hedis 2022 cheat sheet

<]/Prev 525985/XRefStm 2956>> endstream endobj startxref Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 0000013210 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$3/) YDD;&4DP&qyL+#^49y)9Ram#XiX}! <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 1384 0 obj <>stream HEDIS 2022: Summary of changes from NCQA - Anthem 0000043593 00000 n 0000021318 00000 n endstream endobj 2212 0 obj <>/Filter/FlateDecode/Index[119 2008]/Length 63/Size 2127/Type/XRef/W[1 1 1]>>stream 0000004603 00000 n Neither Party shall assign or otherwise delegate this Agreement or any rights, duties and/or obligations hereunder without the prior written consent of the other Party. *i_k/ULV?v']+:9[VmCs>T1eANwI8e8`Fc1OK^As1(z}4==OQf*T",V/qq}%I XwsNL"~-u{UIppi/$&zh} 0000009862 00000 n 0000312555 00000 n 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. 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. 0000309029 00000 n startxref 0000034483 00000 n 1111 61 trailer HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting 0000000016 00000 n 0000042667 00000 n 0000032947 00000 n 0000004580 00000 n HEDIS is the measurement tool used by the nation s health plans to evaluate their performance in terms of clinical quality and customer service. 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. 0000010761 00000 n View our frequently asked questions. <> x\B+C8 ssVj'. Read this Agreement carefully before indicating acceptance by clicking the associated checkbox/button and moving forward. i09}}y P 5 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. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment. PDF HEDIS Quick Reference Guide - Health Net Documentation of LMP, EDD or gestational age, or 0000016645 00000 n Most PDF readers are a free download. 0000032123 00000 n 0000043130 00000 n 8314 0 obj <>stream 0000041082 00000 n 0000106009 00000 n The obligations of both Parties shall not terminate upon any assignment or delegation attempted without such prior written consent. 0000012365 00000 n 0000092606 00000 n This new site may be offered by a vendor or an independent third party. A dated graphic sheet . 1171 0 obj <>stream LICENSEE IS RESPONSIBLE FOR PROCURING ALL EQUIPMENT AND SOFTWARE REQUIRED IN CONNECTION WITH THE USE OF HEDIS VOLUME 2. hUoKZ1Y8\..gM - Pu2&R;"pI3%8N`9ql(u[a3~pP. 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. Anyone desiring broader internal distribution of HEDIS Volume 2 must purchase additional licensed user permissions via the NCQA Store. To ACCEPT this Agreement, click the accompanying checkbox/button to accept the terms of this product, which will create a legal contract that will bind Licensee and NCQA. 0000311784 00000 n NCQA Proposed Measure Changes for HEDIS 2022 - Ciox 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. The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. What is HEDIS? 0000043858 00000 n 0000040601 00000 n HEDIS MY 2022 Volume 2incorporates the following additional content, providing added value to our customers: The HEDIS measures and specifications contained in HEDIS Volume 2 publication were developed by and are owned by NCQA. 0000040337 00000 n 0 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. 0000023321 00000 n JavaScript seems to be disabled in your browser. Any breach of this Agreement by Licensee may cause irreparable harm to NCQA for which no adequate remedy at law exists and may subject Licensee to injunctive relief and all legal and equitable remedies available to NCQA, including, but not limited to, recovery of all costs and expenses, including reasonable attorney's fees incurred because of any such legal action. See how we support the vision of everyone having fair and just opportunities to be as healthy as possible. PRV 02.02.2022 . THE LIMITATIONS OF DAMAGES AND LIABILITIES SET FORTH IN THIS AGREEMENT ARE FUNDAMENTAL ELEMENTS OF THE BASIS OF THE BARGAIN BETWEEN NCQA AND LICENSEE. 0000002081 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. 0000014908 00000 n %PDF-1.6 % L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. 0000306648 00000 n 0000001516 00000 n HEDIS is a nationally standardized set of measures related to important areas of care and service. HEDIS Measures and Technical Resources - NCQA 0000024026 00000 n 0000006410 00000 n 0000042169 00000 n 0000009093 00000 n 0000108677 00000 n Sole ownership rights to the Licensed Measure Specifications and any modifications, alterations or adjustments thereof reside with NCQA. 0000310375 00000 n any. 0000015921 00000 n 0000056729 00000 n PDF 2020 HEDIS Cheat Sheet - irp-cdn.multiscreensite.com For HEDIS related inquiries, please contact [email protected]. 0000072352 00000 n 0000004280 00000 n 2127 0 obj <> endobj 0000037381 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? 0000108859 00000 n 0000043549 00000 n 0000112852 00000 n PDF HEDIS MY 2022 - L.A. Care Health Plan 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. 0000033807 00000 n 0000039096 00000 n 0000029610 00000 n fz4cFb'98}1m'Gv{YMvEH_Wma}hn'a^`lwZwRis-^sQF6'[ZR)kH6fW=gpO'/ n &a)^y`_O~~$H67XIkxz}qk7^UXYlP!Fc#jxw!W(E_4CvF4DnL))Tz2R8./SiV5,hKkO(|Q_Y{IWYj&Yp\2/3%XhWtt0E{At5n6E'>loT%/$[s7 ]c9~G 0000039848 00000 n THE ENTIRE RISK AS TO THE QUALITY AND PERFORMANCE OF HEDIS VOLUME 2 IS WITH THE LICENSEE. 0000108743 00000 n BP taken and reported by member using . 0000010465 00000 n 0000027069 00000 n 4 0 obj Prohibited Use AcknowledgementAn organizations Licensed Users may use HEDIS Volume 2 solely for a personal non-commercial purpose without obtaining NCQA approval. 2022 MEDICAID HEDIS REFERENCE SHEET FOR PROVIDERS 3 PEDIATRIC HEDIS MEASURES HEDIS MEASURE AGE MEASURE DESCRIPTION BILLING CODES WELL-VISIT Well Child Visits 0-30 Months of Life (W30) 0-30 months Telehealth exclusion removed. Give your county office your updated contact information so you can stay enrolled. 0000012472 00000 n Administrative Measure Quick Guide with Codes . MEASUREDESCRIPTION OF MEASUREDOCUMENTATION TIPSCOMPLIANCE CODES & MEASURE TIPS Prevention and Screening Cervical Cancer Screening (CCS)* The following sections shall survive termination of this Agreement: Sections 2, 6, 7, 8, 9, 10, 11, 12 and 18. 0000042977 00000 n ' f it4A@! Optima Health 2023, 4417 Corporation Lane, Virginia Beach, VA 23462-3162. h1 04,n\GMyC. 0000093172 00000 n NCQA updated telehealth guidance in 40 HEDIS measures for HEDIS MYs 2020 and 2021. 0000012545 00000 n 0000034332 00000 n All Optima Health plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. 0000012711 00000 n 0000039652 00000 n To view this file, you may need to install a PDF reader program. 0000011140 00000 n <> hV PSW}I~B!i `!VDEeSpIQEF-@YBUDm_tw&s9 @@8 @L.i f,2e#/]DHVjI41;k!hM'% ALqnEyWyyrR}w05(Z2|D 0000040003 00000 n 0000312403 00000 n PDF Health Net - Coverage for Every Stage of Life | Health Net Optima Preferred Provider Organization (PPO) products are issued and underwritten by Optima Health Insurance Company. 0000024421 00000 n 0000013020 00000 n One option is Adobe Reader which has a built-in reader. 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. Women 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) testing performed between 2018-2022. . Note:NCQA has updated the naming convention of HEDIS publications to refer to the measurement year (MY) for HEDIS measures. 0000311932 00000 n 0000064508 00000 n If a required measure has only Medicaid specifications, commercial organizations HEDIS Tip Sheets | Blue Cross and Blue Shield of Illinois - BCBSIL MY 2022 Quality Rating System (QRS) HEDIS Value Set Directory 0000012573 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. In addition, some sites may require you to agree to their terms of use and privacy policy. 0000313326 00000 n , II 0000039802 00000 n 0000043397 00000 n 0000042055 00000 n Noncompliance may also disqualify Licensee from receiving future goods and services from NCQA. 0000034814 00000 n 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{ Have questions about renewing your Medi-Cal? 0000041066 00000 n % %PDF-1.7 0000003478 00000 n 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. The National Committee for Quality Assurance (NCQA) developed the HEDIS measures. 0000028427 00000 n 0000043902 00000 n 0000307683 00000 n 0000309871 00000 n View Table of Contents for this Publication. 0000037990 00000 n 0000037498 00000 n Any 0000036108 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. 0000032765 00000 n 2022. with: Progress note with latest blood pressure reading taken in . 0000011830 00000 n 2022. 0000312251 00000 n HEDIS Measurement Year (MY) 2023 Provider Tips for Optimizing HEDIS 0000040259 00000 n NCQA is an independent, nonprofit organization. 0000042710 00000 n 0000010020 00000 n 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. qJ{*ay|UgxEjM&aMzw- hR ZMr 5TW[Q2\Cbyh|#my\?Qj**}g}F 0000041005 00000 n %%EOF <>/Metadata 6463 0 R/ViewerPreferences 6464 0 R>> %PDF-1.6 % 0000041786 00000 n Sign up for or check out past quality improvement webinars on topics ranging from diabetes care to data submission. Updates on HEDIS Measures MY2022 . 0000013361 00000 n 0000032166 00000 n No individual or entity may use HEDIS Volume 2 to evaluate another organization against NCQA standards, except as part of Licensees internal preparation for an NCQA survey or review.2. 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. 0000041375 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. 0000034562 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). All other uses, including a commercial use (including but not limited to vendors using or embedding the measures and specifications and/or HEDIS VSD into any product or service to calculate measure results for customers for any purpose) and/or any 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. 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. 0000000016 00000 n 0000040496 00000 n 0000313465 00000 n 1 0 obj HEDIS Volume 2 is licensed for the number of Licensed Users for which a Licensee has paid the applicable fee. digital device in . More than 90 percent of America's health plans use HEDIS to evaluate performance. Controlling High Blood 18 - 85 yrs. 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). %PDF-1.7 % Apr 1, 2022 Administrative. ADULT CODING GUIDE 2022-2023 - caresource.com Refer your patients for Health Education Services. 1527 0 obj <>stream 2022-2023 This guide provides HEDIS coding information only, not necessarily payment guidance. The clinical information provided is intended to aid in the understanding of HEDIS measures. Order educational materials for your patients. 0000310669 00000 n 0000034689 00000 n 0000307344 00000 n 0000312102 00000 n 0000029168 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. Upon termination of this Agreement, all rights under this Agreement, including the License, will cease. 0000038514 00000 n NCQA > HEDIS MY 2022 Volume 2 (epub) 0000041623 00000 n NCQA warrants that the media on which HEDIS Volume 2 is furnished will be free of defects in materials and workmanship under normal use for a period of ninety (90) days from the date of purchase. The percentage of patients during the measurement year with schizophrenia or schizoaffective disorder who were dispensed and remained on an antipsychotic 0000106048 00000 n 0000017908 00000 n 0000033138 00000 n 0000013372 00000 n 0000007912 00000 n Submit this inquiry by logging intoMy NCQA, selecting theAsk a Questionbutton, then theOrdersbutton, then theCustom License Requestsoption. 0000011383 00000 n This License Agreement, along with all materials referenced herein (Agreement), is a legal agreement between the individual or entity purchasing the license to use HEDIS Volume 2 (defined below) (hereinafter the Licensee) and the National Committee for Quality Assurance (NCQA). 0000033025 00000 n 0000004778 00000 n 0000005121 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. 0000004991 00000 n 0000002775 00000 n 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. Compliance with these measures may reduce the need for you to send medical records later for review. 0000306886 00000 n 0000106153 00000 n 0000042845 00000 n 0000311633 00000 n In the event NCQA receives notification within the warranty period of any defects in the media, NCQA will, at its option, either replace such defective media or return to Licensee the price paid for HEDIS Volume 2. 0000021322 00000 n 0000003724 00000 n HL7 is the registered trademark of Health Level Seven International. 0000037577 00000 n 0000043353 00000 n 0000010580 00000 n xref Below is a summary of some of the key changes to be aware of: Diabetes measures. 0000312745 00000 n Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777. 0000044158 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. 0000007623 00000 n 0000011303 00000 n Documentation in a standardized prenatal flow sheet, or; b. For example, 2022 claims, encounters, and other HEDIS data are submitted throughout 2022. 0000009862 00000 n 0000135675 00000 n endobj 0000011027 00000 n PDF Guide to HEDIS Measures MY 2022 - L.A. Care Health Plan 0000000016 00000 n Sentara Health Plans, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. %PDF-1.5 % 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. 0000009121 00000 n 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. %%EOF and improve Quality Incentive Program earnings potential through the use of HEDIS reference sheets that include: Measure descriptions Age ranges Billing and diagnosis codes for each measure Tips and strategies for improving measure performance 0000022547 00000 n Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used set of health . 0000005715 00000 n o,;6iN?e/.y)>2-@%!H20C@eW D* G^ 0000033702 00000 n 0000042635 00000 n 0000013091 00000 n 0000004105 00000 n stream rates. 0000034077 00000 n 0000019994 00000 n Blue Cross and Blue Shield of Illinois (BCBSIL) reports audited Healthcare Effectiveness Data and Information Set (HEDIS) results. 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. 0000026677 00000 n 0000010787 00000 n 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. PDF 2021-2022 HEDIS and VBP TIP Sheet - Maryland Physicians Care NCQA has recommended 5 HEDIS measures be included beginning MY2022 with expectations to expand across a minimum of 15 measures by MY2024. 0000033081 00000 n %%EOF 0000012285 00000 n Copyright 2023 National Committee for Quality Assurance. 0000039591 00000 n Anyone contemplating a use beyond a personal, non-commercial use, including but not limited to a commercial use, internal or external reproduction, distribution or publication of any part of a product or use of a product to identify records or calculate HEDIS measure results, must contact the NCQA licensing team by submitting a request through https://my.ncqa.org to discuss the need for a license.Licensee agrees and understands that any score or numeric result calculated from access and use of HEDIS Volume 2 does not constitute a preliminary or final score and does not predict achievement of accreditation, certification or recognition, as applicable. 0000041742 00000 n 0000014954 00000 n HEDIS Measure Guidelines for Behavioral Health Providers Adults' Access to Preventive/Ambulatory Health Services (AAP) Advanced Care Planning (ACP) Breast Cancer Screening (BCS-E) Depression Remission or Response for Adolescents and Adults (DRR-E) Follow-Up After Emergency Department Visit for People With Multiple High-Risk Chronic Conditions (FMC) bfLZiPnBFAJ@9KN2kl>xnxX:+spU||)p?@enq-}\pyPRaex6W~)(Ix/]fFxP0 0000039017 00000 n 0000016662 00000 n Billing Reference Sheets and Claims Submission and Guidelines, Pediatric Obesity Prevention and Treatment Toolkit. Anyone contemplating a commercial use, or external reproduction, distribution or publication of any part of Volume 2, should not purchase HEDIS Volume 2 via the NCQA Store, and must contact the NCQA licensing teamto discuss the need for a license. PDF HEDIS MY 2022 - Home | L.A. Care Health Plan The following activities are expressly prohibited in connection with the use of HEDIS Volume 2 under this Agreement: 1. 0000010194 00000 n 0 0000039666 00000 n SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . Use of the Marks shall inure to the benefit of NCQA. Adults' Access to Preventive/Ambulatory Health Services (AAP) Description; Assesses the percentage of members 20 years and older who had an ambulatory or preventive care visit during the measurement year . The License is not transferable from Licensee to any other person, entity, organization or association. HEDISThe Healthcare Effectiveness Data and Information Set (HEDIS) is a registered trademark of NCQA. trailer PDF HEDIS MY2022 Hybrid Measure Quick Guide - L.A. Care Health Plan 0000043814 00000 n In effectuating its obligations hereunder, the 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.

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