Adults’ Access to Preventive/Ambulatory Health Services (AAP)

HEDIS Measure

Adults' Access to Preventive/Ambulatory Health Services (AAP)

Line of business: Commercial Medicaid Medicare

Data Collection Method: Administrative (Claims)

Measure Description

The percentage of members 20 years of age and older who had an ambulatory or preventive care visit.

Numerator Compliance

Medicaid and Medicare: One or more ambulatory or preventive care visits during the measurement year.

Commercial: One or more ambulatory or preventive care visits during the measurement year or the two years prior to the measurement year.

Best Practices

• Encourage patients to maintain the relationship with a PCP to promote consistent and coordinated health care
• Educate patients on the importance of having at least one ambulatory or preventive care visit during each measurement year
• Consider offering extended practice hours to increase care access
• Remind patients of their appointment by making calls or sending texts
• Make outreach calls and/or send letters to advise members of the need for a visit
• Partner with Horizon Healthy Journey Program to assist with targeted outreach activities

Quality Value Set Directory Coding Tips

Ambulatory Visits

Online Assessments

Telephone Visits

Other Ambulatory Visits