This new site may be offered by a vendor or an independent third party. 0000037577 00000 n 0000016662 00000 n xref 0000003724 00000 n 0000108743 00000 n 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. BP taken and reported by member using . Below is a summary of some of the key changes to be aware of: Diabetes measures. 1527 0 obj <>stream HEDIS Volume 2 and the Licensed Measure Specifications expressly exclude all third-party code . NCQA has recommended 5 HEDIS measures be included beginning MY2022 with expectations to expand across a minimum of 15 measures by MY2024. 0000015921 00000 n One option is Adobe Reader which has a built-in reader. 0000010787 00000 n 0000006410 00000 n 0000005173 00000 n Submit this inquiry by logging intoMy NCQA, selecting theAsk a Questionbutton, then theOrdersbutton, then theCustom License Requestsoption. 0000011894 00000 n h_HSQ]B,7=$,h5%A9(4zoIdXYT 0000021024 00000 n 0000016961 00000 n 0000014342 00000 n Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used set of health . 0000032558 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. 0000040496 00000 n hUoKZ1Y8\..gM - Pu2&R;"pI3%8N`9ql(u[a3~pP. %PDF-1.6 % 0000042933 00000 n Blue Cross and Blue Shield of Illinois (BCBSIL) reports audited Healthcare Effectiveness Data and Information Set (HEDIS) results. 0000004679 00000 n Optima Preferred Provider Organization (PPO) products are issued and underwritten by Optima Health Insurance Company. Controlling High Blood 18 - 85 yrs. 0000009238 00000 n 0000042661 00000 n NCQA updated telehealth guidance in 40 HEDIS measures for HEDIS MYs 2020 and 2021. %PDF-1.6 % 0000052324 00000 n 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. H\n0E 0000043052 00000 n %PDF-1.7 %PDF-1.5 % 0000038514 00000 n 2022. 0000042055 00000 n 0000013091 00000 n 0000033138 00000 n -UN\\ZGI!.F@ wP{GG`EG P)9Pj ``^EX 0000044201 00000 n Licensee means only the individual or legal entity whose authorized acceptance appears below as evidence of agreement to the Agreement terms below. hV PSW}I~B!i `!VDEeSpIQEF-@YBUDm_tw&s9 @@8 @L.i f,2e#/]DHVjI41;k!hM'% ALqnEyWyyrR}w05(Z2|D 0000009453 00000 n In the event NCQA receives notification within the warranty period of any defects in the media, NCQA will, at its option, either replace such defective media or return to Licensee the price paid for HEDIS Volume 2. Unauthorized internal distribution of the publication and materials thereinbeyond the number of users licensed by your organizationis prohibited. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 0000026677 00000 n 0000022547 00000 n Upon termination of this Agreement, all rights under this Agreement, including the License, will cease. 0000040337 00000 n 0000021645 00000 n 0000037764 00000 n 0000004280 00000 n 0000033357 00000 n vtt4LJ0G4v@uE %%aP=PKhXZ`ZZZF&m sq/P"]@ 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). 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 . Relevant records as used in this paragraph shall include all computer systems; software products; and print and electronic books and records. 0000039802 00000 n 0000109341 00000 n 0000012813 00000 n 0000310669 00000 n Go to or call the Los Angeles County Department of Public Social Services at 1-866-613-3777. 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). 0000309524 00000 n NCQAs name and logo, and all other names, logos, icons, trademarks, and/or service marks identifying NCQA and its programs, product(s) and services are proprietary trademarks of NCQA and any use not expressly provided for in this Agreement is strictly prohibited. The full HEDIS digital measure specifications are only available by purchasing a HEDIS digital measure product. 0000000016 00000 n 0000003432 00000 n 0000036108 00000 n 2021-2022 HEDIS and VBP TIP Sheet . 0000004778 00000 n trailer 0000021318 00000 n 0000106048 00000 n 0000021658 00000 n Give your county office your updated contact information so you can stay enrolled. 0000306723 00000 n rates. 0000007396 00000 n 0000029274 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. Sole ownership rights to the Licensed Measure Specifications and any modifications, alterations or adjustments thereof reside with NCQA. All Optima Health plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. 11. 0000038593 00000 n The License is not transferable from Licensee to any other person, entity, organization or association. 0000043858 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. 0000038453 00000 n 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 The following sections shall survive termination of this Agreement: Sections 2, 6, 7, 8, 9, 10, 11, 12 and 18. endobj 1. YHLdb91{ d 9 PB2%e'c%tPV Q>!dF7\-9.Tr/_HQtvdQY/1g`SEp/HUyG=K>[pCqKI9w4%Vt)l{I)s1(yzv]:L:/dkey~WlXvu5{ 0000018194 00000 n 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. To DECLINE this Agreement, do not proceed and contact with any questions or concerns or request for a custom license agreement to meet your needs. 0000043353 00000 n 1349 0 obj <> endobj 0000306585 00000 n 0000109736 00000 n :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* 0000307344 00000 n The site may also contain non-Medicare related information. 0000039528 00000 n 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. Follow HEDIS 2022 instructions regarding commercial POS products. 8288 0 obj <>/Filter/FlateDecode/ID[<69BCAFE65C18E142B8D25016BEF95C84><8F47EB867E2FB34A83FE6FC176ECE178>]/Index[8259 56]/Info 8258 0 R/Length 131/Prev 972378/Root 8260 0 R/Size 8315/Type/XRef/W[1 3 1]>>stream 0000043265 00000 n 0000037498 00000 n 0000043174 00000 n 0000034181 00000 n 0000308649 00000 n 0000014698 00000 n The License is not transferable from Licensee to any other person, entity, organization or association. New HEDIS Measures for MY 2023 HEDIS Measure Descriptions Frequently Asked Questions CLINICAL REFERENCE Avoidance of Antibiotic Use Clinical Guidelines HEDIS Measures Immunization Schedules 1.2 Marks means the NCQA trademarks and/or service marks related to the Licensed Measure Specifications described in Section 5. View our frequently asked questions. 0000014362 00000 n hb```B ce`aB-G_PG The clinical information provided is intended to aid in the understanding of HEDIS measures. The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. 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. The adjusted measure specification may be used only for internal quality improvement purposes. 2022-2023 This guide provides HEDIS coding information only, not necessarily payment guidance. 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. 0000308215 00000 n Unauthorized internal distribution of HEDIS Volume 2 and materials therein - beyond the number of Licensed Users by your organization - is prohibited. 0000012285 00000 n 0000037381 00000 n HEDIS MY2022. 0000037990 00000 n 0000112852 00000 n 0000042169 00000 n 0000015577 00000 n 0000009862 00000 n 0000311459 00000 n 0000004580 00000 n The following activities are expressly prohibited in connection with the use of HEDIS Volume 2 under this Agreement: 1. 0000307683 00000 n 1111 0 obj <> endobj 0000311633 00000 n If any portion of this Agreement is determined by a court of competent jurisdiction or any appropriate legislature or governmental agency to be wholly or partially unenforceable, for any reason, such term shall be deemed to be modified to the minimum extent necessary to comply with such law, ruling or regulation, and the remainder of this Agreement shall not be affected thereby. 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). 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. 0000042542 00000 n 0000040540 00000 n HL7 is the registered trademark of Health Level Seven International. 0000040140 00000 n 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: 0000310375 00000 n 0000012472 00000 n 0000004308 00000 n 0000028129 00000 n endstream endobj startxref HEDIS MY 2022 . 0000006599 00000 n 0000041082 00000 n 0000018305 00000 n 0000042208 00000 n 0000022782 00000 n 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).

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hedis 2022 cheat sheet