% NCQA is an independent, nonprofit organization. 0000028427 00000 n 0000108743 00000 n Unauthorized internal distribution of the publication and materials thereinbeyond the number of users licensed by your organizationis prohibited. 0000021658 00000 n ADULT CODING GUIDE 2022-2023 - caresource.com 0000042977 00000 n 0000013210 00000 n 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 0000004308 00000 n 0000308048 00000 n PDF Guide to HEDIS Measures MY 2022 - L.A. Care Health Plan 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. 0000106227 00000 n 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 . 0000021645 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. 0000043174 00000 n 0000003513 00000 n CAHPSCAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). The adjusted measure specification may be used only for internal quality improvement purposes. 0000012285 00000 n A dated graphic sheet . 58 61 NCQA updated telehealth guidance in 40 HEDIS measures for HEDIS MYs 2020 and 2021. 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. No amendment, other modification or waiver of any term of this Agreement will be valid unless in writing signed by both parties. 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 0000010194 00000 n <>/Metadata 6463 0 R/ViewerPreferences 6464 0 R>> 0000019994 00000 n 0000004603 00000 n The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. 0000037913 00000 n 1. %PDF-1.6 % Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777. 0000012545 00000 n Relevant records as used in this paragraph shall include all computer systems; software products; and print and electronic books and records. 0000040716 00000 n startxref 0000041742 00000 n xref HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting 0000018305 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. 0000038002 00000 n H@z Pk4wXvTxv 0000021318 00000 n 0000009862 00000 n %%EOF 0000312102 00000 n rates. 0000011272 00000 n 0000041005 00000 n 0000003724 00000 n 0000004280 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. 0000042011 00000 n REQUIRED HEDIS1 AND CAHPS2 MEASURES FOR HEDIS REPORTING YEAR 2022 Summary of Changes to Measure List: Added the following measures. A quick and easy reference containing the most current information, measure descriptions, and tips to help improve rates of compliance. 0000041110 00000 n 0000026677 00000 n 0000043265 00000 n 0000036108 00000 n 0000001550 00000 n 11. 0000313191 00000 n 0000000016 00000 n 0000042889 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? L.A. Care rewards high performing physicians for providing quality care to our members. HEDIS | Blue Cross and Blue Shield of Illinois - BCBSIL HEDIS MY 2022 . L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. endobj 0000308649 00000 n 0000307344 00000 n 0000015577 00000 n 0000043182 00000 n 0000011303 00000 n MEASUREDESCRIPTION OF MEASUREDOCUMENTATION TIPSCOMPLIANCE CODES & MEASURE TIPS Prevention and Screening Cervical Cancer Screening (CCS)* 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. NCQA and Licensee may be individually referred to as a Party, or collective, the Parties. 0000022901 00000 n Licensee may not allow a third party to view or use HEDIS Volume 2. 0000029379 00000 n PDF 2022 Quality Assurance Reporting Requirements - New York State HEDIS Volume 2 and the Licensed Measure Specifications expressly exclude all third-party code . 0000307683 00000 n 0000002956 00000 n endobj 0000041786 00000 n 0000016662 00000 n 0000003174 00000 n Noncompliance may also disqualify Licensee from receiving future goods and services from NCQA. 0000039802 00000 n 0000308484 00000 n Use of the Marks shall inure to the benefit of NCQA. B,2I#QayB\*@. NCQA has recommended 5 HEDIS measures be included beginning MY2022 with expectations to expand across a minimum of 15 measures by MY2024. 0000013780 00000 n 0000036980 00000 n 0000033334 00000 n 0000033138 00000 n PDF HEDIS Provider Pocket Guide - Molina Healthcare xn0#eR;TUj!@iFQ;6t$-h4Lblp|FC''p6@b^{|K@i&!MBot&ji`Wix P)V(K+Yn*g^\(5%ha 0000040259 00000 n 0000307846 00000 n 0000041171 00000 n 0000038453 00000 n 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. Has your contact information changed in the past two years? 0000006884 00000 n Compliance with these measures may reduce the need for you to send medical records later for review. 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. 0000006654 00000 n 0000015921 00000 n 0000034483 00000 n 2022. 0000042933 00000 n 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. 0000032558 00000 n T 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). 0000072229 00000 n 0000041544 00000 n 0000004537 00000 n Compliance with these measures may reduce the need for you to send medical records later for review. 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) 0000000016 00000 n 0000108677 00000 n 0000004105 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). 1384 0 obj <>stream cytology performed between 2020-2022. Our staff of Certified Health Coaches and Registered Dietitians can help you reach your health goals. 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. 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). 0000012813 00000 n 0000013361 00000 n ?t5o7~ 2l7~w3o0B3rq /3}1l?Fc % Npttr}>'1*ePXQl6?WDCBc68:_14%p{}8Tbj XkN,KrfNi+o 0000308347 00000 n 0000306723 00000 n PDF HEDIS MY 2022 - L.A. Care Health Plan Upon termination, Licensee agrees to immediately return to NCQA or destroy, at NCQAs option, all copies of HEDIS Volume 2, together with any back-up copy, modifications and any merged portions, in any form, in Licensee's possession. any. 0000011027 00000 n 0000032765 00000 n 0000033357 00000 n 0000012368 00000 n Note:NCQA has updated the naming convention of HEDIS publications to refer to the measurement year (MY) for HEDIS measures. trailer 2127 87 BP taken and reported by member using . Unauthorized internal distribution of HEDIS Volume 2 and materials therein - beyond the number of Licensed Users by your organization - is prohibited. PDF 2021-2022 HEDIS and VBP TIP Sheet - Maryland Physicians Care 0000005173 00000 n 0000042375 00000 n 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. For HEDIS related inquiries, please contact HEDIS_Ops@lacare.org. 0000006919 00000 n PDF Quick Reference Guide HEDIS MY 2023 Below is a summary of some of the key changes to be aware of: Diabetes measures. 0000036645 00000 n 1.2 Marks means the NCQA trademarks and/or service marks related to the Licensed Measure Specifications described in Section 5. 0000009093 00000 n Help your patients with redetermination. 0000006599 00000 n 0000041621 00000 n 58 0 obj <> endobj xref 0000031527 00000 n 1111 61 0000012472 00000 n i09}}y P 5 0000312918 00000 n See how we support the vision of everyone having fair and just opportunities to be as healthy as possible. 1527 0 obj <>stream The License is not transferable from Licensee to any other person, entity, organization or association.