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. hbbd```b`x"/I0yDHw`-R H2b;HWYH|&" 4H F ,{L `s?mm&F "3  0000010761 00000 n 0000033081 00000 n 0000004991 00000 n <]/Prev 961931/XRefStm 4105>> 0000004603 00000 n This new site may be offered by a vendor or an independent third party. cytology performed between 2020-2022. xref bfLZiPnBFAJ@9KN2kl>xnxX:+spU||)p?@enq-}\pyPRaex6W~)(Ix/]fFxP0 0000014908 00000 n 1111 61 Help your patients with redetermination. 0000307514 00000 n 0000044076 00000 n 0000013361 00000 n 0000041082 00000 n startxref 0000307212 00000 n , II THE USE OF THE LICENSED MEASURE SPECIFICATIONS IS ENTIRELY AT LICENSEES OWN RISK AND NCQA SHALL HAVE NO LIABILITY OR RESPONSIBILITY THEREFOR. T 1.833.LAC.DSNP (1-833-522-3767)(TTY 711)24 hours a day. 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. 0000037764 00000 n 0000041005 00000 n 0000307846 00000 n 0000308048 00000 n 0000310525 00000 n 0000032558 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. 0000037990 00000 n 0000038453 00000 n 0000039017 00000 n 0000017908 00000 n Documentation in a standardized prenatal flow sheet, or; b. oaoNNg. 0000038002 00000 n PDF 2021-2022 HEDIS and VBP TIP Sheet - Maryland Physicians Care %PDF-1.5 % <]/Prev 525985/XRefStm 2956>> 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 0000043593 00000 n One option is Adobe Reader which has a built-in reader. Prohibited Use AcknowledgementAn organizations Licensed Users may use HEDIS Volume 2 solely for a personal non-commercial purpose without obtaining NCQA approval. 0000042667 00000 n Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777. 0000312251 00000 n 0000003478 00000 n 0000106153 00000 n 0000312102 00000 n 0000311155 00000 n 0000034181 00000 n The report cards use a standard set of measures called the Healthcare Effectiveness Data and Information Set (HEDIS ).*. 0000043902 00000 n 0000306648 00000 n MY 2022 Quality Rating System (QRS) HEDIS Value Set Directory 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. SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . HEDIS MY2022. 0000031213 00000 n Helpful Hints 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. 1111 0 obj <> endobj The full HEDIS digital measure specifications are only available by purchasing a HEDIS digital measure product. Licensee may not allow a third party to view or use HEDIS Volume 2. A Licensed User may not be an agent or consultant of a Licensee. 2022-2023 This guide provides HEDIS coding information only, not necessarily payment guidance. :u_qnDRXlg3ULQMEK:`tYme%4ot FbzX/t1&?(S3E,kmdoi'f3`]:XFQM8.?OJH49n0!+oj8)3QX&(WAa8\ ew[-|sHI&-](H$X :q3sK.9!1TQnv?5 }jdD9% .@>vSBkL-:\8Cf5*26 k~hr^=Ll i_5Ch'oY4[ 5* 7 e># v3jDZE#VLFPq3O "{B hs` p$}$gi}3.a Q[TjX Hb)UF0 ]nX3"W`XLi"0Lkc@JeH,6dTj&RXeQP_R%M0z/lTY\>T`*-8Y{VH_1j-9l$U61u~ju\t'vQ4sZJ.QsKIhQv\!W0$lOGG%r2/8=q smB9cve5vsAnU36 E{(f4OL`NY65U%mfu x.fxEy:f,*&_%7cSaAzATC G'QNXpk:@8S. 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. 0000013780 00000 n For the best experience on our site, be sure to turn on Javascript in your browser. 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. 0000029485 00000 n 0000005173 00000 n 0000308215 00000 n 0000034814 00000 n 0000043858 00000 n IMPORTANT: Are you enrolled in Medi-Cal? 0000043726 00000 n 0000043946 00000 n trailer Sole ownership rights to the Licensed Measure Specifications and any modifications, alterations or adjustments thereof reside with NCQA. 0000310045 00000 n %%EOF Refer to your state's guidance for payment details and telehealth regulations. 0000043174 00000 n 0000029735 00000 n PDF HEDIS MY 2022 - Home | L.A. Care Health Plan 0000009453 00000 n 0000006599 00000 n %%EOF Individual HEDIS Measures Sheets | Providers | Optima Health 2022. 1 0 obj 0000029168 00000 n Women 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) testing performed between 2018-2022. . 0000040903 00000 n 0000014362 00000 n 0000309524 00000 n L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. 0000007912 00000 n 0000039652 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. 0000092606 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"). Note:NCQA has updated the naming convention of HEDIS publications to refer to the measurement year (MY) for HEDIS measures. 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. 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View our frequently asked questions. or. 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 0000033702 00000 n 0000014698 00000 n xn0#eR;TUj!@iFQ;6t$-h4Lblp|FC''p6@b^{|K@i&!MBot&ji`Wix P)V(K+Yn*g^\(5%ha 0000009834 00000 n 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. 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 HEDIS MY 2022 - L.A. Care Health Plan 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. / 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. B,2I#QayB\*@. Compliance with these measures may reduce the need for you to send medical records later for review. 0000010580 00000 n 0000034562 00000 n 0000004580 00000 n 0000041786 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. Have questions about renewing your Medi-Cal? An organizations licensed users may use the materials solely for an internal non-commercial purpose without obtaining NCQA approval. 0000002081 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. 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. Read more about the HEDIS schedule changehere. 0000039848 00000 n See how we support the vision of everyone having fair and just opportunities to be as healthy as possible. ' f it4A@! 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. NCQA is an independent, nonprofit organization. 8314 0 obj <>stream endstream endobj 1350 0 obj <. 0000041331 00000 n To view this file, you may need to install a PDF reader program. Licensee agrees to maintain HEDIS Volume 2 in strict confidence and abide by all terms and conditions of this Agreement. 0000032123 00000 n 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. 0000308812 00000 n 0000043052 00000 n 0000040716 00000 n Most PDF readers are a free download. startxref 0000033741 00000 n A dated graphic sheet . 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. HEDIS Volume 2 is licensed for the number of Licensed Users for which a Licensee has paid the applicable fee. 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. 2213 0 obj <>stream HEDIS MY 2022 . 0000112852 00000 n xref 0000012285 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. 0000009862 00000 n 0000037498 00000 n 0000032765 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. 0000004718 00000 n 0000306723 00000 n As a result, HEDIS is the ultimate measurable tool to evaluate provider's performance and quality of care. 0000042845 00000 n Copyright 2023 National Committee for Quality Assurance. stream 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. L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. 0000009093 00000 n ?t5o7~ 2l7~w3o0B3rq /3}1l?Fc % Npttr}>'1*ePXQl6?WDCBc68:_14%p{}8Tbj XkN,KrfNi+o Relevant records as used in this paragraph shall include all computer systems; software products; and print and electronic books and records. trailer 0000009376 00000 n HEDIS Measures and Technical Resources - NCQA Use of the Marks shall inure to the benefit of NCQA. Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used set of health . REQUIRED HEDIS1 AND CAHPS2 MEASURES FOR HEDIS REPORTING YEAR 2022 Summary of Changes to Measure List: Added the following measures. 0000034332 00000 n trailer 0000043682 00000 n BP taken and reported by member using . 1384 0 obj <>stream 0000010194 00000 n 58 61 0000042889 00000 n HEDIS | Blue Cross and Blue Shield of Illinois - BCBSIL 0000307683 00000 n 0000011830 00000 n 0000033334 00000 n 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) 0000040760 00000 n 0000006919 00000 n 0000052324 00000 n 0000311633 00000 n 0000041375 00000 n 0000108743 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). 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. 0000008420 00000 n hbbd```b`` @$SdId:lZ ] DHV~'l g" 1D]3@{@Wn``W ! Licensee may use NCQAs registered trademark HEDIS only when describing the Licensed Measure Specifications as permitted under this Agreement, and to refer to the HEDIS measure specifications for the relevant year. Administrative Measure Quick Guide with Codes . 0000109048 00000 n The adjusted measure specification may be used only for internal quality improvement purposes. HEDIS 2022: Summary of changes from NCQA - Anthem hUoKZ1Y8\..gM - Pu2&R;"pI3%8N`9ql(u[a3~pP. 0000019994 00000 n 58 0 obj <> endobj xref 0000310217 00000 n Commercial specifications should be followed for all required HEDIS 2022 and QARR 2022 NYS-specific measures. 0000016662 00000 n 2127 87 0000039591 00000 n The site may also contain non-Medicare related information. 0000038081 00000 n 0000004105 00000 n 0000016645 00000 n 0000135675 00000 n 0000011225 00000 n 0000024026 00000 n 0000009093 00000 n 1527 0 obj <>stream <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 2022. with: Progress note with latest blood pressure reading taken in . 0000042712 00000 n qJ{*ay|UgxEjM&aMzw- hR ZMr 5TW[Q2\Cbyh|#my\?Qj**}g}F PREVENTION AND SCREENING Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents Breast Cancer Screening Colorectal Cancer Screening Care for Older Adults RESPIRATORY 0000013091 00000 n 0000308484 00000 n 0 0000042169 00000 n Except for authorized Licensed Users, each person, entity, organization or association, including agents and consultants of the Licensee, is required to separately purchase a license to obtain and access HEDIS Volume 2. z$qP` .tu"#d4@IM`88dW]C'[Y_NH`x a 3NM2-o c;QAAQ[ fz:f d`} 9o0 mL endstream endobj 59 0 obj <>>> endobj 60 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page/PieceInfo>/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 278>>/PageWidthList<0 612.0>>>>>>>> endobj 61 0 obj <> endobj 62 0 obj <> endobj 63 0 obj <> endobj 64 0 obj <> endobj 65 0 obj <> endobj 66 0 obj <> endobj 67 0 obj <> endobj 68 0 obj [/ICCBased 91 0 R] endobj 69 0 obj <>stream 0 0000042933 00000 n Have you tried MyHIM, our member wellness program? PDF 2020 HEDIS Cheat Sheet - irp-cdn.multiscreensite.com 0000003174 00000 n 0000042661 00000 n Except where noted, the tip sheets include measure requirementsfor all our members including,all fully-insured PPO, Blue Choice PPOSMand HMO, Blue Cross Community Health PlansSM(BCCHPSM), Blue Cross Community MMAI (Medicare-Medicaid Plan)SMand Medicare Advantage members(unless otherwise specified). 0000029610 00000 n H\n0E 0000106227 00000 n Optima Health 2023, 4417 Corporation Lane, Virginia Beach, VA 23462-3162. 0000033025 00000 n PDF Guide to HEDIS Measures MY 2022 - L.A. Care Health Plan 0000010426 00000 n Anyone desiring broader internal distribution of HEDIS Volume 2 must purchase additional licensed user permissions via the NCQA Store. 0000033807 00000 n Molina Healthcare of California participates in HEDISas part of our State quality reporting 2022. "R6!YV\#VAz\,E0Q{vrW7| 0000312555 00000 n 0000039096 00000 n PDF HEDIS Measures Provider Information Document 2023 0000010501 00000 n Our staff of Certified Health Coaches and Registered Dietitians can help you reach your health goals. 0000004508 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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