CDF: Care for Older Adults
Advance care planning, med review, functional status, pain assessment.
Measure description
Advance care planning, med review, functional status, pain assessment.
Eligible population
Adults 66+
Performance drivers
Star measure for MA SNPs.
Documentation & PA strategy
Annual wellness visit covers all 4 sub-rates.
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 CDF measure?
Advance care planning, med review, functional status, pain assessment.
What drives performance on this measure?
Star measure for MA SNPs.
How should clinicians document for this measure?
Annual wellness visit covers all 4 sub-rates.
What is the eligible population?
Adults 66+
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