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. 0000309029 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. 0 0000039652 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. 0000043682 00000 n 1407 0 obj <> endobj 0000039017 00000 n 0000029735 00000 n 0000042933 00000 n Licensee may not allow a third party to view or use HEDIS Volume 2. 0000313326 00000 n HL7 is the registered trademark of Health Level Seven International. 0000004508 00000 n 0000310375 00000 n 0000106153 00000 n 0000039575 00000 n 0000106009 00000 n 0000052324 00000 n The HEDIS VSD is made available for customers that purchase a license for HEDIS Volume 2 from NCQA. hV PSW}I~B!i `!VDEeSpIQEF-@YBUDm_tw&s9 @@8 @L.i f,2e#/]DHVjI41;k!hM'% ALqnEyWyyrR}w05(Z2|D %%EOF 0000042889 00000 n 0000040337 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. 0000019374 00000 n 0000038593 00000 n 0000041544 00000 n THE ENTIRE RISK AS TO THE QUALITY AND PERFORMANCE OF HEDIS VOLUME 2 IS WITH THE LICENSEE. 0000004603 00000 n xref 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. HEDIS is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the health care quality. 0000108743 00000 n Relevant records as used in this paragraph shall include all computer systems; software products; and print and electronic books and records. :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* 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). 0000011383 00000 n 0000024026 00000 n Unauthorized internal distribution of the publication and materials thereinbeyond the number of users licensed by your organizationis prohibited. 0000310823 00000 n The License is limited subject to the following terms and conditions. 0000042331 00000 n 2127 0 obj <> endobj 0000009093 00000 n 0000004537 00000 n 0000014362 00000 n 0000012426 00000 n 0000004991 00000 n 0000011140 00000 n 0000042977 00000 n 0000033081 00000 n 0000042011 00000 n 0000018194 00000 n 0000034077 00000 n 0000042754 00000 n 0000008420 00000 n 0000004308 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: 0000041005 00000 n 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. endstream endobj 2212 0 obj <>/Filter/FlateDecode/Index[119 2008]/Length 63/Size 2127/Type/XRef/W[1 1 1]>>stream 0000010484 00000 n 0000033357 00000 n NCQA SHALL HAVE NO LIABILITY FOR ANY DAMAGES RESULTING FROM USE OR INTERPRETATION OF THE LICENSED MEASURE SPECIFICATIONS OR HEDIS VSD, INCLUDING BUT NOT LIMITED TO THE IMPACT, PROVISION OR STANDARD OF MEDICAL CARE, WHETHER OR NOT NCQA HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. 0000011225 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. THE LIMITATIONS OF DAMAGES AND LIABILITIES SET FORTH IN THIS AGREEMENT ARE FUNDAMENTAL ELEMENTS OF THE BASIS OF THE BARGAIN BETWEEN NCQA AND LICENSEE. HEDIS Volume 2 and the Licensed Measure Specifications expressly exclude all third-party code . For example, 2022 claims, encounters, and other HEDIS data are submitted throughout 2022. 0000027717 00000 n Optima Health 2023, 4417 Corporation Lane, Virginia Beach, VA 23462-3162. 0000109341 00000 n hbbd```b`` @$SdId:lZ ] DHV~'l g" 1D]3@{@Wn``W ! 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. 0000009834 00000 n 0000021658 00000 n 0000003478 00000 n 0000033255 00000 n 0000311784 00000 n Sign up for or check out past quality improvement webinars on topics ranging from diabetes care to data submission. Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777. 0000014954 00000 n digital device in . 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. 0000042661 00000 n Our staff of Certified Health Coaches and Registered Dietitians can help you reach your health goals. Use of the Marks shall inure to the benefit of NCQA. Refer to your state's guidance for payment details and telehealth regulations. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 0000306723 00000 n 0000312102 00000 n Documentation in a standardized prenatal flow sheet, or; b. 0000027069 00000 n A Licensed User may not be an agent or consultant of a Licensee. One option is Adobe Reader which has a built-in reader. 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. 0000108933 00000 n 2127 87 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. HEDIS/CAHPS Measures Required for HP AccreditationCommercial *The weight column indicates the weight of the item (maximum value = 3) in the overall score calculation. 1 0 obj 0000092606 00000 n hb```b``e`c` @1v %M0-en{B)"p.1*'Y>Me}E;)2&u_hvO4Wu)4/Q%fV![\AE:-Trdc 0000034562 00000 n 0000042169 00000 n bfLZiPnBFAJ@9KN2kl>xnxX:+spU||)p?@enq-}\pyPRaex6W~)(Ix/]fFxP0 0000041066 00000 n 0000044158 00000 n 0000011425 00000 n 0000016645 00000 n %PDF-1.6 % Updates on HEDIS Measures MY2022 . 2 0 obj 0000040140 00000 n 0000039666 00000 n 0000042845 00000 n 0000012694 00000 n 0000012813 00000 n 0000313076 00000 n 0000019994 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}! Make sure your medical records reflect the following:-A note indicating a visit to PCP 0000041375 00000 n 0000010194 00000 n 0000014698 00000 n Administrative Measure Quick Guide with Codes . NCQA is an independent, nonprofit organization. 0000002775 00000 n 0000307059 00000 n 0000109736 00000 n As a result, HEDIS is the ultimate measurable tool to evaluate provider's performance and quality of care. 0000043814 00000 n 0000043902 00000 n , II Women 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) testing performed between 2018-2022. . 58 0 obj <> endobj xref 0000023670 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. 0000043130 00000 n endobj 0000032558 00000 n NCQA updated telehealth guidance in 40 HEDIS measures for HEDIS MYs 2020 and 2021. 0000312745 00000 n 0000012472 00000 n 0000040259 00000 n 3 0 obj endobj 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. 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) 0000040496 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. 0000020999 00000 n HEDISThe Healthcare Effectiveness Data and Information Set (HEDIS) is a registered trademark of NCQA. 0000042542 00000 n 0000042055 00000 n CAHPSCAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). startxref 0000034814 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. The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. 0000010020 00000 n MEASUREDESCRIPTION OF MEASUREDOCUMENTATION TIPSCOMPLIANCE CODES & MEASURE TIPS Prevention and Screening Cervical Cancer Screening (CCS)* 0000005121 00000 n Helpful Hints 0000032123 00000 n 0000043265 00000 n 0000000016 00000 n 8259 0 obj <> endobj 0000312555 00000 n 0000004580 00000 n 0000043182 00000 n h1 04,n\GMyC. L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. 0000043593 00000 n 0000306648 00000 n NCQA has separated the Comprehensive Diabetes indicators into stand-alone measures: Upon termination of this Agreement, all rights under this Agreement, including the License, will cease. 0000033741 00000 n SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES . 7nuT.,qUN^UNws}a9z6^.WU'_, rQTULzX{3yq\9$`IKz128~LVPwZZ8/8}W6!e2=M!\K!;.^)`'>F=D;D5L>5PfOTx) 0000040601 00000 n The obligations of both Parties shall not terminate upon any assignment or delegation attempted without such prior written consent. 0000306585 00000 n 0000026677 00000 n 0000310525 00000 n 0000135675 00000 n To view this file, you may need to install a PDF reader program. 0000108859 00000 n We have a number of tools to help you boost HEDIS rates and increase your P4P award. 0000039528 00000 n 0000023321 00000 n 0000311633 00000 n Read more about the HEDIS schedule changehere. 0000312251 00000 n 0000038453 00000 n IMPORTANT: Are you enrolled in Medi-Cal? Has your contact information changed in the past two years? 0000006410 00000 n 0000313465 00000 n 0000036980 00000 n 0000034483 00000 n 0000018305 00000 n !N8X efI~wh73Q>oVZ+ cmG!gV?ngR~7rUCZEOA`3t= pO] Vv 5wq26mxvBh. 0000010465 00000 n B,2I#QayB\*@. 0000034181 00000 n 0000006919 00000 n 0000042375 00000 n TO THE MAXIMUM EXTENT ALLOWABLE BY LAW, THE PARTIES DISCLAIM THE APPLICABILITY OF THE UNIFORM COMMERCIAL CODE OR OTHER UNIFORM LAWS. 0000041082 00000 n 0000312918 00000 n 1384 0 obj <>stream rates. endstream endobj 1350 0 obj <. endobj 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. 0000043946 00000 n 0000024421 00000 n L.A. Care rewards high performing physicians for providing quality care to our members. o,;6iN?e/.y)>2-@%!H20C@eW D* G^ 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. 0000036187 00000 n 0000011749 00000 n fz4cFb'98}1m'Gv{YMvEH_Wma}hn'a^`lwZwRis-^sQF6'[ZR)kH6fW=gpO'/ n &a)^y`_O~~$H67XIkxz}qk7^UXYlP!Fc#jxw!W(E_4CvF4DnL))Tz2R8./SiV5,hKkO(|Q_Y{IWYj&Yp\2/3%XhWtt0E{At5n6E'>loT%/$[s7 ]c9~G 0000013091 00000 n 0000040859 00000 n Unauthorized internal distribution of HEDIS Volume 2 and materials therein - beyond the number of Licensed Users by your organization - is prohibited. 0000012962 00000 n 0000004679 00000 n Most PDF readers are a free download. Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used set of health . In addition, some sites may require you to agree to their terms of use and privacy policy. 0000005715 00000 n any. 0000043726 00000 n 0000307514 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. 0 2022. 0000032166 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. 0000093172 00000 n BECAUSE SOME STATES OR JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR DAMAGES, THE ABOVE LIMITATIONS MAY NOT APPLY TO LICENSEE. It is not intended to influence clinical and coding judgment. WHEREAS, NCQA desires to provide Licensee with a license to use HEDIS Volume 2 in accordance with the terms of this Agreement. h_HSQ]B,7=$,h5%A9(4zoIdXYT 0000037990 00000 n 0000014342 00000 n 0000309524 00000 n 0000042208 00000 n 0000032947 00000 n HEDIS is the measurement tool used by the nation s health plans to evaluate their performance in terms of clinical quality and customer service. 0000031527 00000 n Rate 1: Six or more well-child visits* 0 to 15 months. 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. 2021-2022 HEDIS and VBP TIP Sheet . 0000003432 00000 n 0000028427 00000 n hbbd```b`x"/I0yDHw`-R H2b;HWYH|&" 4H F ,{L `s?mm&F "3  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. 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. Telehealth encounters in . 0000112852 00000 n stream 0000012368 00000 n For the best experience on our site, be sure to turn on Javascript in your browser. NCQA and Licensee may be individually referred to as a Party, or collective, the Parties. vtt4LJ0G4v@uE %%aP=PKhXZ`ZZZF&m sq/P"]@ 0000109048 00000 n 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 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. NEITHER PARTY SHALL HAVE ANY LIABILITY FOR ANY INCIDENTAL, SPECIAL, CONSEQUENTIAL OR OTHER INDIRECT DAMAGES ARISING UNDER OR RELATED TO THIS AGREEMENT, WHETHER OR NOT THE PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

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hedis 2022 cheat sheet