0000018194 00000 n Except for authorized Licensed Users, each person, entity, organization or association, including agents and consultants of the Licensee, is required to separately purchase a license to obtain and access HEDIS Volume 2. 0000040540 00000 n As a part of L. A. Cares initiative to improve quality of care to our members, these HEDIS (Healthcare Effectiveness Data and Information Set) reference guides for selected priority HEDIS measures are designed to help your practice provide the best quality care, in alignment with the HEDIS standards as well as with evidence-based clinical practice guidelines. 0000019994 00000 n h_HSQ]B,7=$,h5%A9(4zoIdXYT 0000013091 00000 n startxref 0000309151 00000 n 0000021645 00000 n 0000006884 00000 n 0000037613 00000 n 0000310375 00000 n Subject to the terms and conditions of this Agreement, NCQA grants Licensee a personal, limited, non-exclusive, non-transferable license in the United States to use HEDIS Volume 2 during the term of this Agreement solely for internal, non-commercial purposes in accordance with the terms of this Agreement (the License). 0000064508 00000 n NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows: 1.1 Licensed Measure Specifications shall mean NCQAs 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. 0000037990 00000 n 0000029274 00000 n IMPORTANT: Are you enrolled in Medi-Cal? 0000006410 00000 n NCQA has recommended 5 HEDIS measures be included beginning MY2022 with expectations to expand across a minimum of 15 measures by MY2024. h1 04,n\GMyC. 0000052324 00000 n 0000012472 00000 n 0000010194 00000 n 0000309524 00000 n JavaScript seems to be disabled in your browser. 0000306886 00000 n For the best experience on our site, be sure to turn on Javascript in your browser. L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. Sole ownership rights to the Licensed Measure Specifications and any modifications, alterations or adjustments thereof reside with NCQA. With respect to any and all claims brought by a third party, Licensee shall promptly notify NCQA of such claim and the Licensee shall have the right, at its sole discretion, to defend and control any action or proceeding with respect to such claim. As a part of L. A. Care's initiative to improve quality of care to our members, these HEDIS (Healthcare Effectiveness Data and Information Set) reference guides for selected priority HEDIS measures are designed to help your practice provide the best quality care, in alignment with the HEDIS standards as well as with evidence-based clinical practice guidelines. 1 0 obj 0000311299 00000 n 0000040184 00000 n 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: In January to May of 2023, data for 2022 continues to be submitted along with Medical Record review for Hybrid measures and final HEDIS 2022 rates and results are reported. 2 0 obj 0000008420 00000 n To DECLINE this Agreement, do not proceed and contact my.ncqa.org with any questions or concerns or request for a custom license agreement to meet your needs. 0000092606 00000 n Molina Healthcare of California participates in HEDISas part of our State quality reporting 0000043472 00000 n Commercial specifications should be followed for all required HEDIS 2022 and QARR 2022 NYS-specific measures. 0000010501 00000 n HEDIS MY2022. The HEDIS VSD is published as part of HEDIS Volume 2 and contains Third-Party Codes, including without limitation CPT by American Medical Association, LOINC by Regenstrief Institute, Inc., SNOMED CT by the International Health Terminology Standards Development Organisation, RxNorm by the U.S. National Library of Medicine and Uniform Billing Codes by the American Hospital Association. 0000044076 00000 n HEDIS MY 2022 includes 96 measures across 6 domains of care: Effectiveness of Care Access/Availability of Care Experience of Care Utilization and Risk Adjusted Utilization Health Plan Descriptive Information Measures Reported Using Electronic Clinical Data Systems How is HEDIS Data Collected? Licensed Users mean Licensees employees who may access and use HEDIS Volume 2 on behalf of the Licensee. 0000311633 00000 n L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. 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. 0000039591 00000 n 0000041498 00000 n 0000004469 00000 n 0000005173 00000 n HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . 0000011272 00000 n 0000040140 00000 n The section headings contained in this Agreement are included for reference only and shall not affect the construction or interpretation of any term in this Agreement. 0000036645 00000 n External link You are leaving this website/app (site). Compliance with these measures may reduce the need for you to send medical records later for review. 0000031901 00000 n 0000042092 00000 n HEDIS Volume 2 contains proprietary and copyrighted information and notice to that effect must appear on all authorized copies of HEDIS Volume 2 (including the Licensed Measure Specifications) made by Licensee under this Agreement. 0000004718 00000 n 0000011425 00000 n This Agreement is deemed to be made under and shall be interpreted in accordance with the laws of the District of Columbia, without regard to its conflict of law principles. NCQA SHALL HAVE NO LIABILITY FOR ANY DAMAGES RESULTING FROM USE OR INTERPRETATION OF THE LICENSED MEASURE SPECIFICATIONS OR HEDIS VSD, INCLUDING BUT NOT LIMITED TO THE IMPACT, PROVISION OR STANDARD OF MEDICAL CARE, WHETHER OR NOT NCQA HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. For the best experience on our site, be sure to turn on Javascript in your browser. %PDF-1.6 % <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 0000017054 00000 n 2022. YHLdb91{ d 9 PB2%e'c%tPV Q>!dF7\-9.Tr/_HQtvdQY/1g`SEp/HUyG=K>[pCqKI9w4%Vt)l{I)s1(yzv]:L:/dkey~WlXvu5{ 0000041786 00000 n HEDIS MY 2022 . 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. 0000031527 00000 n 0000004308 00000 n HEDIS is a nationally standardized set of measures related to important areas of care and service. 0000004580 00000 n Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777. 0 0000043052 00000 n 0000042754 00000 n 0000000016 00000 n xref THE USE OF THE LICENSED MEASURE SPECIFICATIONS IS ENTIRELY AT LICENSEES OWN RISK AND NCQA SHALL HAVE NO LIABILITY OR RESPONSIBILITY THEREFOR. 0000312403 00000 n 0000032997 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. 0000312251 00000 n 0000310995 00000 n 0000043130 00000 n 1.833.LAC.DSNP (1-833-522-3767)(TTY 711)24 hours a day. 0000034332 00000 n 0000135675 00000 n 0000312918 00000 n THE LIABILITY OF EITHER PARTY TO THE OTHER PARTY ARISING UNDER THIS AGREEMENT WHETHER IN CONTRACT, TORT, OR OTHERWISE SHALL BE LIMITED TO ACTUAL AND DIRECT DAMAGES. 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. bfLZiPnBFAJ@9KN2kl>xnxX:+spU||)p?@enq-}\pyPRaex6W~)(Ix/]fFxP0 0000056729 00000 n 0000003174 00000 n Optima Health is the trade name of Optima Health Plan, Optima Health Insurance Company, and Sentara Health Plans, Inc. Optima Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products, are issued and underwritten by Optima Health Plan. 8259 0 obj <> endobj Except as expressly authorized or provided for herein, Licensee shall: (i) only adjust the Licensed Measure Specifications, or any portion thereof, as permitted by the Rules;(ii) not delete or in any manner alter any notices, disclaimers or other legends contained in HEDIS Volume 2 or appearing on any screens, documents or other materials obtained through use of HEDIS Volume 2;(iii) prominently display language as displayed in Section 17 when adjusting the Licensed Measure Specifications as permitted by the Rules; (iv) not use HEDIS Volume 2 (including the Licensed Measure Specifications) or any portion thereof for any purpose other than as specifically set forth in this Agreement;(v) not publicly display, disseminate or publish the HEDIS Volume 2 (including the Licensed Measure Specifications), modifications or adjustments thereof or any portion of the same;(vi) not use the HEDIS VSD or any portion thereof without an authorized license from the copyright owners; (vii) not provide service bureau facilities or commercial time-sharing services to any third party or supporting operations for any third party through access and/or use of HEDIS Volume 2;(viii) not transmit HEDSI Volume 2 electronically or allow access to HEDIS Volume 2 over a network or a public computer-based information system which permits access to a greater number of users than licensed by Licensee; (ix) not authorize or permit any third-party or affiliate, subsidiary or related entity to use HEDIS Volume 2 (including the Licensed Measure Specifications) or any portion thereof without NCQA's prior written consent;(x) not identify records or calculate or display any calculated measurement (HEDIS measure result) stemming from the Licensed Measure Specifications;(xi) not reproduce, copy, reverse engineer, decompile or disassemble the Licensed Measure Specifications or prepare derivative works from the Licensed Measure Specifications or any portion thereof t (except that Licensee may make one [1] copy for each Licensed User for which Licensee has purchased a license to use HEDIS Volume 2); and(xii) not ship, transmit, transfer or export Volume 2 (including the Licensed Measure Specifications) or any portion thereof outside of the U.S. or to clients or other end-users primarily located outside of the U.S. 7nuT.,qUN^UNws}a9z6^.WU'_, rQTULzX{3yq\9$`IKz128~LVPwZZ8/8}W6!e2=M!\K!;.^)`'>F=D;D5L>5PfOTx) 0000009862 00000 n 0000015935 00000 n 0000043397 00000 n 0000007580 00000 n Any 0000012285 00000 n 0000044201 00000 n NCQA may terminate this Agreement at any time and without notice if Licensee violates any of the terms and conditions hereof. 0000004508 00000 n 0000026677 00000 n 0000033741 00000 n For HEDIS related inquiries, please contact [email protected]. 0000043174 00000 n TO THE MAXIMUM EXTENT ALLOWABLE BY LAW, THE PARTIES DISCLAIM THE APPLICABILITY OF THE UNIFORM COMMERCIAL CODE OR OTHER UNIFORM LAWS. 0000108859 00000 n 0000021024 00000 n 0000029168 00000 n 0000032558 00000 n digital device in . i09}}y P 5 A dated graphic sheet . 0000011027 00000 n 0000000016 00000 n If a required measure has only Medicaid specifications, commercial organizations HEDIS is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the health care quality. endstream endobj 2212 0 obj <>/Filter/FlateDecode/Index[119 2008]/Length 63/Size 2127/Type/XRef/W[1 1 1]>>stream 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. A Licensed User may not be an agent or consultant of a Licensee. 0000040496 00000 n A Licensed User must be using HEDIS Volume 2 under the License and solely on behalf of the Licensee. 0000006654 00000 n 0000040859 00000 n The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. HEDIS Volume 2 is licensed for the number of Licensed Users for which a Licensee has paid the applicable fee. 0000031213 00000 n 0000002081 00000 n 0000311155 00000 n 0000034564 00000 n THE LIMITATIONS OF DAMAGES AND LIABILITIES SET FORTH IN THIS AGREEMENT ARE FUNDAMENTAL ELEMENTS OF THE BASIS OF THE BARGAIN BETWEEN NCQA AND LICENSEE. 0000033025 00000 n 0000306585 00000 n 0000005408 00000 n trailer 0000311459 00000 n cytology performed between 2020-2022. 0000003478 00000 n 0000109048 00000 n HEDIS Volume 2 and the Licensed Measure Specifications expressly exclude all third-party code values contained in the HEDIS VSD which are owned, licensed or otherwise provided by third parties and protected under federal copyright laws (Third-Party Codes). H@z Pk4wXvTxv 0000093172 00000 n 0000312102 00000 n %%EOF NCQA and Licensee may be individually referred to as a Party, or collective, the Parties. 0000043770 00000 n 1407 121 Administrative Measure Quick Guide with Codes . endstream endobj 1350 0 obj <. 0000039802 00000 n 0000042977 00000 n stream <]/Prev 961931/XRefStm 4105>> 0000043858 00000 n 2127 0 obj <> endobj 0000310217 00000 n 2022. 0000108933 00000 n 0000042667 00000 n 0000312745 00000 n 0000024421 00000 n 0000009093 00000 n View our FAQs. Sign up for or check out past quality improvement webinars on topics ranging from diabetes care to data submission. The site may also contain non-Medicare related information. To view this file, you may need to install a PDF reader program. 2022. with: Progress note with latest blood pressure reading taken in . 0000106122 00000 n MEASUREDESCRIPTION OF MEASUREDOCUMENTATION TIPSCOMPLIANCE CODES & MEASURE TIPS Prevention and Screening Cervical Cancer Screening (CCS)* 2127 87 Unauthorized internal distribution of the publication and materials thereinbeyond the number of users licensed by your organizationis prohibited. 0000313076 00000 n 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. 0000011383 00000 n 2022. 0000011157 00000 n 0000036980 00000 n Telehealth encounters in . 58 0 obj <> endobj xref 0000042011 00000 n Licensee agrees to maintain HEDIS Volume 2 in strict confidence and abide by all terms and conditions of this Agreement. The License is not transferable from Licensee to any other person, entity, organization or association. It is not intended to influence clinical and coding judgment. 0000043946 00000 n 0000010923 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. 0000106048 00000 n 0000032166 00000 n 0000043902 00000 n 0000004679 00000 n No amendment, other modification or waiver of any term of this Agreement will be valid unless in writing signed by both parties. HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting 0000003513 00000 n HEDIS CHEAT SHEET 2022 - 2023 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Documented yearly for ages 3-17. What is HEDIS HEDIS rates are the most widely used set of health care performance measures on important preventive and clinical services. 0000010580 00000 n Licensee shall indemnify and hold harmless NCQA and its directors, officers and employees from and against any and all liability, loss, cost, expense (including reasonable attorney fees), damage, or claim (Losses), including any Losses asserted by third parties, in proportion to, and to the extent the Losses arise from / or relate to the Licensees breach of this Agreement. oaoNNg. 0000108677 00000 n 0000072352 00000 n 0000308347 00000 n 0000042661 00000 n 0000042055 00000 n Rate 2: Two additional well-child visits 15 to 30 months. 0000019655 00000 n 0000309339 00000 n The adjusted measure specification may be used only for internal quality improvement purposes. 0000042710 00000 n 0000012711 00000 n 0000001550 00000 n HL7 is the registered trademark of Health Level Seven International. 0000042933 00000 n 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. 0000307344 00000 n 0000013210 00000 n %PDF-1.7 % 0000033702 00000 n 0000306648 00000 n Sentara Health Plans, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. 0000092876 00000 n 0000005859 00000 n Optima Health Medicare, Medicaid, and FAMIS programs are administered under agreements with Optima Health and the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance Services (DMAS). 0000009453 00000 n :u_qnDRXlg3ULQMEK:`tYme%4ot FbzX/t1&?(S3E,kmdoi'f3`]:XFQM8.?OJH49n0!+oj8)3QX&(WAa8\ ew[-|sHI&-](H$X :q3sK.9!1TQnv?5 }jdD9% .@>vSBkL-:\8Cf5*26 k~hr^=Ll i_5Ch'oY4[ 5* 0000037577 00000 n PRV 02.02.2022 . THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EITHER EXPRESS OR IMPLIED, AS RELATED TO HEDIS VOLUME 2 OR INFORMATION THEREIN, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. hXkTG/@$crvna%Ds]Tl All Optima Health plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. 0000037764 00000 n 0000307059 00000 n 0000004537 00000 n 0000005715 00000 n 0000033339 00000 n 0000028129 00000 n 0000034181 00000 n What is HEDIS? 0000004603 00000 n 0000020999 00000 n WHEREAS, NCQA desires to provide Licensee with a license to use HEDIS Volume 2 in accordance with the terms of this Agreement. 1384 0 obj <>stream HEDIS is a set of standardized measures that specifies how organizations collect, audit and report performance information across the most pressing clinical areas, as well as important dimensions of customer satisfaction and patient experience. Licensee agrees that it will not seek to register any of NCQAs Marks or other indicia consisting of or incorporating any element of the Marks, or variations thereof, in any jurisdictions. 0000004632 00000 n 0000011225 00000 n Recognizing that HEDIS measures have traditionally been specified for health plan reporting, NCQA developed the Rules for Allowable Adjustment of HEDIS to accommodate the application of HEDIS measures to various levels of the health care system for quality improvement initiatives. 0000033357 00000 n or. trailer 0000308649 00000 n 0000041375 00000 n We created tip sheets to help you satisfy quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS) measures* from the National Committee for Quality Assurance (NCQA). 0000004280 00000 n 0000009862 00000 n 0000002209 00000 n trailer 0000011303 00000 n 0000043549 00000 n 0000308484 00000 n 0000040716 00000 n Disclaimer: The summary specifications for measures reported using electronic clinical data systems (ECDS) that are included in the Volume 2 publication are for reference purposes only and should not be used for programming or reporting of the measures. 0000043265 00000 n 1171 0 obj <>stream , II 4 0 obj 0000013780 00000 n 0000009121 00000 n More than 90 percent of America's health plans use HEDIS to evaluate performance. 0000008785 00000 n "R6!YV\#VAz\,E0Q{vrW7| Read this Agreement carefully before indicating acceptance by clicking the associated checkbox/button and moving forward. 0000012694 00000 n L$8d^HA2^h[,=%!kSyG)Je;'_ )*+n=8PR!0wSWk cE"Mos_|%,plTowGw6H`@)K'Ixxl/hLW}NGhu6)_TrOsX}X%%Vp(G(Z$sE4io\V_3|]raigYZ]Wy>j(Sg+25K4 n/AWa?5$3/) YDD;&4DP&qyL+#^49y)9Ram#XiX}! Give your county office your updated contact information so you can stay enrolled. 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) Order educational materials for your patients. NCQA MAKES NO WARRANTY, EXPRESS OR IMPLIED, WITH RESPECT TO THE LICENSED MEASURE SPECIFICATIONS OR ANY OTHER INFORMATION OR MATERIALS DELIVERED PURSUANT TO THIS AGREEMENT, INCLUDING WITHOUT LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE, AND NCQA DISCLAIMS AND MAKES NO WARRANTY OR REPRESENTATIONS AS TO THE ACCURACY, QUALITY, RELIABILITY, SUITABILITY, COMPLETENESS, TRUTHFULNESS, USEFULNESS, OR EFFECTIVENESS OF THE LICENSED MEASURE SPECIFICATIONS. 0000007623 00000 n Use of the Marks shall inure to the benefit of NCQA. 1. In addition, some sites may require you to agree to their terms of use and privacy policy. 0000002956 00000 n 0000040259 00000 n Rate 1: Six or more well-child visits* 0 to 15 months. B,2I#QayB\*@. 0000010465 00000 n 58 61 Submit this inquiry by logging intoMy NCQA, selecting theAsk a Questionbutton, then theOrdersbutton, then theCustom License Requestsoption. 0000033807 00000 n Women 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) testing performed between 2018-2022. . An organizations licensed users may use the materials solely for an internal non-commercial purpose without obtaining NCQA approval. 0000014698 00000 n 2021-2022 HEDIS and VBP TIP Sheet . The obligations of both Parties shall not terminate upon any assignment or delegation attempted without such prior written consent. 0000029379 00000 n 0000034483 00000 n 0000013099 00000 n Compliance with these measures may reduce the need for you to send medical records later for review. 0000041005 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. xn0#eR;TUj!@iFQ;6t$-h4Lblp|FC''p6@b^{|K@i&!MBot&ji`Wix P)V(K+Yn*g^\(5%ha 0000029485 00000 n %PDF-1.6 % 0000039848 00000 n The report cards use a standard set of measures called the Healthcare Effectiveness Data and Information Set (HEDIS ).*. CAHPSCAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). vital signs log in . % Have you tried MyHIM, our member wellness program? 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. 11. 0000022782 00000 n 0000307846 00000 n 0000313465 00000 n 0000001516 00000 n endobj 0000006919 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. 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 0000032123 00000 n 0000042542 00000 n 0000043353 00000 n NCQA updated telehealth guidance in 40 HEDIS measures for HEDIS MYs 2020 and 2021. 0000043182 00000 n 1111 61 0000041621 00000 n 0000012962 00000 n It also includes general guidelines for data collection and reporting, detailed instructions about how to perform the necessary calculations and guidelines for sampling. One option is Adobe Reader which has a built-in reader. Updates on HEDIS Measures MY2022 . 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. 0000016662 00000 n 0000029610 00000 n 0000027717 00000 n 0000040337 00000 n hb```b``e`c` @1v %M0-en{B)"p.1*'Y>Me}E;)2&u_hvO4Wu)4/Q%fV![\AE:-Trdc 0000000016 00000 n 0000309690 00000 n 0 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 %%EOF 0000000016 00000 n 0000034175 00000 n 0000310525 00000 n Licensee Representation and Warranty: Licensee represents and warrants to NCQA that this Agreement shall be binding on Licensee, and, unless Licensee is an individual, Licensee represents and warrants that this Agreement was executed by an authorized signatory of Licensee with the authority to enter into binding agreements on behalf of Licensee. 0000312555 00000 n HEDIS/CAHPS Measures Required for HP AccreditationCommercial *The weight column indicates the weight of the item (maximum value = 3) in the overall score calculation. 1.2 Marks means the NCQA trademarks and/or service marks related to the Licensed Measure Specifications described in Section 5. trailer <<544F2374A80A4621986B17D4733DBC3A>]/Prev 388715>> startxref 0 %%EOF 118 0 obj <>stream 0000033081 00000 n 0000032947 00000 n 0000006599 00000 n 0000311784 00000 n 0000036108 00000 n 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. Specifications for the Medicare Health Outcomes Survey, Case Management (CM) and Long-Term Services and Supports (LTSS), Managed Behavioral Healthcare Organizations (MBHO), Utilization Management/Credentialing/Provider Network (UM/CR/PN), Credentials Verification Organizations (CVO), Patient-Centered Specialty Practice (PCSP), Quality Compass 2023 (MY 2022) Commercial, Quality Compass 2023 (MY 2022) Exchange Data File, Quality Compass 2023 (MY 2022) Member Experience Data Set, California Align Measure Perform (AMP) & Value Based Pay for Performance (VBP4P), Skip to the beginning of the images gallery. 0000043593 00000 n 0000309871 00000 n 0000015577 00000 n These Third-Party Codes may be protected under federal copyright laws and are included in HEDIS Volume 2 with the permission of the copyright owners. 0000109341 00000 n 0000306723 00000 n NCQA has separated the Comprehensive Diabetes indicators into stand-alone measures: SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. NCQA is an independent, nonprofit organization. HEDIS is the gold standard in health care performance measurement, used by more than 90 percent of the nation's health plans and many leading employers and regulators.