum of once per performance period for patients with mental and substance use disorder who are seen during the performance period. This measure is intended to reflect the quality of services provided for patients aged 18 and older with a mental and/or substance use disorder and an encounter with an index assessment completed using the 12-item WHODAS 2.0 or Sheehan Disability Scale (SDS) during the denominator identification period. This measure may be submitted by Merit-based Incentive Payment System (MIPS) eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

SCREENING:

Completion of a clinical or diagnostic tool used to identify people at risk of developing or having certain disease or condition, even in the absence of symptoms.

Examples of PatientLink Screening tools for this measure:

  • PHQ-9
  • AUDIT
  • DAST