. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). hb```f``2g`a`ad@ Arl`h\=g}8,{GzGKEGCE\ p10:ki> la m="=jVvyNc{ Rhode Island Medicaid Managed Care Page 48 of 69 2021 External Quality Review Technical Report . or This process ensures that HEDIS measures remain relevant and feasible for implementation. 0000017889 00000 n %PDF-1.4 % Thismeasurewillallowplanstounderstandifadvancecareplanningisprovidedtobeneficiarieswhoaremostlikelytobenefitfromit. HEDIS includes measures for physicians, PPOs and other organizations. This manual describes in detail only the NYS-specific measures. NCQA Communications Every year, NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS). 0000008644 00000 n hbbd```b``"gIw ""7|-``qT3l0; fH0DHI@H_mj> _ trailer 8 0 obj 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. 0000035489 00000 n lock !nGK3(@kt !1}wJ5|?7lm^[/ e|_ zLIUQKO5E*;'rc2@wN2| 2e^ w7] x-7q^5(Ms-NYkelK*:gY\5V[l.Anr|XeNBe,KxGnrtmL{_-ApmCw2+E2TA@GhQWyteWLLvpaPeH5XR NCQAexpandedtheupperagelimitfrom50to75;addedreportingfortheMedicareproductline;addedfourclinicalexclusionsforosteoporosis. 0000047520 00000 n Initiation and Engagement of Substance Use Disorder Treatment; changed the measurefrommember-basedtoepisode-based; changed thedenominatortolengthenthenegativeSUDhistoryperiodfrom60daysto194daysandremoveEDvisitsandmedicallymanagedwithdrawalfromthenegativeSUDhistoryperiod;removed the numerator requirementthatpsychosocialtreatmentaccompanypharmacotherapy; and revisedtheagestratificationstoreflectages1864yearsand65+years. endobj 0000007996 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. 0000011969 00000 n For example, 2022 claims, encounters, and other HEDIS data are submitted throughout 2022. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 2021 Cigna INT_21_96354_C 919034 c Members can access the latest news about measuring performance and gain insight into how HEDIS evolves. 0000015786 00000 n Data from the 2020 measurement period (2022 Star Ratings) help us understand how the PHE impacted the care delivery system. 0000010320 00000 n 0000001946 00000 n Ylyr2fi4vVDlhV]Zk:6d,,y+kQ. HEDIS quality measures for Accountable Care Organizations. Plans must purchase the HEDIS 2022 Technical Specifications for Health Plans for specifications of the required HEDIS measures. NCQA revised this risk-adjusted outcome measure to exclude planned hospitalizations and updated it to remove separate Medical and Surgical reporting categories, retaining the Total rate (which includes medical and surgical admissions). Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. 0000012538 00000 n (7/1/prior yr. - 6/30/measurement year). HTn0*hk!4J[&5i7Y%I yf 9 0 obj 0000002663 00000 n %PDF-1.6 % For full specifications, visit the NCQA store. Follow-UpAfterEDVisitforSubstanceUse. More than 200 million people are enrolled in plans that report HEDIS results. NCQA also revisedthedenominatortoreflectthenumberofmembers,ratherthanmemberyears, andtoincludementalhealthdisordercodesinanypositionratherthanbyprincipaldiagnosis.Recognizingthatmentalhealthdisordersmaybetreatedbyprimarycareandotherpractitioners,NCQAremovedthementalhealthpractitionerrequirementfromthenumerator. The HEDIS measurement set is sponsored, supported and maintained by NCQA. MHS leadership and healthcare providers continually assess clinical performance data to ensure beneficiaries receive safe, high quality care in military treatment facilities (MTFs) and TRICARE network hospitals. 0000022424 00000 n 5kET"gDka6FT@-hU \N!VGk}J.V29< hb```b``{ B@16=(?6vl& $. 0000008673 00000 n 65 years of age and older who were dispensed benzodiazepines and achieved a 20% decrease or greater in benzodiazepine dose during the measurement year. Save your favorite pages and receive notifications whenever theyre updated. endobj %%EOF click here for a discussion of this new measure. NCQAwillconcentrateeffortsontheoutcome-basedHbA1cControlforPatientsWithDiabetesmeasure. vzp`}jArJ;,-r1cb?>~XVU(pAi-Im kC#)}i^_ eMRNxz;e~FOL:epYMit *9(66a?`4 /[2u0@G5Q^+NDV&h$!~_sO {9oHp3N)I4BP5N1K0Up ]%x2P1xvk?7?]k'a \\R4G_$g$T!7(9 HUG members are health care professionals who produce, report and interpret HEDIS data. This process ensures that HEDIS measures remain relevant and feasible for implementation. Official websites use .govA JFIF ` ` C Healthcare Efectiveness Data and Information Set (HEDIS ) rates can be calculated in two ways: administrative data or hybrid data. 0000010811 00000 n Rate 2: Two additional well-child visits 15 to 30 months. hWO`06~@)N@&d.6l5@[)"$$dm29R1$2.K3LH(y ]3SISTM}~/'Ys9Z @ R M+[|Qs0@!| T8E#F>x=-g? rFZ /CvN`(,b$CoyeL`Y6P-@ hbbd``b`$ $$zAm b1["A)@"|)k$@@Bv5#JQ' [@ Optum Managed Transplant Program. Save your favorite pages and receive notifications whenever theyre updated. Share this page with a friend or colleague by Email. 0000006694 00000 n 0 Anticipated Release Date: September 2023. %%EOF SNPs can use HEDIS performance data to identify opportunities for improvement, monitor the success of quality improvement initiatives, track improvement and provide a set of measurement standards that allow comparison with other plans. Pn MS% 9W4=9Hu-]Sy+G'5} I!Orx*YtK5"Y"}w l_Zqypx -kind&gW%dj56u|x;cIInF7J^u$SqISS:th6 m%64SxllMjD(oh+z Copyright 2023 National Committee for Quality Assurance. 1358 0 obj <>stream 0 0000021981 00000 n 0000024625 00000 n HEDIS measures performance in health care where improvements can make a meaningful difference in peoples lives. ?^>&d;ijSl+EPe7"z_?0Kx)uQ Terms of Use, Every year,NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS. All other uses of the UB Codes require a license from the AHA. 0000015971 00000 n HEDIS Measures. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz The Data Display (D2) tool provides a way for patients to compare the quality of care hospitals give. 0000017732 00000 n 4950 0 obj <>stream 0000010141 00000 n 0000044978 00000 n This table contains the measures and brief descriptions that are included in HEDIS MY 2022. For MY 2022, HEDIS added three new measures, retired three measures/indicators and changed seven existing measures and two cross-cutting topics that address enhancements across multiple measures. <> B. Quantifiable Measures. 2 0 obj 5 0 obj ;(Y}e"XmT8,/l EP5ePVm8,&T2X, +|oM}> O~rEUnM~#jOicJ@2Yus Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) As low as $5,220.25. x Updated Guideline 7: Measurement Period Adjustments. } !1AQa"q2#BR$3br performance. andaddedtwocross-cuttingexclusions:palliativecareandadvancedillness/frailty. Rate 1: Six or more well-child visits* 0 to 15 months. 0000050943 00000 n 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Healthcare Effectiveness Data and Information Set (HEDIS), CMS contracts with NCQA to collect Healthcare Effectiveness Data and Information Set (HEDIS, Use of Spirometry Testing in the Assessment and Diagnosis of COPD, Pharmacotherapy Management of COPD Exacerbation, Persistence of Beta-Blocker Treatment After a Heart Attack, Osteoporosis Management in Women Who Had a Fracture, Follow-Up After Hospitalization for Mental Illness, Potentially Harmful Drug-Disease Interactions in Older Adults, Use of High-Risk Medications in Older Adults, Transitions of Care (Reporting began in HEDIS MY 2020), Chronic Condition Special Needs Plans (C-SNPs), Dual Eligible Special Needs Plans (D-SNPs), Institutional Special Needs Plans (I-SNPs). NCQArevisedthemeasurestructurefromutilizationtodiagnosed-prevalenceofsubstanceuseandupdatedthenameto. Anticipated Release Date: July 2023. _hRos0Tx|1Ug% 0000012465 00000 n . 0000005676 00000 n endstream endobj 30 0 obj <>stream %%EOF Toorder,call888-275-7585orvisittheNCQAPublicationswebsite. 1 0 obj <> User may need additional software to use the Product, and NCQA is not responsible for such additional software. Antibiotics prescribed for acute respiratory conditions are a large driver of antibiotic overuse. Trackingantibioticprescribingforallacute respiratory conditionswillprovide context about a healthplansoverall antibiotic use when viewedwiththree HEDIS measures ofappropriate. Encounter data is crucial for demonstrating accurate quality performance to the Department of Health Care Services (DHCS). ). CJ)8kPqQy!h\ADICp%F$NhG-EL'nU%mQ*1HPl. 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 We do not share your information with third parties. }{7wi\vLU#)J1i#} ;?0L1$Zh\D#$M},[Na_MxQ~+EYs}VgeWPL;hhWs, k>^c-sNWAOHKd3:o The percentage of episodes for members 3 months of age and older with a diagnosis of a respiratory condition that resulted in an antibiotic dispensing event. means youve safely connected to the .gov website. ) 0000007450 00000 n NCQA also revised themeasuredenominatortoreflectthenumberofmembers,ratherthanmemberyears, andtoincludesubstanceusedisordercodes; andrevisedtheagegroupsforreportingto1317,1864and65+. Currently, HEDIS consists of 90 different measures across six 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 Utilization and Risk Adjusted Utilization. 0000045019 00000 n 0000018052 00000 n Advanced Care Planning. 0000036100 00000 n HEDIS SPECIFICATION OVERVIEW 2021 KEY: Indicates triple weight measure Revised January 2021 All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. Save your favorite pages and receive notifications whenever theyre updated. Part D measures are displayed in Tables 2 and 3 for MA-PD and PDP contracts, respectively. Ur"J,3Xhi"k;}06]rn(0i HEDIS includes more than 90 measures across 6 domains of care: Under contract to CMS, NCQA supports the implementation of the HEDIS Medicare Health Outcomes Survey and the Medicare Health Outcomes Survey Modified. stream A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Medicaid benchmarks displayed in these tables come from NCQA's 2022 Quality Compass for measurement year 2021. 0000000016 00000 n 0000001386 00000 n As low as $16,810.25. !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? https:// 0000009893 00000 n 0000133309 00000 n 4 0 obj HEDIS Technical Specifications include a complete list of new and updated HEDIS measures with instructions on data collection and guidelines for calculations and sampling. %%EOF 0000002938 00000 n 2 Technical Specifications Update, HEDIS 2020 (MY 2019) Risk Adjustment Tables, HEDIS 2020 Measure Trending Determinations, Quality Rating System 2020 Technical Specifications Update, Volume 3 2020 Technical Specifications Update, Volume 3 2020 Validated Member-Level File Layout, HEDIS MY 2023 Measure Trending Determinations, MY 2023 Validated Member-Level File Layout (, Order this publication (anticipated release date: May 2024). NYS will calculate the measure result for MY2021 2 - For measures that you may have reported using the hybrid sample in the PLD for QARR, Find Doctors, Drugs and Facilities. 6 0 obj NCQAseparatedtheindicatorsintothreestandalonemeasures:HemoglobinA1cControlforPatientsWithDiabeteswith indictors for HbA1c Control <8 and Poor Control HbA1c >9,EyeExamPerformedforPatientsWithDiabetes,BloodPressureControlforPatientsWithDiabetes. 1CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). .gov <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> VA has utilized data from NCQA's Quality Compass to establish regional averages for hospitals that fall within geographic boundaries that match areas covered by Veterans Integrated Service Networks (VISN). endstream endobj 4921 0 obj <. <> 0000086512 00000 n 0000004949 00000 n %PDF-1.7 % 0000016920 00000 n 0000107074 00000 n 74,457 : 61.4% : 61.1% : 61.7% : 55.9% + 60.5% + >= 90th percentile PA . We do not share your information with third parties. 0000004757 00000 n 0000011393 00000 n X `q@ A`J~m ]l b| 0jHX=x3||DqGTt|\V~Fu3c,$;$c9 -Kd"bv.CXb%*qS-J`}V1h(l1y|8Tr46hOJ Each managed care plan's calculated rates for the NCQA HEDIS Measurement Year 2021 measure set were validated as part of the NCQA HEDIS Compliance Audit and assigned one of NCQA's outcome designations. Specifications outline measure definition and details, which outline the specifications required to evaluate the recommended standards of quality for the element(s) in the measure. That makes HEDIS one of health cares most widely used performance improvement tools. The Healthcare Effectiveness Data and Information Set (HEDIS) is one of health cares most widely used performance improvement tools. website belongs to an official government organization in the United States. 2527 53 An official website of the United States government HEDIS digital future has begun. CPT: 87070, 87071, 87081, 87430, 87650-87652, 87880 HEDIS Tip Sheet - Pediatric Measures Key HEDIS Factors to Consider Technical specifications for the Health Outcomes Survey (HOS). Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. Copyright 2023 National Committee for Quality Assurance. endstream endobj 31 0 obj <>stream HEDISpublicationsareavailableas electronic publications. xPX]NG&)R.ng} (1$JMYpwV:] Share this page with a friend or colleague by Email. Table 7a: CHIP-MCO Results for 2022 (MY 2021) HEDIS Measures CHIP-MCO 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: endobj HEDIS 2022 Percentile : HEDIS : Annual Dental Visit (Ages 2-20 years) 121,271 . <> hb``` rB cc`ahpb`QN`|A(WY2c0Oeox%{$M94 NSqo Care for Children Prescribed ADHD Medication Initiation and Continuation measures. Overview of the HEDIS measurement set and how the data are used. HEDIS Tip Sheet - Pediatric Measures -Look back period: July 1 of the year prior to June 30 of the measurement year. 0000051029 00000 n 0000002321 00000 n !3$Y:wn=3. The information provided in this HEDIS QRG is to help you improve your practice's HEDIS rates. hbbd``b@Bf` $30`l/@ 0000001035 00000 n Tobacco Cessation Program. Quality Compass 2023 Commercial Premier Edition-Trended Data (MY 2022, MY 2021, MY 2020) with Data Exporter. 0000014293 00000 n 0000019234 00000 n Women 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) %PDF-1.7 % P}^bGx{Q1F b~/>@ e# In these cases, age stratifications will differ from HEDIS MY 2021 technical specifications. That is why we publish what we learn from HEDIS in many forums and formats. InitiationandEngagementofAlcoholandOtherDrugAbuseorDependence. HEDIS/CAHPS Measures Required for HP AccreditationCommercial *The weight column indicates the weight of the item (maximum value = 3) in the overall score calculation. 0000007305 00000 n g'jQL[@tsho-0;F3a!~;F^MHFG"Y#HX@=<71AcL\oxdkw2& +i Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . ,wBInd!d98{9|/.Y1&7wULt~s`GgvXT\/T}[_}bVT=TXk;e*ZkQXH#7hUxQ"zZdP> NCQA defines how data can be collected for a measure: Terms of Use, Patient-Centered Specialty Practice (PCSP), Credentials Verification Organization (CVO), Managed Behavioral Healthcare Organization (MBHO), Health Information Technology Prevalidation Programs, Virtual Seminars, Webinars and On-demand Training, Advertising and Marketing Your NCQA Status, HEDIS Electronic Clinical Data Systems (ECDS) Reporting, Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC), Appropriate Testing for Pharyngitis (CWP), Use of Spirometry Testing in the Assessment and Diagnosis of COPD (SPR), Pharmacotherapy Management of COPD Exacerbation (PCE), Persistence of Beta-Blocker Treatment After a Heart Attack (PBH), Statin Therapy for Patients With Cardiovascular Disease and Diabetes (SPC, SPD), Kidney Health Evaluation for Patients With Diabetes (KED), Osteoporosis Testing and Management in Older Women (OMW), Antidepressant Medication Management (AMM), Follow-Up Care for Children Prescribed ADHD Medication (ADD), Follow-Up After Hospitalization for Mental Illness (FUH), Follow-Up After Emergency Department Visit for Mental Illness (FUM), Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA), Diabetes and Cardiovascular Disease Screening and Monitoring for People With Schizophrenia or Bipolar Disorder (SSD, SMD, SMC), Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA), Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM), Pharmacotherapy for Opioid Use Disorder (POD), Follow-Up After High-Intensity Care for Substance Use Disorder (FUI), Follow-Up After Emergency Department Visit for People With Multiple High-Risk Chronic Conditions (FMC), Non-Recommended Cervical Cancer Screening in Adolescent Females (NCS), Non-Recommended PSA-Based Screening in Older Men (PSA), Appropriate Treatment for Upper Respiratory Infection (URI), Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB), Use of Imaging Studies for Low Back Pain (LBP), Medication Management in Older Adults (DDE, DAE), Use of Opioids from Multiple Providers (UOP), Management of Urinary Incontinence in Older Adults (MUI), Medical Assistance with Smoking and Tobacco Use Cessation (MSC), Pneumococcal Vaccination Status for Older Adults (PNU), Adults Access to Preventive/Ambulatory Health Services (AAP), Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET), Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP), Child and Adolescent Well-Care Visits (W30, WCV), Identification of Alcohol and Other Drug Services (IAD), Hospitalization Following Discharge From a Skilled Nursing Facility (HFS), Hospitalization for Potentially Preventable Complications (HPC), Follow-Up Care for Children Prescribed ADHD Medication (ADD-E), Depression Screening and Follow-Up for Adolescents and Adults (DSF-E), Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (EMS-E), Depression Remission or Response for Adolescents and Adults (DRR-E), Unhealthy Alcohol Use Screening and Follow-Up (ASF-E), Prenatal Depression Screening and Follow-up (PND-E), Postpartum Depression Screening and Follow-up (PDS-E), Order the HEDIS MY 2023 Digital Measures Bundle, HEDIS MY 2023 Medication List Directory (NDC codes), HEDIS Electronic Clinical Data System (ECDS), HEDIS for the Quality Rating System Value Set Directory, HEDIS for the Quality Rating System Technical Specifications, Technical Specifications Update for the Quality Rating System, Order the HEDS MY 2022 Digital Measures Bundle (includes HEDIS Volume 2), HEDIS MY 2022 Medication List Directory (NDC codes), HEDIS MY 2022 Measure Trending Determinations, MY 2022 Validated Member-Level File Layout, HEDIS MY 2021 Measure Trending Determinations, MY 2021 Validated Member-Level File Layout, HEDIS MY 2020 Volume 2 Technical Specifications Update, NCQA HEDIS Measurement Year (MY) 2020 Requirements and COVID-19, HEDIS MY 2020 Medication List Directory (NDC codes), HEDIS MY 2020 Measure Trending Determinations, MY 2020 Quality Rating System Value Set Directory, MY 2020 Quality Rating System: Technical Update, MY 2020 Volume 3 Technical Specifications Update, Volume 3 MY 2020 Validated Member-Level File Layout, HEDIS Volume 2 & Digital Measures Bundles Comparison, HEDIS 2020 (MY 2019) Vol. 2527 0 obj <> endobj NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelpreducedisparitiesincareamongpatientpopulations. ("$e 0)*[sNwL(((((()#(1/I\HlQ3F7n6 e#+}:~9'M]Fn*m(jfe Z)TRPQZWV+9F x_O. m){w&;9l F*\JR4d87=dkh xref Heres how you know. . gbv[Dp[,tkg`h`PR``46R @0ft@ ublH$`@K WH@uX^$28C23n`Rbts&H-dpo]n0ch K$l7@ LD%@H00r'UvU h# HEDIS Measures HEDIS includes more than 90 measures across 6 domains of care: Effectiveness of Care. 0000010840 00000 n Anticipated Release Date: September 2023. endstream endobj startxref G-3245 Beecher Road Flint, Michigan 48532 Other changes assure that HEDIS will be useful, valid and reliable for a new era of medicine. For the numerator, NCQA allowed follow-up visits with SUD indicated in any diagnosis position; and added pharmacotherapy for alcohol or opioid use disorder; and incorporated outpatient or telehealth visits, for a diagnosis of drug use or overdose; services defined as addressing substance use (per CPT code description), without a diagnosis requirement; visits where a behavioral health assessment or screening is performed; outpatient or telehealth visits with a mental health provider; and substance use services provided by a peer recovery support specialis. hbbd```b``akA$%Xd6dbe`X,,r, f_k0yDV[I vS _"A8^FO 0 E 0000000016 00000 n HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). <> HEDIS Measurement Year 2022 Measures Measure Description: The percentage of children newly prescribed attention-deficit/ hyperactivity disorder ADHD medication who had at least three follow-up care visits within a 10-month period, one of which was within 30 days of when the first ADHD medication was dispensed. SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . HEDIS CHEAT SHEET 2022 - 2023 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Documented yearly for ages 3-17. 7 0 obj 0000009572 00000 n 0000068137 00000 n The Rules for Allowable Adjustments are included in the HEDIS Volume 2 publication after the applicable HEDIS measure specifications. List and define all quantifiable measures used in this activity. @_B^GR Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) with Data Exporter. !9g=SW[h ,3%`~,Z-"3b~lv?.cKQZLHJ*??Y$t)mvdQZt6F^_"g&Oa}t%&QZ./w|PCZE9vG2{m!miVv| Q@?\ti+3#{lgi 4940 0 obj <>/Filter/FlateDecode/ID[]/Index[4920 31]/Info 4919 0 R/Length 102/Prev 502761/Root 4921 0 R/Size 4951/Type/XRef/W[1 3 1]>>stream 0000133484 00000 n endobj The Centers for Medicare & Medicaid Services (CMS) uses a five- Diabetes blood sugar control Diabetes kidney function Discharge medication reconciliation Osteoporosis management Cardiovascular disease statin management Breast cancer screening Medication review Pain screening Colorectal cancer screening Controlling high blood pressure HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting endobj HSn0+THK[iF(P=2@oA.kY"cL@YG6u}(K]*-50 j"1J0B(E$akG) By accessing the Product, the User is deemed to have accepted the terms and conditions of this Usage Agreement. 0000047019 00000 n 2023 HEDIS Measures HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ T " Social Determinants: Our Statement with TJC, NQF Was Just the Start. endstream endobj 27 0 obj <> endobj 28 0 obj <> endobj 29 0 obj <>stream Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. TABLE 1: 2022 VBP LIST OF REQUIRED MEASURES - Required to Report NA - Not Applicable to the Arrangement Shading - Purple- Not required to be reported 1 - There are no reporting requirements for this measure. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? endobj Advancecareplanningisassociatedwithimprovedqualityoflife,increasedprovidertrustanddecreasedhospitalization. You can decide how often to receive updates. NCQA's Risk Adjustment Tables (the "Tables") and any related documentation (collectively, the "Product"). NCQA collects HEDIS data from health plans and other health care organizations. 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. endobj 0 ThiseffortbuildsonNCQAsexistingworkdedicatedtotheadvancinghealthequityindataandqualitymeasurement. Quality Compass 2023 Commercial-Trended Data (MY 2022, MY 2021, MY 2020) As low as $7,690.25. HEDIS Measure - Term for how each domain of care is further broken down. ElectronicClinicalDataSystem(ECDS)Reporting. For MY 2022, HEDIS added three new measures, retired three measures/indicators and changed seven existing measures and two cross-cutting topics that address enhancements across multiple measures.
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