Measure ID: MIPS 282|Dementia|2026 Performance Year

Dementia: Functional Status Assessment

Percentage of patients with dementia for whom an assessment of functional status was performed at least once in the last 12 months.

ProcessDementiaFunctional AssessmentGeriatrics

Last updated: January 15, 2026

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Measure Specification

Denominator (Eligible Population)

All patients regardless of age
ANDDiagnosis for dementia
ANDPatient encounter during the performance period
ORDenominator Exception: Documentation of advanced stage dementia and caregiver knowledge is limited (G9917)
ORPerformance Not Met: Functional status not performed, reason not otherwise specified (G9918)

Denominator Exclusions

None

Numerator

Patients for whom an assessment of functional status was performed at least once in the last 12 months.

Submission Codes (QDCs)

✓ Performance Met
G9916Functional status performed once in the last 12 months
✗ Performance Not Met
G9918Functional status not performed, reason not otherwise specified

Denominator Exceptions

G9917Denominator Exception: Documentation of advanced stage dementia and caregiver knowledge is limited

🧮MIPS Score Simulator

Estimate only — actual CMS scoring may vary based on reporting method, data completeness, and annual rule updates.

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VBCA Insights

💡Why This Measure Matters

Dementia patients lose independence gradually—some can still dress themselves, others can't—and families often don't volunteer this information. This measure tracks whether you're formally assessing functional status (ability to manage activities of daily living) at least once yearly. You can use a validated tool like the Katz scale or simply ask about dressing, toileting, and eating. Tracking function helps you spot decline, adjust care plans, and prepare families for what's coming next.

📖Clinical Rationale

Maintaining or increasing physical functioning levels is a desired outcome. This is key to maintaining quality of life and reducing caregiver burden. This requires regular assessment of function in multiple domains. In routine practice, persons with dementia may not be assessed regularly for changes in their ability to perform both basic and instrumental activities of daily living.

Frequent and comprehensive assessments will allow health care providers to track these changes and to make timely interventions aimed at preserving function or mitigating disability. When planning interventions to improve or maintain function, it is important to consider a broad range of causes of functional impairment, including impaired cognition.

📝Clinical Recommendations

Perform regular, comprehensive person-centered assessments and timely interim assessments. Assessments, conducted at least every 6 months, should prioritize issues that help the person with dementia to live fully. These include assessments of the individual and care partner’s relationships and subjective experience and assessment of cognition, behavior, and function, using reliable and valid tools.

Assessment is ongoing and dynamic, combining nomothetic (norm-based) and idiographic (individualized) approaches.

📋Implementation Notes

This measure contains one strata defined by a single submission criteria. This measure produces a single performance rate. For the purposes of MIPS implementation, this patient-process measure is submitted a minimum of once per patient during the performance period. The most advantageous quality data code will be used if the measure is submitted more than once.

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