Archive of Previous Paper Tools

Claims-Based Measure Specifications

The following checklists were designed to assist IPFs with meeting prior submission deadlines:

HBIPS-2 and -3
HBIPS-5
Screening for Metabolic Disorders
SUB-1, -2/2a, -3/3a
Tobacco Use (TOB)-1, -2/-2a, -3/-3a
- (Q1-Q2 2018)
- (Q3-Q4 2018)
Transition Record with Specified Elements Received by Discharged Patients and Timely Transmission of Transition Record
IMM-2 (Q4 2018 through Q1 2019)
Non-Measure Data Collection

UPDATED:Hospital-Based Inpatient Psychiatric Services (HBIPS)-2 and -3
HBIPS-5
- Q1-Q2 2016
- Q3-Q4 2016
Immunization (IMM)-2
Substance Use (SUB)-1, -2/-2a
Tobacco Use (TOB)-1,-2/-2a, -3/-3a
- Q1-Q2 2016
- Q3-Q4 2016
Non-Measure Data Collection Tool