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CMS 128 - Anti-depressant Medication Management

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Updated: 11/11/2020
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CMS 128 / Quality ID #009

Percentage of patients 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression, and who remained on an antidepressant medication treatment. Two rates are reported:

  1. Percentage of patients who remained on an antidepressant medication for at least 84 days (12 weeks)
  2. Percentage of patients who remained on an antidepressant medication for at least 180 days (6 months)
Denominator: Patients 18 years of age and older who were dispensed antidepressant medications within 245 days (8 months) prior to the measurement period through the first 120 days (4 months) of the measurement period and were diagnoses with major depression 60 days prior to, or 60 days after the dispensing event and had a visit 60 days prior to, or 60 days after the dispensing event.
  • Patient’s age is calculated based on the patient’s Date of Birth, which was entered when you created the patient’s account.
  • Create a note detailing the patient’s office visit.
  • The diagnosis of "Major Depression" is entered in the patient’s Problem List.
  • Add a Start Date to the problem.
  • Anti-depressants are added to Medications.
Denominator Exclusions: Patients who were actively on an antidepressant medication in the 105 days prior to the Prescription Start Date.

If patient was in Hospice during the measurement period:
Numerator 1: Patients who have received antidepressant medication for at least 84 days (12 weeks) of continuous treatment during the 114-day period following the Prescription Start Date.
Numerator 2: Patients who have received antidepressant medication for at least 180 days (6 months) of continuous treatment during the 231-day period following the Prescription Start Date.
  • Based on the medications prescribed initially and in follow-up visits, Kareo Clinical will calculate how many days the patient has been on the medication.
Office Visit Documentation:

Once all steps have been completed, the measure will be added to the Quality Measures Report.
Measure type: Process
High Priority Measure: No
Telehealth Eligible: Yes