[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-167885-en":3,"doc-seo-167885-105":30,"detail-sidebar-cat-1-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":11,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},167885,962084928904,"Jake","https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d",1,11,"Presentations","EPT KPI Submission Template - Nov 2025","EPT practices must submit a Key Performance Indicator (KPI) Assessment as part of their ongoing EPT deliverable submission, with due dates in May 2025, November 2025, May 2026, and November 2026. The template outlines required sections: current Medi-Cal assigned lives (overall totals and race/ethnicity breakdown), empanelment and access administrative measures (including milestone achievement expectations and guidance for unable-to-report cases), and Population of Focus measure reporting for the assigned Medi-Cal population using the specified data collection date rules.","Instructions\nAll EPT practices are required to submit a Key Performance Indicator (KPI) Assessment as part of their ongoing EPT deliverable submission (due in May 2025, November 2025, May 2026, and November 2026).\nNote: This template is provided for informational purposes only and is intended to outline the required components of your submission. It should not be used to submit your final deliverable. All submissions must be made through the designated \u0013 HYPERLINK \"https://pophealth.healthcare.dev/login\" \\h \u0014Deliverable Portal\u0015.\nPart 1. Medi-Cal Assigned Lives\nNumber of Current Medi-Cal Assigned Lives Across All Health Plans [numbers only] : __________\nMedi-Cal Assigned Lives by Race/Ethnicity [numbers only]\nPlease provide the breakdown of Medi-Cal assigned lives by race/ethnicity. Include the number of assigned Medi-Cal patients for whom you do not have this data in the “Do Not Have Data” row. Please note that the sum total of lives in this table should match your practice’s number of current Medi-Cal assigned lives documented in question a) above.\nPart 2. Empanelment & Access Administrative Measures\nPlease report your practice’s performance on these three empanelment and access metrics.\nTo access the specifications for these metrics you can:\nHover your mouse on the information icon for each metric or\nDownload a copy of the specifications \u0013 HYPERLINK \"https://pophealthlearningcenter.org/wp-content/uploads/2024/09/EPT-Nov-2024-Admin-Measure-Specifications_vF.pdf\" \\h \u0014here\u0015.\nIn order to meet the milestones for Empanelment, Continuity, and Third Next Available Achievement, your practice must sustain benchmark achievement over two submission periods or meet the benchmark in the final submission period of 2026. If your practice is unable to report one or more metrics, please select “Unable to report” and provide an explanatory comment.\nEmpanelment Metrics [drop-down for population, and numbers only for denominator and numerator]\nAccess Metric [drop-down for population, and numbers only for denominator and numerator]\nPractice Comments – Only required if your practice was unable to report one or more metrics.\nPart 3. Population of Focus Measures\nBelow are measures associated with the EPT Populations of Focus (PoF). In the Deliverable Portal, you will only see the measures from the PoF that your practice has selected. Please report on your Assigned Medi-Cal population only. To ensure quality of care for all patients, we encourage you to monitor performance on these measures for all patients regardless of payer. If you are unsure which Population of Focus your practice selected, please email \u0013 HYPERLINK \"mailto:info@pophealthlc.org\" \\h \u0014info@pophealthlc.org\u0015.\nNote that the Data Collection Date is the last day of any rolling 12-month measurement period. Sponsoring Managed Care Plans (MCPs) reported practices’ baseline performance for measurement year 2023, i.e. data as of December 31, 2023, with the measurement period of January 1-December 31, 2023. Please report data for the same or any other more recent 12-month period.","cbCaitOaVxr03tkr","https://ap.wps.com/l/cbCaitOaVxr03tkr","docx",81660,5,"English","en",105,"# Medi-Cal Assigned Lives\n## Current Medi-Cal Assigned Lives (total)\n## Medi-Cal Assigned Lives by Race/Ethnicity\n# Empanelment & Access Administrative Measures\n## Empanelment metrics\n## Access metric\n## Practice comments\n# Population of Focus Measures\n## Reporting scope for Assigned Medi-Cal population\n## Data collection date rules","[{\"question\":\"What is the purpose of this EPT KPI Assessment template?\",\"answer\":\"It specifies the required components for an EPT KPI Assessment to support ongoing EPT deliverable submissions across the scheduled due dates.\"},{\"question\":\"How should Medi-Cal assigned lives data be reported?\",\"answer\":\"Report the total number of current Medi-Cal assigned lives, then provide a race/ethnicity breakdown using numbers only, including a row for patients where this data is not available.\"},{\"question\":\"What guidance applies when a practice cannot report an empanelment or access metric?\",\"answer\":\"Select “Unable to report” for the metric and add an explanatory comment in the practice comments section, if required.\"}]","EPT KPI Submission Template - Nov 2025 | DOCX",1788220724,2,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":34,"description":15,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"ept-kpi-submission-template-nov-2025","",{"@graph":36,"@context":85},[37,53,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,47,50],{"item":41,"name":42,"@type":43,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":29},"https://docshare.wps.com/template/","Template",{"item":48,"name":13,"@type":43,"position":49},"https://docshare.wps.com/template/presentations/",3,{"item":51,"name":14,"@type":43,"position":52},"https://docshare.wps.com/template/ept-kpi-submission-template-nov-2025/167885/",4,{"url":51,"name":14,"@type":54,"author":55,"headline":14,"publisher":57,"fileFormat":60,"inLanguage":23,"description":15,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-05","2026-08-31",true,{"@type":65,"interactionType":66,"userInteractionCount":21},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What is the purpose of this EPT KPI Assessment template?","Question",{"text":75,"@type":76},"It specifies the required components for an EPT KPI Assessment to support ongoing EPT deliverable submissions across the scheduled due dates.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"How should Medi-Cal assigned lives data be reported?",{"text":80,"@type":76},"Report the total number of current Medi-Cal assigned lives, then provide a race/ethnicity breakdown using numbers only, including a row for patients where this data is not available.",{"name":82,"@type":73,"acceptedAnswer":83},"What guidance applies when a practice cannot report an empanelment or access metric?",{"text":84,"@type":76},"Select “Unable to report” for the metric and add an explanatory comment in the practice comments section, if required.","https://schema.org",{"og:url":51,"og:type":87,"og:title":14,"og:site_name":58,"og:description":15},"article",{"robots":89,"canonical":51},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":92},[93,96,101,106,111,116,121,126,130],{"id":12,"doc_module":11,"doc_module_name":46,"category_name":13,"show_sort_weight":94,"slug":95},90,"presentations",{"id":97,"doc_module":11,"doc_module_name":46,"category_name":98,"show_sort_weight":99,"slug":100},12,"Resumes",80,"resumes",{"id":102,"doc_module":11,"doc_module_name":46,"category_name":103,"show_sort_weight":104,"slug":105},14,"Invoices",70,"invoices",{"id":107,"doc_module":11,"doc_module_name":46,"category_name":108,"show_sort_weight":109,"slug":110},15,"Posters",60,"posters",{"id":112,"doc_module":11,"doc_module_name":46,"category_name":113,"show_sort_weight":114,"slug":115},16,"Social Media",50,"social-media",{"id":117,"doc_module":11,"doc_module_name":46,"category_name":118,"show_sort_weight":119,"slug":120},17,"Forms",40,"forms",{"id":122,"doc_module":11,"doc_module_name":46,"category_name":123,"show_sort_weight":124,"slug":125},18,"Letters",30,"letters",{"id":127,"doc_module":11,"doc_module_name":46,"category_name":128,"show_sort_weight":21,"slug":129},21,"Paper Templates","papers-templates",{"id":131,"doc_module":11,"doc_module_name":46,"category_name":132,"show_sort_weight":4,"slug":133},158,"General","general-158"]