AAP: Adults' Access to Preventive/Ambulatory Health Services
Percentage with ambulatory or preventive care visit during measurement year.
Measure description
Percentage with ambulatory or preventive care visit during measurement year.
Eligible population
All adult members
Performance drivers
Annual well visits drive preventive care completion.
Documentation & PA strategy
Schedule annual visit; document G0438/G0439 (Medicare AWV) or 99381-99397 (commercial).
Why HEDIS matters for prior authorization
Health plans align prior authorization criteria with HEDIS measures: documenting your patient meets the HEDIS definition often streamlines or eliminates PA hurdles. For Medicare Advantage in particular, plans are heavily incentivized via Star Ratings to push members and providers toward measure compliance, which translates into faster approvals for measure-aligned services.
Frequently asked questions
What does HEDIS measure AAP measure?
Percentage with ambulatory or preventive care visit during measurement year.
What drives performance on this measure?
Annual well visits drive preventive care completion.
How should clinicians document for this measure?
Schedule annual visit; document G0438/G0439 (Medicare AWV) or 99381-99397 (commercial).
What is the eligible population?
All adult members
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