0000038453 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. 0000037381 00000 n 0000011027 00000 n 0000026677 00000 n Submit this inquiry by logging intoMy NCQA, selecting theAsk a Questionbutton, then theOrdersbutton, then theCustom License Requestsoption. 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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. 0000011140 00000 n 0000307514 00000 n NCQAs name and logo, and all other names, logos, icons, trademarks, and/or service marks identifying NCQA and its programs, product(s) and services are proprietary trademarks of NCQA and any use not expressly provided for in this Agreement is strictly prohibited. Telehealth encounters in . h_HSQ]B,7=$,h5%A9(4zoIdXYT 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. 1.833.LAC.DSNP (1-833-522-3767)(TTY 711)24 hours a day. 0 1407 0 obj <> endobj A quick and easy reference containing the most current information, measure descriptions, and tips to help improve rates of compliance. 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. Health Net - Coverage for Every Stage of Life | Health Net 0000009093 00000 n 0000029485 00000 n 0000004718 00000 n 0000008420 00000 n 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. 0000007396 00000 n cytology performed between 2020-2022. 0000042889 00000 n Optima Preferred Provider Organization (PPO) products are issued and underwritten by Optima Health Insurance Company. 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. 8259 0 obj <> endobj 0000006919 00000 n 1111 0 obj <> endobj 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. 0000032166 00000 n It is not intended to influence clinical and coding judgment. h1 04,n\GMyC. 0000032765 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). 0000307059 00000 n 0000042661 00000 n NCQA has separated the Comprehensive Diabetes indicators into stand-alone measures: 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. 0000043265 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. The adjusted measure specification may be used only for internal quality improvement purposes. 0000312102 00000 n 0000039096 00000 n Noncompliance may also disqualify Licensee from receiving future goods and services from NCQA. It also includes general guidelines for data collection and reporting, detailed instructions about how to perform the necessary calculations and guidelines for sampling. 0000310823 00000 n 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. 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. 0000021318 00000 n Follow HEDIS 2022 instructions regarding commercial POS products. 0000043682 00000 n hbbd```b`x"/I0yDHw`-R H2b;HWYH|&" 4H F ,{L `s?mm&F "3  Have questions about renewing your Medi-Cal? 0000011157 00000 n 0000039848 00000 n 0000017054 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. 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. 0000010580 00000 n 0000036108 00000 n 0000043858 00000 n 0000309029 00000 n What is HEDIS HEDIS rates are the most widely used set of health care performance measures on important preventive and clinical services. Sentara Health Plans, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. NCQA is an independent, nonprofit organization. 0000021645 00000 n 0000012711 00000 n 0000041623 00000 n 0000033807 00000 n 0000005408 00000 n The clinical information provided is intended to aid in the understanding of HEDIS measures. rates. The License is not transferable from Licensee to any other person, entity, organization or association. 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. 0000012426 00000 n hb```B ce`aB-G_PG What is HEDIS? 0000043770 00000 n 0000039652 00000 n HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . 2021-2022 HEDIS and VBP TIP Sheet . External link You are leaving this website/app (site). View our frequently asked questions. 0000033334 00000 n 0000108743 00000 n 0000018194 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. 0000040140 00000 n 0000006599 00000 n More than 90 percent of America's health plans use HEDIS to evaluate performance. H\n0E 1407 121 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. 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) 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. , II 0000034483 00000 n 0000019655 00000 n 0000093172 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. 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. 0000064508 00000 n 11. 0000032947 00000 n xn0#eR;TUj!@iFQ;6t$-h4Lblp|FC''p6@b^{|K@i&!MBot&ji`Wix P)V(K+Yn*g^\(5%ha 0000034077 00000 n 0000311932 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. 0000039017 00000 n 1349 0 obj <> endobj 0000112852 00000 n MEASUREDESCRIPTION OF MEASUREDOCUMENTATION TIPSCOMPLIANCE CODES & MEASURE TIPS Prevention and Screening Cervical Cancer Screening (CCS)* 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 0000012545 00000 n 0000010020 00000 n endobj 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 In addition, some sites may require you to agree to their terms of use and privacy policy. 0000004778 00000 n 0000009879 00000 n 0000014908 00000 n L.A. Care Health Plan, A Public Entity 2000-2023Local Initiative Health Authority For Los Angeles County, Clinical Tools to Help You Improve Outcomes, everyone having fair and just opportunities, Elevating the Safety Net 2020 Scholarship Recipients, Additional Elevating the Safety Net Programs, Elevating the Safety Net - Frequently Asked Questions, Elevating the Safety Net - Guiding Principles, Elevating the Safety Net 2018 Scholarship Recipients, Elevating the Safety Net 2019 Scholarship Recipients, Elevating the Safety Net 2021 Scholarship Recipients, Elevating the Safety Net 2022 Scholarship Recipients. 0000038514 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. Copyright 2023 National Committee for Quality Assurance. 2022. Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used set of health . 0000032997 00000 n 0000022547 00000 n Anyone desiring broader internal distribution of HEDIS Volume 2 must purchase additional Licensed User permissions via the NCQA Store. 0000002775 00000 n Unauthorized internal distribution of the publication and materials thereinbeyond the number of users licensed by your organizationis prohibited. <> 0000043309 00000 n JavaScript seems to be disabled in your browser. 0000043130 00000 n 0000056729 00000 n startxref 0000005173 00000 n 0000029168 00000 n 0000135675 00000 n 0000005121 00000 n 0000043946 00000 n The site may also contain non-Medicare related information. 0000044201 00000 n 0000004603 00000 n Refer your patients for Health Education Services. Give your county office your updated contact information so you can stay enrolled. 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