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The percentage of patients during the measurement year with schizophrenia or schizoaffective disorder who were dispensed and remained on an antipsychotic 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. 0000016662 00000 n startxref 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. 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. 0000004778 00000 n Order educational materials for your patients. 0000038002 00000 n 0000042635 00000 n 0000043593 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. Helpful Hints 0000005859 00000 n HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting 1407 121 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). endstream endobj startxref 0000044158 00000 n 0000000016 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. 0000309524 00000 n 0000039591 00000 n ?t5o7~ 2l7~w3o0B3rq /3}1l?Fc % Npttr}>'1*ePXQl6?WDCBc68:_14%p{}8Tbj XkN,KrfNi+o 0000006919 00000 n trailer <<544F2374A80A4621986B17D4733DBC3A>]/Prev 388715>> startxref 0 %%EOF 118 0 obj <>stream 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). 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. 0000043682 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. oaoNNg. Our staff of Certified Health Coaches and Registered Dietitians can help you reach your health goals. 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. / 0000005408 00000 n For example, 2022 claims, encounters, and other HEDIS data are submitted throughout 2022. hb```b``e`c` @1v %M0-en{B)"p.1*'Y>Me}E;)2&u_hvO4Wu)4/Q%fV![\AE:-Trdc xn0#eR;TUj!@iFQ;6t$-h4Lblp|FC''p6@b^{|K@i&!MBot&ji`Wix P)V(K+Yn*g^\(5%ha 0000106227 00000 n 0000042845 00000 n The clinical information provided is intended to aid in the understanding of HEDIS measures. 0000042754 00000 n 0000041498 00000 n 0000005121 00000 n 3 0 obj For HEDIS related inquiries, please contact HEDIS_Ops@lacare.org. 8314 0 obj <>stream 0000015577 00000 n The following sections shall survive termination of this Agreement: Sections 2, 6, 7, 8, 9, 10, 11, 12 and 18. 0000309871 00000 n Commercial specifications should be followed for all required HEDIS 2022 and QARR 2022 NYS-specific measures. View our frequently asked questions. WHEREAS, NCQA desires to provide Licensee with a license to use HEDIS Volume 2 in accordance with the terms of this Agreement. View Table of Contents for this Publication. 0000014908 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. 2021-2022 HEDIS and VBP TIP Sheet . 0000031901 00000 n endstream endobj 1350 0 obj <. 0000093172 00000 n 0000106009 00000 n 0000041066 00000 n 0000021322 00000 n 0000307846 00000 n 0000008197 00000 n REQUIRED HEDIS1 AND CAHPS2 MEASURES FOR HEDIS REPORTING YEAR 2022 Summary of Changes to Measure List: Added the following measures. %PDF-1.5 % 0000033255 00000 n 0000312745 00000 n 0000039017 00000 n Failure to insist on strict performance of any term of this Agreement will not operate as a waiver of any subsequent default or failure of performance. 0000013099 00000 n NCQA and Licensee may be individually referred to as a Party, or collective, the Parties. 0000024026 00000 n 0000001550 00000 n Optima Preferred Provider Organization (PPO) products are issued and underwritten by Optima Health Insurance Company. 0000043858 00000 n Apr 1, 2022 Administrative. 0000041544 00000 n qJ{*ay|UgxEjM&aMzw- hR ZMr 5TW[Q2\Cbyh|#my\?Qj**}g}F %PDF-1.6 % 0000108357 00000 n 0000012368 00000 n 0000014954 00000 n B,2I#QayB\*@. 0000032558 00000 n 0000019655 00000 n We have a number of tools to help you boost HEDIS rates and increase your P4P award. 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 . %PDF-1.7 0000042977 00000 n 0000043265 00000 n BP taken and reported by member using . 0000012472 00000 n %%EOF trailer 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. %%EOF Documentation of LMP, EDD or gestational age, or SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . endobj <<3742E41188BCC64D926D69F1B7DDE543>]/Prev 282268/XRefStm 4469>> TO THE MAXIMUM EXTENT ALLOWABLE BY LAW, THE PARTIES DISCLAIM THE APPLICABILITY OF THE UNIFORM COMMERCIAL CODE OR OTHER UNIFORM LAWS. 0000042667 00000 n 0000032166 00000 n 0000029610 00000 n 0000031527 00000 n 0000309339 00000 n 0000042169 00000 n 2022. Women 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) testing performed between 2018-2022. . 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. 2127 87 Compliance with these measures may reduce the need for you to send medical records later for review. 0000310995 00000 n 0000010426 00000 n 0000009453 00000 n hbbd```b`x"/I0yDHw`-R H2b;HWYH|&" 4H F ,{L `s?mm&F "3  Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, Adult Access to Preventive/Ambulatory Health Services, Annual Dental Visit for Children and Adolescents, Appropriate Testing for Children with Pharyngitis, Appropriate Treatment for Upper Respiratory Infection, Kidney Health Evaluation for Patient with Diabetes, Use of Spirometry Testing in Assessing and Diagnosing COPD, Diabetes Screening forPeople with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications, Follow-Up After Emergency Department Visit for Substance Use, Follow-Up After Emergency Department Visit for Mental Illness, Follow Up After Hospitalization for Mental Illness, Follow-Up Care for Children Prescribed ADHD Medication, Initiation and Engagementof Substance Use DisorderTreatment, Metabolic Monitoring for Children and Adolescents on Antipsychotics, Social Need Screening and Intervention (SNS-E). 0000011830 00000 n Subject to the terms and conditions of this Agreement, NCQA grants Licensee a personal, limited, non-exclusive, non-transferable license in the United States to use HEDIS Volume 2 during the term of this Agreement solely for internal, non-commercial purposes in accordance with the terms of this Agreement (the License). 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. cytology performed between 2020-2022. 0000037381 00000 n To view this file, you may need to install a PDF reader program. 0000001516 00000 n Licensee means only the individual or legal entity whose authorized acceptance appears below as evidence of agreement to the Agreement terms below. 0000033334 00000 n 0000312403 00000 n 0000311155 00000 n 0000004308 00000 n xref <> 0000014698 00000 n Licensed Users mean Licensees employees who may access and use HEDIS Volume 2 on behalf of the Licensee. 0000308812 00000 n 0000009093 00000 n 0000038081 00000 n In addition, some sites may require you to agree to their terms of use and privacy policy. bfLZiPnBFAJ@9KN2kl>xnxX:+spU||)p?@enq-}\pyPRaex6W~)(Ix/]fFxP0 0000042933 00000 n hXkTG/@$crvna%Ds]Tl <]/Prev 525985/XRefStm 2956>> 0000034564 00000 n 0000000016 00000 n Documentation in a standardized prenatal flow sheet, or; b. 0000012545 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. 0000306648 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. 0000033926 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. 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 <>/Metadata 6463 0 R/ViewerPreferences 6464 0 R>> 0000038453 00000 n 0000013372 00000 n 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. 0 0000040337 00000 n 0000015921 00000 n 0000002209 00000 n %PDF-1.7 % endobj 2022. 0000006654 00000 n 0000041621 00000 n 0000018194 00000 n 0000039848 00000 n %PDF-1.6 % 0000092606 00000 n 1171 0 obj <>stream 0000041082 00000 n 0000040859 00000 n Read this Agreement carefully before indicating acceptance by clicking the associated checkbox/button and moving forward. 0000032765 00000 n For the best experience on our site, be sure to turn on Javascript in your browser. 0000064508 00000 n 0000043726 00000 n 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. Quality measures help ensure our members receive appropriate care. 7nuT.,qUN^UNws}a9z6^.WU'_, rQTULzX{3yq\9$`IKz128~LVPwZZ8/8}W6!e2=M!\K!;.^)`'>F=D;D5L>5PfOTx) HEDIS Volume 2 and the Licensed Measure Specifications expressly exclude all third-party code . 0000033702 00000 n 0000033339 00000 n 2 0 obj 0000307683 00000 n 0000023321 00000 n More than 90 percent of America's health plans use HEDIS to evaluate performance. This information sheet is accurate as of the date it is published but may change as HEDIS measures are updated or based on other factors. 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. 0000033138 00000 n 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. Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used set of health . 0000039575 00000 n 0000306723 00000 n 0000310045 00000 n 0000108859 00000 n JavaScript seems to be disabled in your browser. 0000038593 00000 n 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. 0000108677 00000 n 0000034689 00000 n 0000041005 00000 n Sign up for or check out past quality improvement webinars on topics ranging from diabetes care to data submission. 0000017945 00000 n Have you tried MyHIM, our member wellness program? Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Refer your patients for Health Education Services. 0000012711 00000 n Prohibited Use AcknowledgementAn organizations Licensed Users may use HEDIS Volume 2 solely for a personal non-commercial purpose without obtaining NCQA approval. Most PDF readers are a free download. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 0000012962 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. 0000042375 00000 n 0000014362 00000 n All questions, comments or notices concerning this Agreement shall be submitted to NCQA by Licensee via email at my.NCQA.org or via mail at NCQA, Attention: Information Products, 1100 13th Street NW, Third Floor, Washington, DC 20005. 0000021645 00000 n Optima Health Medicare, Medicaid, and FAMIS programs are administered under agreements with Optima Health and the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance Services (DMAS). 1349 0 obj <> endobj PRV 02.02.2022 . 0000029735 00000 n Rate 1: Six or more well-child visits* 0 to 15 months. 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. 0000037498 00000 n <> 0000043130 00000 n 0000034562 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. 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 What is HEDIS HEDIS rates are the most widely used set of health care performance measures on important preventive and clinical services. 0000039096 00000 n NCQA has recommended 5 HEDIS measures be included beginning MY2022 with expectations to expand across a minimum of 15 measures by MY2024. 0000012813 00000 n 0000028129 00000 n HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . 0000310669 00000 n L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. z$qP` .tu"#d4@IM`88dW]C'[Y_NH`x a 3NM2-o c;QAAQ[ fz:f d`} 9o0 mL endstream endobj 59 0 obj <>>> endobj 60 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page/PieceInfo>/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 278>>/PageWidthList<0 612.0>>>>>>>> endobj 61 0 obj <> endobj 62 0 obj <> endobj 63 0 obj <> endobj 64 0 obj <> endobj 65 0 obj <> endobj 66 0 obj <> endobj 67 0 obj <> endobj 68 0 obj [/ICCBased 91 0 R] endobj 69 0 obj <>stream 0000106048 00000 n 0000109736 00000 n 0000112852 00000 n 0000032123 00000 n 0000003513 00000 n vital signs log in . startxref 0000003432 00000 n 0000042092 00000 n 0000307059 00000 n 0000034483 00000 n MEASUREDESCRIPTION OF MEASUREDOCUMENTATION TIPSCOMPLIANCE CODES & MEASURE TIPS Prevention and Screening Cervical Cancer Screening (CCS)* The License is not transferable from Licensee to any other person, entity, organization or association. HEDIS Volume 2 and the Licensed Measure Specifications expressly exclude all third-party code values contained in the HEDIS VSD which are owned, licensed or otherwise provided by third parties and protected under federal copyright laws (Third-Party Codes). 0000011225 00000 n L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. 0000307514 00000 n 0000017054 00000 n The HEDIS VSD is made available for customers that purchase a license for HEDIS Volume 2 from NCQA. 0000040259 00000 n 0000019374 00000 n 0000031213 00000 n *i_k/ULV?v']+:9[VmCs>T1eANwI8e8`Fc1OK^As1(z}4==OQf*T",V/qq}%I XwsNL"~-u{UIppi/$&zh} The License is not transferable from Licensee to any other person, entity, organization or association. 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) The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. 0000011383 00000 n 0000039528 00000 n 1 0 obj Copyright 2023 National Committee for Quality Assurance. Use of the Marks shall inure to the benefit of NCQA. 0000034332 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). 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. THE USE OF THE LICENSED MEASURE SPECIFICATIONS IS ENTIRELY AT LICENSEES OWN RISK AND NCQA SHALL HAVE NO LIABILITY OR RESPONSIBILITY THEREFOR. 0000306585 00000 n 0000036645 00000 n 0000009862 00000 n Have questions about renewing your Medi-Cal? 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. 0000308484 00000 n 0000032997 00000 n 0000041171 00000 n 0000037764 00000 n 0000002775 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. <]/Prev 961931/XRefStm 4105>> 0 0000307344 00000 n IN NO EVENT WILL NCQA'S TOTAL LIABILITY FOR ANY DIRECT DAMAGES RESULTING FROM ANY CLAIMS, DEMANDS OR ACTIONS ARISING OUT OF OR RELATING TO HEDIS VOLUME 2 OR ANY PART THEREOF, OR THIS AGREEMENT, EXCEED THE PRICE PAID FOR HEDIS VOLUME 2, WHETHER SUCH LIABILITY ARISES FROM ANY CLAIM BASED ON CONTRACT, WARRANTY, TORT OR OTHERWISE. 0000307212 00000 n Telehealth encounters in . HEDIS Measures A quick and easy reference containing the most current information, measure descriptions, and tips to help improve rates of compliance. 0000135675 00000 n Billing Reference Sheets and Claims Submission and Guidelines, Pediatric Obesity Prevention and Treatment Toolkit. 0000042498 00000 n 0000010761 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). endstream endobj startxref Relevant records as used in this paragraph shall include all computer systems; software products; and print and electronic books and records. A Licensed User must be using HEDIS Volume 2 under the License and solely on behalf of the Licensee. 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. 0000037990 00000 n 2022-2023 This guide provides HEDIS coding information only, not necessarily payment guidance. 0000010020 00000 n 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. The site may also contain non-Medicare related information. 0000040903 00000 n What is HEDIS? 0000021318 00000 n H@z Pk4wXvTxv 0000039802 00000 n 0000009093 00000 n xref 0000019994 00000 n Has your contact information changed in the past two years? 0000015935 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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