D('@E$xVK`"P6 ?L dvC) ? Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. Measurement Year 2020 UHCCP-RI 2022 CAHPS Measurement Year 2021 Quality Compass Measurement Year 2021 National Medicaid Benchmark (Met/Exceeded) Quality Compass Measurement Year 2021 National Medicaid Mean Rating of Health Plan1 86.6% 92.4% 86.8% 50th 86.48% Rating of All Health Care 95.0% 88.4% Small Sample Not Applicable 87.34% akJ9d&'(o,N|cV& }3~_UEiP hbbd``b`$ $$zAm b1["A)@"|)k$@@Bv5#JQ' [@ NCQA Communications Every year, NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS). 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 the HEDIS Measurement Year (MY) 2020 & 2021 Volume 2 Technical Speciications. 0000133309 00000 n 0000009251 00000 n QI 1 and QI 2 utilize the HEDIS methodology for this measure. hbbd```b``akA$%Xd6dbe`X,,r, f_k0yDV[I vS _"A8^FO 0 E hXmTW3`IBH5@) ZmmP)pZA;H)Tt=lM"VPH`[[Z?j]MTz 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. 0000018052 00000 n cytology performed between 2020-2022. Heres how you know. SNPs reported the following measures in HEDIS 2016: Colorectal Cancer Screening Care for Older Adults Use of Spirometry Testing in the Assessment and Diagnosis of COPD Pharmacotherapy Management of COPD Exacerbation Controlling High Blood Pressure Persistence of Beta-Blocker Treatment After a Heart Attack 0000008982 00000 n %%EOF h^3VN,vAO]{Q@v gK2CxD]*{Dv= Px k7j^AEE]iQcWA/]?N8MhIB HA]2kNHAE Vc"c)\v1s9]OA2mJ)$'8 0000007996 00000 n A,0QV New digital measures reduce the burden of reporting quality results. Anticipated Release Date: July 2023. 0000020276 00000 n xKK@ { a;;:/DCXlcf_YB^Q(przeq0)# 0y,-h6-2Y=Vf]+[eq[&ge1heucd;)CzGE"z&D%z`SS?I1ZOFb ?=xb =WV!Nfvb)e:R '$t^OWoM9o{$)GlCeSkftDJbR2$n{Y4O}0m$&pmT|yQ;x/8Z$[G@MY?mcwo;oN:p2 2022 HEDIS AND FIVE-STAR QUALITY MEASURES REFERENCE GUIDE HEDIS STAR MEASURE AND REQUIREMENTS DOCUMENTATION NEEDED CPT/CPTII CODES Annual Wellness Exam Measure ID: AHA, PPE, COA Description: Measurement Year Lines: Age: Medicare 18yrs & Older Blood Pressure Control Measure ID: CBP or CDC9 Description: EVERY VISIT Lines: Age: Medicare 18yrs - 75yrs 0000011969 00000 n Quality Compass 2023 Commercial-Trended Data (MY 2022, MY 2021, MY 2020) As low as $7,690.25. <> Quality Rating System Measure Technical Specifications are unique to the issuers offering plans on the Exchange and participating in the CMS Quality Rating System (QRS). CMS released the Plan Year 2023 Nationwide Quality Rating System Public Use File (PUF) (ZIP) to outline underlying measure data as well as star ratings for all eligible Qualified Health Plan (QHP) issuers, operating in all Exchange types, that received QRS star ratings for Plan Year 2023. t,f`$yF;zXytHo. Advanced Care Planning. This manual describes in detail only the NYS-specific measures. 0000008673 00000 n 4920 0 obj <> endobj 2527 0 obj <> endobj II . o GRs_$ [EN=_sRs 1F/T ? Rate 1: Six or more well-child visits* 0 to 15 months. To learn more. Access/Availability of Care. 0000008644 00000 n !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 $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? Share this page with a friend or colleague by Email. Copyright 2023 National Committee for Quality Assurance. MY 2002 was the yearfirst that follow-up rates were reported. hbbd``b@Bf` $30`l/@ ThisclinicaltopicisnowaddressedinthenewAdvanceCarePlanningmeasure. ND-)8^r|\q=.Kx.!J"G8IE HEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. 0000007331 00000 n 0000014293 00000 n 0000068208 00000 n 0000047520 00000 n HUG members are health care professionals who produce, report and interpret HEDIS data. Utilization and Risk Adjusted Utilization. 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 0000032016 00000 n [ HEDIS Tip Sheet - Pediatric Measures -Look back period: July 1 of the year prior to June 30 of the measurement year. Auditsprotect results validity and reliability. 0000007305 00000 n ElectronicClinicalDataSystem(ECDS)Reporting. You will be prompted to log in to your NCQA account. The complete MIPS Quality Measures List published after the PFS final rule does not include Qualified Clinical Data Registry (QCDR) measures as such measures are proposed and selected through a separate process. NCQAexpandedtheupperagelimitfrom50to75;addedreportingfortheMedicareproductline;addedfourclinicalexclusionsforosteoporosis. Measure Changes Care for Older Adults (COA) - -Removed Advanced Care Planning indicator from COA . ) B. Quantifiable Measures. 0000009785 00000 n Measures relate to many significant public health issues such as cancer, heart disease, behavioral health and diabetes. Ylyr2fi4vVDlhV]Zk:6d,,y+kQ. 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-prevalencementalhealthdisordersandupdatedthenameto. 0000009685 00000 n Individual HEDIS Measures Sheets. 0000014654 00000 n 0 51 0 obj <>stream 1CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). As low as $6,835.25. hbbd```b``"gIw ""7|-``qT3l0; fH0DHI@H_mj> _ * Measures from HEDIS and CAHPS used data from the 2020 Star Ratings (collected in 2019 and unaffected by the COVID-19 PHE). }{7wi\vLU#)J1i#} ;?0L1$Zh\D#$M},[Na_MxQ~+EYs}VgeWPL;hhWs, k>^c-sNWAOHKd3:o Sign up to get the latest information about your choice of CMS topics. m="=jVvyNc{ HEDIS is a source for data contained in the California Health Care Quality Report Cards obtained from Quality Compass2022 and is used with the permission of the National Committee for Quality Assurance (NCQA). HEDIS Measures for Diabetes are assessed to evaluate the effectiveness of the program. Other changes assure that HEDIS will be useful, valid and reliable for a new era of medicine. 0000012465 00000 n 0000003369 00000 n Avoidance of Antibiotic Use. List and define all quantifiable measures used in this activity. 9745 36 Table 7a: CHIP-MCO Results for 2022 (MY 2021) HEDIS Measures CHIP-MCO Technical specifications for the Health Outcomes Survey (HOS). CPT: 87070, 87071, 87081, 87430, 87650-87652, 87880 HEDIS Tip Sheet - Pediatric Measures Key HEDIS Factors to Consider hUYk@+R=`;Q&8[[Ewfq= F$\ S4x2$ !\DDFk-bG,"imAsL]KA$D1UdlG:ibkz3OvDn svD~0${xH4XMs\x-'IkMg51za#A3h!7O,-0Yn "71*~sK(_~KutedF},&KVL}Ve>Yj`SQC}OWpt\c7Ij][ K=[> 0000011691 00000 n X `q@ A`J~m ]l b| 0jHX=x3||DqGTt|\V~Fu3c,$;$c9 -Kd"bv.CXb%*qS-J`}V1h(l1y|8Tr46hOJ andaddedtwocross-cuttingexclusions:palliativecareandadvancedillness/frailty. For full specifications, visit the NCQA store. 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: 0000019234 00000 n HEDIS Measure PCCP Well-Child Visits First 15 Months 74.74% Well-Child Visits 1530 Months 81.79% %%EOF <> xref 1320 0 obj <> endobj HEDISpublicationsareavailableas electronic publications. Effective 2022, the Promise VIP Program is now called Promise Quality Performance Incentive (PQPI). 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. 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. NCQAisretiringthefollowingmeasures/indicators: Formoreinformation,refertothefullmeasurespecificationsinHEDISMY2022Volume 2:Technical Specifications for HealthPlans. hb``` rB cc`ahpb`QN`|A(WY2c0Oeox%{$M94 NSqo %PDF-1.4 % 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. %%EOF HEDIS Technical Specifications include a complete list of new and updated HEDIS measures with instructions on data collection and guidelines for calculations and sampling. The PA-specific indicators were added to include services with high utilization in the BH Program that could HC not be mapped to any of the standard coding used in the HEDIS measure to identify follow-up office visits. endstream endobj 32 0 obj <>stream inappropriate prescribing for upper respiratory infections, pharyngitis and acute bronchitis. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 2021 Cigna INT_21_96354_C 919034 c The rules provide flexibility for evaluating different populations without altering measures clinical intent (e.g., removal of continuous enrollment or product-line criteria). %PDF-1.6 % <> Follow-UpAfterEmergencyVisitDepartmentVisitforAlcoholandOtherDrugDependence/Follow-UpAfterEDVisitforSubstanceAbuse. SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . Official websites use .govA <> Antibiotics prescribed for acute respiratory conditions are a large driver of antibiotic overuse. 0000050943 00000 n Medicaid benchmarks displayed in these tables come from NCQA's 2022 Quality Compass for measurement year 2021. Formoreinformation,refertothefullmeasurespecificationsinHEDISMY2022. 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. endobj To learnmore, clickherefor a discussion ofthe stratification, how we arrived atthiscurrentpoint andFAQs. 0000011150 00000 n . 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. endobj 4950 0 obj <>stream 0000086512 00000 n HEDISpublicationsareavailableas electronic publications. Rhode Island Medicaid Managed Care Page 48 of 69 2021 External Quality Review Technical Report . Experience of Care. S/K[ AOIp 0000010320 00000 n hb```f``2g`a`ad@ Arl`h\=g}8,{GzGKEGCE\ p10:ki> la %%EOF For more information regarding future quality measure consideration and selection, please visit Measure Selection | CMS MMS Hub. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). endstream endobj startxref The approved method for auditing the HEDIS production process, including an information systems capabilities assessment, an evaluation of compliance with HEDIS specifications and standards that Certified HEDIS Compliance Auditors must use when conducting a HEDIS audit. 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). Updates on HEDIS Measures MY2022. Ur"J,3Xhi"k;}06]rn(0i Intent:Advancecareplanningisassociatedwithimprovedqualityoflife,increasedprovidertrustanddecreasedhospitalization. 0000004224 00000 n endstream endobj startxref 65 years of age and older who were dispensed benzodiazepines and achieved a 20% decrease or greater in benzodiazepine dose during the measurement year. The Data Display (D2) tool provides a way for patients to compare the quality of care hospitals give. User may need additional software to use the Product, and NCQA is not responsible for such additional software. <> 0000000016 00000 n II. You will be prompted to log in to your NCQA account. !3$Y:wn=3. !9g=SW[h ,3%`~,Z-"3b~lv?.cKQZLHJ*??Y$t)mvdQZt6F^_"g&Oa}t%&QZ./w|PCZE9vG2{m!miVv| Q@?\ti+3#{lgi Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) with Data Exporter. The technical specifications for organizations providing Medicaid long-term services and supports (LTSS). . NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelpreducedisparitiesincareamongpatientpopulations. HSn0+THK[iF(P=2@oA.kY"cL@YG6u}(K]*-50 j"1J0B(E$akG) HSMk@WHM[Zl8 p ccwVrLCV{6GfP!Kh~&)/uY>ak9 0000015158 00000 n x Updated Guideline 7: Measurement Period Adjustments. Anticipated Release Date: September 2023. 7 0 obj 0000045019 00000 n HtTYO@~e/wysRx HbA1c Testingindicator. Intent:The 2019 American Geriatrics Society Beers Criteria recommendthat benzodiazepinesbeavoidedinolderadults. 0000005676 00000 n VA outpatient measures closely follow the specifications set forth by the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS). 74,457 : 61.4% : 61.1% : 61.7% : 55.9% + 60.5% + >= 90th percentile PA . Several clinical guidelinesrecommend deprescribing benzodiazepinesslowlyandsafely, rather thanstopping use immediately,tominimizewithdrawalsymptomsandimprovepatientoutcomes. P}^bGx{Q1F b~/>@ e# This table contains the measures and brief descriptions that are included in HEDIS MY 2022. HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). 9 0 obj 0000000016 00000 n IdentificationofAlcoholandOtherDrugServices/DiagnosedSubstanceUseDisorders. More than 200 million people are enrolled in plans that report HEDIS results. To learnmore, clickherefor a discussion ofthe stratification, how we arrived atthiscurrentpoint andFAQs. NCQAs HEDIS Value Set Directory (VSD) includes the necessary third-party codes for use with adjusted measure specifications. z.XM)Z- b#|UX&)E#T"5Y2]AmiJR Ju:'GVx w9E,*343P@moN$33XN}jl^F-|]}Z{lRt~wOr$.-ks>:599_zrapw)?OqKTa^th>LM _R`]~%Qyqx` 1~ 0000002321 00000 n 0000002663 00000 n 0000004692 00000 n rFZ /CvN`(,b$CoyeL`Y6P-@ We do not share your information with third parties. NCQAalsorevisedthechildandadolescentagegroupsforreportingto117. 1 0 obj Plans must purchase the HEDIS 2022 Technical Specifications for Health Plans for specifications of the required HEDIS measures. %PDF-1.7 % DeprescribingofBenzodiazepinesinOlderAdults. 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. 0000004794 00000 n NCQA defines how data can be collected for a measure: 0000010486 00000 n website belongs to an official government organization in the United States. 0000006215 00000 n QARR List of Required Measures (Table 1) lists by product the measures required for submission. To be able to identify andreduce disparitiesin care, the first step must be measuring and reportingon. } !1AQa"q2#BR$3br 2 Summary Table of Measures, Product Lines and Changes HEDIS MY 2023, Volume 2 HEDIS MY 2023 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2023 Guidelines for Allowable Adjustments of HEDIS 9 9 9 x Updated Guideline 4: Exclusions to remove optional exclusions. {+Ed. 0000015786 00000 n Wellcare dng cookie. 0000017732 00000 n 0000011142 00000 n 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 All other uses of the UB Codes require a license from the AHA. 26 0 obj <> endobj 0000017889 00000 n This process ensures that HEDIS measures remain relevant and feasible for implementation. 0000001035 00000 n lock ( 0000022148 00000 n 0000004757 00000 n hWO`06~@)N@&d.6l5@[)"$$dm29R1$2.K3LH(y ]3SISTM}~/'Ys9Z @ R M+[|Qs0@!| T8E#F>x=-g? Share this page with a friend or colleague by Email. HEDIS/CAHPS Measures Required for HP AccreditationCommercial *The weight column indicates the weight of the item (maximum value = 3) in the overall score calculation. endstream Table 1: Changes in Part C Measure Scores from 2021 to 2023 Star Ratings for MA Contracts b~GiQ">sTMj 2p1IcvIwsudr NCQA collects HEDIS data from health plans and other health care organizations. 0 Part D measures are displayed in Tables 2 and 3 for MA-PD and PDP contracts, respectively. %PDF-1.7 endstream endobj startxref Tables 1-3 below include . performance reported in the 2022 Quality Compass (measurement year 2021) for all lines of business that reported measurement year 2021 . AntibioticUtilizationforRespiratoryConditions. G-3245 Beecher Road Flint, Michigan 48532 Encounter data is crucial for demonstrating accurate quality performance to the Department of Health Care Services (DHCS). HEDIS data help identify performance gaps and establish realistic targets for improvement. Immunization Schedules. 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. This process ensures that HEDIS measures remain relevant and feasible for implementation. Rate 2: Two additional well-child visits 15 to 30 months. 1358 0 obj <>stream 0000016906 00000 n HEDIS measures performance in health care where improvements can make a meaningful difference in peoples lives. means youve safely connected to the .gov website. endstream endobj 33 0 obj <>stream 0000013541 00000 n performance reported in the 2022 Quality Compass (measurement year 2021) . Laboratory Benefit Management. Terms of Use, Every year,NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS. 0000008747 00000 n endobj 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. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through My NCQA. 0000021981 00000 n 0000009457 00000 n click here for a discussion of this new measure. 0000012538 00000 n 0000015971 00000 n stream 0000013436 00000 n reportingforthreeHEDISmeasures:Childhood Immunization Status, Immunizations for AdolescentsandMetabolic Monitoring for ChildrenandAdolescents on Antipsychotics. NCQA screens, trains and certifies organizations that collect or audit data for health plans and providers. 0000047019 00000 n ThenewestadditionstoHEDISaddresspatient-centered care, as well assafetyand appropriateness. Include a goal or benchmark for each measure. 0000036100 00000 n HEDIS 2022 Percentile : HEDIS : Annual Dental Visit (Ages 2-20 years) 121,271 . trailer <<41FE7AD153BB4900891AA2CB9A9A8E7D>]/Prev 786146/XRefStm 4224>> startxref 0 %%EOF 9780 0 obj <>stream Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. trailer 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). How are rates calculated? HEDIS Measures HEDIS includes more than 90 measures across 6 domains of care: Effectiveness of Care. 0000004949 00000 n Table 4: PCCP HEDIS Performance Measures - MY 2021 . Save your favorite pages and receive notifications whenever theyre updated. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). endstream endobj 4921 0 obj <. |@Z-Q 4 0 obj The Healthcare Effectiveness Data and Information Set (HEDIS) is one of health cares most widely used performance improvement tools. ThiseffortbuildsonNCQAsexistingworkdedicatedtotheadvancinghealthequityindataandqualitymeasurement. Initiation and Engagement of Substance Use Disorder Treatment; changed the measurefrommember-basedtoepisode-based; changed thedenominatortolengthenthenegativeSUDhistoryperiodfrom60daysto194daysandremoveEDvisitsandmedicallymanagedwithdrawalfromthenegativeSUDhistoryperiod;removed the numerator requirementthatpsychosocialtreatmentaccompanypharmacotherapy; and revisedtheagestratificationstoreflectages1864yearsand65+years. .gov Save your favorite pages and receive notifications whenever theyre updated. The Inventory lists each measure by program, reporting measure specifications including, but not limited to, numerator, denominator, exclusion criteria, Meaningful Measures domain, measure type, and National Quality Forum (NQF) endorsement status. NCQAintroducedraceandethnicitystratificationstofiveHEDISmeasures: Colorectal Cancer Screening, Controlling High Blood Pressure, Hemoglobin A1c Control for Patients with Diabetes, Prenatal and Postpartum Care, and Child and Adolescent Well Care Visits, NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelp, disparitiesincareamongpatientpopulations. endobj 2527 53 0000003808 00000 n (Example: COL, BCS measures). Summary Table of Measures, Product Lines and Changes 1 HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . 42 0 obj <>/Filter/FlateDecode/ID[]/Index[26 26]/Info 25 0 R/Length 83/Prev 96543/Root 27 0 R/Size 52/Type/XRef/W[1 2 1]>>stream 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. 0000005411 00000 n Island managed care plans must provide performance measure data, specifically HEDIS, to the Office of Health . ?^>&d;ijSl+EPe7"z_?0Kx)uQ 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.
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list of hedis measures 2022