1. View our frequently asked questions. 0000000016 00000 n 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). HEDIS MY2022. hXkTG/@$crvna%Ds]Tl 0000043814 00000 n 0000011157 00000 n We created tip sheets to help you satisfy quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS) measures* from the National Committee for Quality Assurance (NCQA). vtt4LJ0G4v@uE %%aP=PKhXZ`ZZZF&m sq/P"]@ HEDIS (Healthcare Effectiveness Data and Information Set) is a set of standardized performance measures developed by the National Committee for Quality Assurance (NCQA) to objectively measure, report, and compare quality across health plans. 0000109048 00000 n 0000010787 00000 n 0000312745 00000 n Adults' Access to Preventive/Ambulatory Health Services (AAP) Description; Assesses the percentage of members 20 years and older who had an ambulatory or preventive care visit during the measurement year . 0000042661 00000 n 0000042130 00000 n 0000043989 00000 n hb```b``e`c` @1v %M0-en{B)"p.1*'Y>Me}E;)2&u_hvO4Wu)4/Q%fV![\AE:-Trdc hbbd```b`` @$SdId:lZ ] DHV~'l g" 1D]3@{@Wn``W ! 0000040716 00000 n Use of the Marks shall inure to the benefit of NCQA. 0000032166 00000 n 1.833.LAC.DSNP (1-833-522-3767)(TTY 711)24 hours a day. L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. Refer your patients for Health Education Services. 0000109341 00000 n 0000307212 00000 n PRV 02.02.2022 . 0000033255 00000 n 0000108859 00000 n 1111 0 obj <> endobj 0000041110 00000 n 0000029485 00000 n 0000310995 00000 n This new site may be offered by a vendor or an independent third party. NCQA and Licensee may be individually referred to as a Party, or collective, the Parties. 0000312918 00000 n 0000009238 00000 n 0000311784 00000 n 0000037990 00000 n 0000307344 00000 n Unauthorized internal distribution of the publication and materials thereinbeyond the number of users licensed by your organizationis prohibited. Have you tried MyHIM, our member wellness program? 0000032947 00000 n 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. 0000041331 00000 n We have a number of tools to help you boost HEDIS rates and increase your P4P award. endobj 0 0000037764 00000 n "R6!YV\#VAz\,E0Q{vrW7| Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used set of health . 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 One option is Adobe Reader which has a built-in reader. 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. 0000012426 00000 n Follow HEDIS 2022 instructions regarding commercial POS products. 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. 0000311633 00000 n 0000034077 00000 n 0000022901 00000 n trailer Noncompliance may also disqualify Licensee from receiving future goods and services from NCQA. 0000044076 00000 n %%EOF 0000022782 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. The License is not transferable from Licensee to any other person, entity, organization or association. What is HEDIS? 0000021322 00000 n The site may also contain non-Medicare related information. CAHPSCAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). 58 61 Updates on HEDIS Measures MY2022 . L.A. Care rewards high performing physicians for providing quality care to our members. 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. 1527 0 obj <>stream 0000018305 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. 0000018194 00000 n 0000042498 00000 n 0000043902 00000 n 0000034175 00000 n 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 How is HEDIS Data Collected? 0000308484 00000 n 0000001550 00000 n HEDIS MY 2022 . 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. 0000108743 00000 n What is HEDIS HEDIS rates are the most widely used set of health care performance measures on important preventive and clinical services. i09}}y P 5 0000092606 00000 n 0000006919 00000 n 0000009862 00000 n 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. Submit this inquiry by logging intoMy NCQA, selecting theAsk a Questionbutton, then theOrdersbutton, then theCustom License Requestsoption. Sentara Health Plans, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. 0000022547 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. 0000017908 00000 n 0000038453 00000 n 0000005408 00000 n This Agreement represents the complete agreement between the Parties concerning its subject matter and shall supersede all other agreements, whether written or oral, with respect to such subject matter, other than any nondisclosure or similar agreement, which shall remain in full force and effect. 0000034181 00000 n 1384 0 obj <>stream 0000004280 00000 n 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. 0000004537 00000 n 2022-2023 This guide provides HEDIS coding information only, not necessarily payment guidance. The full HEDIS digital measure specifications are only available by purchasing a HEDIS digital measure product. A dated graphic sheet . 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. 0000309151 00000 n 0000000016 00000 n %%EOF 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). SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . As a part of L. A. Care's 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. trailer 0000033339 00000 n 0000310525 00000 n endstream endobj 2212 0 obj <>/Filter/FlateDecode/Index[119 2008]/Length 63/Size 2127/Type/XRef/W[1 1 1]>>stream <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 0000312555 00000 n ' f it4A@! 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. 0000028129 00000 n 0000310375 00000 n 7nuT.,qUN^UNws}a9z6^.WU'_, rQTULzX{3yq\9$`IKz128~LVPwZZ8/8}W6!e2=M!\K!;.^)`'>F=D;D5L>5PfOTx) View Table of Contents for this Publication. %PDF-1.6 % No amendment, other modification or waiver of any term of this Agreement will be valid unless in writing signed by both parties. The HEDIS VSD is published as part of HEDIS Volume 2 and contains Third-Party Codes, including without limitation CPT by American Medical Association, LOINC by Regenstrief Institute, Inc., SNOMED CT by the International Health Terminology Standards Development Organisation, RxNorm by the U.S. National Library of Medicine and Uniform Billing Codes by the American Hospital Association. 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. The obligations of both Parties shall not terminate upon any assignment or delegation attempted without such prior written consent. 0000306585 00000 n 0000003478 00000 n 0000039528 00000 n 0000307059 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). 0000036108 00000 n 0000001516 00000 n 0000040140 00000 n vital signs log in . hb```B ce`aB-G_PG 0000005859 00000 n xn0#eR;TUj!@iFQ;6t$-h4Lblp|FC''p6@b^{|K@i&!MBot&ji`Wix P)V(K+Yn*g^\(5%ha Has your contact information changed in the past two years? 0000308215 00000 n External link You are leaving this website/app (site). 0000040760 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. Compliance with these measures may reduce the need for you to send medical records later for review. 0000000016 00000 n 0000004469 00000 n 0000004778 00000 n Rate 2: Two additional well-child visits 15 to 30 months. 0000040496 00000 n 1.2 Marks means the NCQA trademarks and/or service marks related to the Licensed Measure Specifications described in Section 5. Quality measures help ensure our members receive appropriate care. HEDIS CHEAT SHEET 2022 - 2023 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Documented yearly for ages 3-17. 0000008785 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. Rate 1: Six or more well-child visits* 0 to 15 months. 0000307514 00000 n 3 0 obj 0000042977 00000 n 0000034332 00000 n hUoKZ1Y8\..gM - Pu2&R;"pI3%8N`9ql(u[a3~pP. HEDIS is a nationally standardized set of measures related to important areas of care and service. AWARE- California Medical Association Foundation: Physician Resources, HEDIS MY 2023 Hybrid Measure Quick Guide with Codes, HEDIS MY 2023 Hybrid Measure Pocket Guide, HEDIS MY 2023 Administrative Measure Quick Guide with Codes, HEDIS MY 2023 Chart Submission Requirements, QI Interventions Reported by Top Performing IPAs, How to access Provider Opportunity/Gaps in Care Reports, HEDIS Tip Sheet: Timeliness of Prenatal Care, Preventive Care Documentation Flyers for Providers, Timely Access to Care Suggested Interventions for IPAs, Timely Access to Care Oversight & Monitoring PPG Training, Timely Access to Care Oversight & Monitoring FAQ, Slide Deck: Moving the Needle on Member Satisfaction. 0000009862 00000 n 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. 2022. NCQA has separated the Comprehensive Diabetes indicators into stand-alone measures: 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. 0000009093 00000 n h1 04,n\GMyC. 0000037381 00000 n Prohibited Use AcknowledgementAn organizations Licensed Users may use HEDIS Volume 2 solely for a personal non-commercial purpose without obtaining NCQA approval. 0000041623 00000 n Specifications for the Medicare Health Outcomes Survey, Case Management (CM) and Long-Term Services and Supports (LTSS), Managed Behavioral Healthcare Organizations (MBHO), Utilization Management/Credentialing/Provider Network (UM/CR/PN), Credentials Verification Organizations (CVO), Patient-Centered Specialty Practice (PCSP), Quality Compass 2023 (MY 2022) Commercial, Quality Compass 2023 (MY 2022) Exchange Data File, Quality Compass 2023 (MY 2022) Member Experience Data Set, California Align Measure Perform (AMP) & Value Based Pay for Performance (VBP4P), Skip to the beginning of the images gallery. 0000012368 00000 n Help your patients with redetermination. 0000029735 00000 n Our staff of Certified Health Coaches and Registered Dietitians can help you reach your health goals. If a required measure has only Medicaid specifications, commercial organizations 0000020999 00000 n 0000310217 00000 n 0000042889 00000 n Licensee may not allow a third party to view or use HEDIS Volume 2. No individual or entity may use HEDIS Volume 2 to evaluate another organization against NCQA standards, except as part of Licensees internal preparation for an NCQA survey or review.2. 0000013210 00000 n 0000043353 00000 n H@z Pk4wXvTxv HEDIS/CAHPS Measures Required for HP AccreditationCommercial *The weight column indicates the weight of the item (maximum value = 3) in the overall score calculation. IMPORTANT: Are you enrolled in Medi-Cal? 0000311299 00000 n 0000019374 00000 n 0000011383 00000 n 0000041082 00000 n 0000042169 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) The following activities are expressly prohibited in connection with the use of HEDIS Volume 2 under this Agreement: 1. 0000010580 00000 n 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. 0000031213 00000 n 0000308048 00000 n 0000011894 00000 n 0000003174 00000 n 0000106009 00000 n %%EOF 0000012962 00000 n 0000021318 00000 n 2021-2022 HEDIS and VBP TIP Sheet . 0000004679 00000 n 1407 0 obj <> endobj 0000002338 00000 n Title to and full ownership of the Licensed Measure Specifications (and adjustments thereto) and all intellectual property rights therein (including, but not limited to, all copyrights, patent rights, and trade secret rights) belong to NCQA or NCQA has obtained the necessary rights in the Licensed Measure Specifications (except as otherwise set forth regarding third party copyright ownership of portions of the HEDIS VSD) to grant the rights and licenses set forth herein. As a result, HEDIS is the ultimate measurable tool to evaluate provider's performance and quality of care. 0000043682 00000 n 0000308649 00000 n 0000043130 00000 n 0000038002 00000 n 0000042092 00000 n 0000033025 00000 n Anyone desiring broader internal distribution of HEDIS Volume 2 must purchase additional licensed user permissions via the NCQA Store. MEASUREDESCRIPTION OF MEASUREDOCUMENTATION TIPSCOMPLIANCE CODES & MEASURE TIPS Prevention and Screening Cervical Cancer Screening (CCS)* <<3742E41188BCC64D926D69F1B7DDE543>]/Prev 282268/XRefStm 4469>> 0000005121 00000 n 0000006410 00000 n 0000012545 00000 n 0000112852 00000 n 0000308812 00000 n 0000093172 00000 n 0000013091 00000 n A Licensed User must be using HEDIS Volume 2 under the License and solely on behalf of the Licensee. Any breach of this Agreement by Licensee may cause irreparable harm to NCQA for which no adequate remedy at law exists and may subject Licensee to injunctive relief and all legal and equitable remedies available to NCQA, including, but not limited to, recovery of all costs and expenses, including reasonable attorney's fees incurred because of any such legal action. 0000043174 00000 n The clinical information provided is intended to aid in the understanding of HEDIS measures. 0000309029 00000 n Have questions about renewing your Medi-Cal? 0000033334 00000 n Most PDF readers are a free download. Optima Health 2023, 4417 Corporation Lane, Virginia Beach, VA 23462-3162. 0000016662 00000 n Controlling High Blood 18 - 85 yrs. 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. Sole ownership rights to the Licensed Measure Specifications and any modifications, alterations or adjustments thereof reside with NCQA. 0000002775 00000 n A quick and easy reference containing the most current information, measure descriptions, and tips to help improve rates of compliance. 0000003432 00000 n This Agreement is not intended to and shall not be construed to give any third party any interest or rights (including, without limitation, any third-party beneficiary rights) with respect to or in connection with any agreement or provision contained herein or contemplated hereby. 0000306723 00000 n 0000039017 00000 n L$8d^HA2^h[,=%!kSyG)Je;'_ )*+n=8PR!0wSWk cE"Mos_|%,plTowGw6H`@)K'Ixxl/hLW}NGhu6)_TrOsX}X%%Vp(G(Z$sE4io\V_3|]raigYZ]Wy>j(Sg+25K4 n/AWa?5$3/) YDD;&4DP&qyL+#^49y)9Ram#XiX}! 0000311459 00000 n 0000043726 00000 n 0000106227 00000 n Health Net - Coverage for Every Stage of Life | Health Net !N8X efI~wh73Q>oVZ+ cmG!gV?ngR~7rUCZEOA`3t= pO] Vv 5wq26mxvBh. 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. 0000012813 00000 n 0000310823 00000 n cytology performed between 2020-2022. HEDIS Volume 2 and the Licensed Measure Specifications expressly exclude all third-party code . 0000011303 00000 n 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. 0000033741 00000 n 0000041066 00000 n %PDF-1.6 % Below is a summary of some of the key changes to be aware of: Diabetes measures. -UN\\ZGI!.F@ wP{GG`EG P)9Pj ``^EX 2127 0 obj <> endobj 0000008197 00000 n stream trailer 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. %%EOF 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. o,;6iN?e/.y)>2-@%!H20C@eW D* G^ 0000007580 00000 n 0000311155 00000 n 0000106122 00000 n NCQA updated telehealth guidance in 40 HEDIS measures for HEDIS MYs 2020 and 2021. 0000033357 00000 n HEDIS Measures A quick and easy reference containing the most current information, measure descriptions, and tips to help improve rates of compliance. 0000108357 00000 n 0000014954 00000 n 0000006654 00000 n Telehealth encounters in . 2022. 0 0000023321 00000 n View our FAQs. HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting 0000040259 00000 n 0000034814 00000 n xref %PDF-1.5 % 0000040003 00000 n 0000106153 00000 n <> 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. 0000006884 00000 n To verify compliance with this Agreement, NCQA is granted the right, with prior notice and during normal business hours, to examine all relevant records of Licensee. 0000039848 00000 n 11. Unauthorized internal distribution of HEDIS Volume 2 and materials therein - beyond the number of Licensed Users by your organization - is prohibited. xref 4 0 obj 1 0 obj hbbd```b`x"/I0yDHw`-R H2b;HWYH|&" 4H F ,{L `s?mm&F "3  endstream endobj startxref 0000043472 00000 n 0000004718 00000 n 0000033926 00000 n 0000042754 00000 n 0000015935 00000 n 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) bfLZiPnBFAJ@9KN2kl>xnxX:+spU||)p?@enq-}\pyPRaex6W~)(Ix/]fFxP0 0000044158 00000 n 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. 0000011272 00000 n 0000042375 00000 n 0000009834 00000 n Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. All Optima Health plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. 0000034564 00000 n The National Committee for Quality Assurance (NCQA) developed the HEDIS measures. 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. 0000310669 00000 n 0000002081 00000 n 0000042845 00000 n trailer <<544F2374A80A4621986B17D4733DBC3A>]/Prev 388715>> startxref 0 %%EOF 118 0 obj <>stream Organizations that need help determining how their use of NCQAs HEDIS measure specifications and Value Set Directories fit into NCQAs licensing and certification requirements should use theHEDIS Licensing Tool. 0 0000033807 00000 n 2022. 0000017054 00000 n H\n0E 0000038081 00000 n 0 0000043770 00000 n oaoNNg. 0000034483 00000 n 0000042331 00000 n digital device in . 0000015921 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. 0000039591 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. NCQA hereby grants to Licensee a non-exclusive, non-transferable license and right to display the below Marks solely in connection with the Licensed Measure Specifications as expressly permitted under this Agreement. <>/Metadata 6463 0 R/ViewerPreferences 6464 0 R>> HEDIS Volume 2 contains proprietary and copyrighted information and notice to that effect must appear on all authorized copies of HEDIS Volume 2 (including the Licensed Measure Specifications) made by Licensee under this Agreement. 0000043182 00000 n 2127 87 0000027069 00000 n 0000014362 00000 n 0000007396 00000 n 0000020709 00000 n Licensee agrees to defend, indemnify and hold harmless NCQA and its directors, officers, employees and agents from and against any and all liability, loss, cost, expense (including reasonable attorney fees), damage, or claim asserted by any third party alleged to arise out of or otherwise relate to Licensees use, reproduction, distribution, incorporation or display of the Third-Party Codes. 0000313076 00000 n An organizations licensed users may use the materials solely for an internal non-commercial purpose without obtaining NCQA approval. The section headings contained in this Agreement are included for reference only and shall not affect the construction or interpretation of any term in this Agreement. 0000313465 00000 n 0000042710 00000 n 0000064508 00000 n 0000003513 00000 n 0000007509 00000 n 0000004603 00000 n 0000005173 00000 n Molina Healthcare of California participates in HEDISas part of our State quality reporting 0000014698 00000 n or. The percentage of patients during the measurement year with schizophrenia or schizoaffective disorder who were dispensed and remained on an antipsychotic B,2I#QayB\*@. endstream endobj startxref 0000031901 00000 n 0000014342 00000 n %PDF-1.6 % 0000000016 00000 n 0000027717 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). 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 Relevant records as used in this paragraph shall include all computer systems; software products; and print and electronic books and records. 2020 HEDIS Cheat Sheet Measure HEDIS Requirement Rendering Provider Needs to report W34 Well Child visits in ages 3-6 years of life Measures percentage of members 3 to 6 years of age who had one or more comprehensive well child visits with a PCP during the year. 0000040540 00000 n 0000038593 00000 n 1171 0 obj <>stream 0000042667 00000 n 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). 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. , II 0000032997 00000 n JavaScript seems to be disabled in your browser. 0000042635 00000 n 0000012472 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.
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