0000037498 00000 n 0000043814 00000 n 0000040184 00000 n 0000039528 00000 n or. 2127 87 0000033741 00000 n 4 0 obj 0000313076 00000 n 0000011894 00000 n 0000306886 00000 n AWARE- California Medical Association Foundation: Physician Resources, HEDIS MY 2023 Hybrid Measure Quick Guide with Codes, HEDIS MY 2023 Hybrid Measure Pocket Guide, HEDIS MY 2023 Administrative Measure Quick Guide with Codes, HEDIS MY 2023 Chart Submission Requirements, QI Interventions Reported by Top Performing IPAs, How to access Provider Opportunity/Gaps in Care Reports, HEDIS Tip Sheet: Timeliness of Prenatal Care, Preventive Care Documentation Flyers for Providers, Timely Access to Care Suggested Interventions for IPAs, Timely Access to Care Oversight & Monitoring PPG Training, Timely Access to Care Oversight & Monitoring FAQ, Slide Deck: Moving the Needle on Member Satisfaction. 0000043902 00000 n / 2 0 obj Sentara Health Plans, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. ' f it4A@! To verify compliance with this Agreement, NCQA is granted the right, with prior notice and during normal business hours, to examine all relevant records of Licensee. endstream endobj startxref 0000108677 00000 n A dated graphic sheet . A list of potential measures for initial stratification in MY2022 are as follows: Controlling High Blood Pressure (CBP) Comprehensive Diabetes Care (CDC) Antidepressant Medication Management (AMM) 0000039802 00000 n Definitions: 1.1 "Licensed Measure Specifications" shall mean NCQA's HEDIS measures and specifications and HEDIS CAHPS survey measures and specifications detailed in HEDIS Volume 2 (including the Rules), subject to payment of any related fees. The site may also contain non-Medicare related information. 0000106009 00000 n 2020 HEDIS Cheat Sheet Measure HEDIS Requirement Rendering Provider Needs to report W34 Well Child visits in ages 3-6 years of life Measures percentage of members 3 to 6 years of age who had one or more comprehensive well child visits with a PCP during the year. All other uses, including a commercial use (including but not limited to vendors or consultants using or embedding the measures and specifications and/or HEDIS VSD into any product or service to calculate measure results or provide any measure-related service to customers for any purpose) and/or any internal or external reproduction, distribution or publication (including but not limited to federal and state entities using or incorporating the measures into their programs) must be approved by NCQA and are subject to a license at the discretion of NCQA. It also includes general guidelines for data collection and reporting, detailed instructions about how to perform the necessary calculations and guidelines for sampling. The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. 0000041066 00000 n 1527 0 obj <>stream 0000038081 00000 n 0000009862 00000 n hbbd```b`` @$SdId:lZ ] DHV~'l g" 1D]3@{@Wn``W ! The individual accepting this Agreement on behalf of Licensee represents that by electronically signing this Agreement, the individual hereby binds the Licensee to the terms of this Agreement, and that such individual is an employee of Licensee and duly authorized to enter into and bind Licensee to the terms of this Agreement. This information sheet is accurate as of the date it is published but may change as HEDIS measures are updated or based on other factors. 0000011225 00000 n 0000307683 00000 n 0000016645 00000 n 0000010761 00000 n Updates on HEDIS Measures MY2022 . 0000006599 00000 n <<3742E41188BCC64D926D69F1B7DDE543>]/Prev 282268/XRefStm 4469>> endstream endobj startxref NCQA has separated the Comprehensive Diabetes indicators into stand-alone measures: Rate 2: Two additional well-child visits 15 to 30 months. T 0000311155 00000 n HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used set of health . 0000003432 00000 n Organizations that need help determining how their use of NCQAs HEDIS measure specifications and Value Set Directories fit into NCQAs licensing and certification requirements should use theHEDIS Licensing Tool. xref All uses of such Third-Party Codes may require a license from the copyright owner, which Licensee acknowledges and agrees that it is solely responsible for obtaining directly from the copyright owners and that NCQA has no liability or responsibility for such Third-Party Codes or claims arising out of the use thereof by Licensee. 1.833.LAC.DSNP (1-833-522-3767)(TTY 711)24 hours a day. 0000011027 00000 n 0000032765 00000 n 0000007912 00000 n 0000011830 00000 n 0000042754 00000 n 0000092606 00000 n Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777. 2021-2022 HEDIS and VBP TIP Sheet . 0000010501 00000 n WHEREAS, NCQA is an independent non-profit organization widely recognized as the authority on the quality of health plans; WHEREAS, NCQA has developed specifications for the Healthcare Effectiveness Data and Information Set (HEDIS) measures and specifications to standardize the collection and reporting of health plan quality information and the survey specifications for the Consumer Assessment of Healthcare Providers and Systems (CAHPS); WHEREAS, NCQA publishes HEDIS Volume 2: Technical Specifications for Health Plans (HEDIS Volume 2) that includes the HEDIS Value Set Directory (HEDIS VSD) that crosswalks HEDIS to third party medical and billing codes; WHEREAS, HEDIS Volume 2 also includes the Rules for Allowable Adjustments of HEDIS (the Rules), that prescribes guidelines for adjusting NCQAs HEDIS measures and specifications; WHEREAS, Licensee desires to use HEDIS Volume 2; and. NEITHER PARTY SHALL HAVE ANY LIABILITY FOR ANY INCIDENTAL, SPECIAL, CONSEQUENTIAL OR OTHER INDIRECT DAMAGES ARISING UNDER OR RELATED TO THIS AGREEMENT, WHETHER OR NOT THE PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. 0000008420 00000 n startxref 0000022782 00000 n 0000311459 00000 n qJ{*ay|UgxEjM&aMzw- hR ZMr 5TW[Q2\Cbyh|#my\?Qj**}g}F Height, weight, BMI percentile (use Z68.51-Z68.54) and nutrition (97802, 97803, 97804) and physical activity counseling (Z02.5, Z71.82) Lead Screening in Children: The obligations of both Parties shall not terminate upon any assignment or delegation attempted without such prior written consent. 0000004469 00000 n 0000019994 00000 n 3 0 obj 0000029379 00000 n JavaScript seems to be disabled in your browser. 0000042889 00000 n 0000043052 00000 n H\n0E In addition, some sites may require you to agree to their terms of use and privacy policy. 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Blue Cross and Blue Shield of Illinois (BCBSIL) reports audited Healthcare Effectiveness Data and Information Set (HEDIS) results. xref 0000310217 00000 n 1. 0000109048 00000 n One option is Adobe Reader which has a built-in reader. h1 04,n\GMyC. rates. 2022. with: Progress note with latest blood pressure reading taken in . endobj 0000313326 00000 n If a required measure has only Medicaid specifications, commercial organizations The License is not transferable from Licensee to any other person, entity, organization or association. 0000002081 00000 n ?t5o7~ 2l7~w3o0B3rq /3}1l?Fc % Npttr}>'1*ePXQl6?WDCBc68:_14%p{}8Tbj XkN,KrfNi+o 0000029168 00000 n Failure to insist on strict performance of any term of this Agreement will not operate as a waiver of any subsequent default or failure of performance. 0000032947 00000 n 0000041498 00000 n This Publication License Agreement, along with all materials referenced herein ("License Agreement"), is a legal agreement between the individual or entity purchasing the license to use the Product (hereinafter the "Licensee") and the National Committee for Quality Assurance ("NCQA"). any. 0 0000308484 00000 n 0000041786 00000 n 0000041110 00000 n Give your county office your updated contact information so you can stay enrolled. 0000310375 00000 n Molina Healthcare of California participates in HEDISas part of our State quality reporting Health Net - Coverage for Every Stage of Life | Health Net 8288 0 obj <>/Filter/FlateDecode/ID[<69BCAFE65C18E142B8D25016BEF95C84><8F47EB867E2FB34A83FE6FC176ECE178>]/Index[8259 56]/Info 8258 0 R/Length 131/Prev 972378/Root 8260 0 R/Size 8315/Type/XRef/W[1 3 1]>>stream 2022. 0000310525 00000 n 0000043174 00000 n X]E| iR*W1Fr!r"n,+K9*"-XjV=Q[OL]jPz[#5i#r?lBwEEa^ZcP"m)L=)/H!?>o[roJZ On*jdY>6P`ww]Kk|z{:G2B940x./?cq8L. 0000003478 00000 n Nothing in this Agreement shall grant, or shall be deemed to grant, to Licensee a right or license to use, reproduce, distribute, incorporate or display the Third-Party Codes. 0000040716 00000 n %PDF-1.6 % A Licensed User may not be an agent or consultant of a Licensee. 0000012573 00000 n 0000004603 00000 n Also, Licensee must prominently display the following notice near each adjusted Licensed Measure Specification using the Rules, or display as a footnote on each page in which an adjustment Licensed Measure Specification exists: The NCQA HEDIS measure specification has been adjusted pursuant to NCQAs Rules for Allowable Adjustments of HEDIS. 0000012711 00000 n 0000310669 00000 n trailer <<544F2374A80A4621986B17D4733DBC3A>]/Prev 388715>> startxref 0 %%EOF 118 0 obj <>stream 0000012545 00000 n All questions, comments or notices concerning this Agreement shall be submitted to NCQA by Licensee via email at my.NCQA.org or via mail at NCQA, Attention: Information Products, 1100 13th Street NW, Third Floor, Washington, DC 20005. , II 1371 0 obj <>/Filter/FlateDecode/ID[<7F9DDD8800BFEE4C9404AE52E016A647><02E18FF8926EFD40AEA58E0129A180D3>]/Index[1349 36]/Info 1348 0 R/Length 110/Prev 309529/Root 1350 0 R/Size 1385/Type/XRef/W[1 3 1]>>stream xn0#eR;TUj!@iFQ;6t$-h4Lblp|FC''p6@b^{|K@i&!MBot&ji`Wix P)V(K+Yn*g^\(5%ha No amendment, other modification or waiver of any term of this Agreement will be valid unless in writing signed by both parties. bfLZiPnBFAJ@9KN2kl>xnxX:+spU||)p?@enq-}\pyPRaex6W~)(Ix/]fFxP0 %%EOF 0000027069 00000 n Any use of HEDIS Volume 2 to identify records or calculate HEDIS measure results, for example, requires a custom license and may necessitate certification pursuant to NCQAs Measure Certification Program. 0000106153 00000 n If any portion of this Agreement is determined by a court of competent jurisdiction or any appropriate legislature or governmental agency to be wholly or partially unenforceable, for any reason, such term shall be deemed to be modified to the minimum extent necessary to comply with such law, ruling or regulation, and the remainder of this Agreement shall not be affected thereby. endstream endobj 2212 0 obj <>/Filter/FlateDecode/Index[119 2008]/Length 63/Size 2127/Type/XRef/W[1 1 1]>>stream 0000032558 00000 n 0000072229 00000 n 0000307846 00000 n 0000033334 00000 n 0000033339 00000 n A required resource for anyone involved in collecting, calculating or submitting HEDIS data, HEDIS MY 2022 Volume 2 features the complete technical specifications for each measure. 0000001516 00000 n 0000312918 00000 n 0000112852 00000 n This Agreement is not intended to and shall not be construed to give any third party any interest or rights (including, without limitation, any third-party beneficiary rights) with respect to or in connection with any agreement or provision contained herein or contemplated hereby. vtt4LJ0G4v@uE %%aP=PKhXZ`ZZZF&m sq/P"]@ HEDIS MY 2022 . 0000312403 00000 n IN NO EVENT WILL NCQA'S TOTAL LIABILITY FOR ANY DIRECT DAMAGES RESULTING FROM ANY CLAIMS, DEMANDS OR ACTIONS ARISING OUT OF OR RELATING TO HEDIS VOLUME 2 OR ANY PART THEREOF, OR THIS AGREEMENT, EXCEED THE PRICE PAID FOR HEDIS VOLUME 2, WHETHER SUCH LIABILITY ARISES FROM ANY CLAIM BASED ON CONTRACT, WARRANTY, TORT OR OTHERWISE. A quick and easy reference containing the most current information, measure descriptions, and tips to help improve rates of compliance. Read this Agreement carefully before indicating acceptance by clicking the associated checkbox/button and moving forward. L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. 0000040003 00000 n Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). NCQA updated telehealth guidance in 40 HEDIS measures for HEDIS MYs 2020 and 2021. 0000309524 00000 n 0000033138 00000 n 0000313191 00000 n Prohibited Use AcknowledgementAn organizations Licensed Users may use HEDIS Volume 2 solely for a personal non-commercial purpose without obtaining NCQA approval. 0000041171 00000 n Have questions about renewing your Medi-Cal? In effectuating its obligations hereunder, Licensee shall not consent to the entry of a judgment or otherwise settle any claim against NCQA, in which NCQA shall be obligated to make any admission of fault, liability or wrongdoing or otherwise involve any prejudice of its interests without the prior written consent of NCQA, which shall not be unreasonably withheld, delayed or conditioned. 2022-2023 This guide provides HEDIS coding information only, not necessarily payment guidance. 0000312745 00000 n <> Licensee may use NCQAs registered trademark HEDIS only when describing the Licensed Measure Specifications as permitted under this Agreement, and to refer to the HEDIS measure specifications for the relevant year. Title to and full ownership of the Licensed Measure Specifications (and adjustments thereto) and all intellectual property rights therein (including, but not limited to, all copyrights, patent rights, and trade secret rights) belong to NCQA or NCQA has obtained the necessary rights in the Licensed Measure Specifications (except as otherwise set forth regarding third party copyright ownership of portions of the HEDIS VSD) to grant the rights and licenses set forth herein.
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