hedis 2022 cheat sheet

0000004603 00000 n HEDIS Measures A quick and easy reference containing the most current information, measure descriptions, and tips to help improve rates of compliance. 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. Licensed Users mean Licensees employees who may access and use HEDIS Volume 2 on behalf of the Licensee. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 0000310669 00000 n HL7 is the registered trademark of Health Level Seven International. 0000029274 00000 n B,2I#QayB\*@. The site may also contain non-Medicare related information. Prohibited Use AcknowledgementAn organizations Licensed Users may use HEDIS Volume 2 solely for a personal non-commercial purpose without obtaining NCQA approval. Licensee may not allow a third party to view or use HEDIS Volume 2. 2022. HEDIS MY2022. 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 0000308649 00000 n The License is limited subject to the following terms and conditions. 0000010501 00000 n Compliance with these measures may reduce the need for you to send medical records later for review. Note:NCQA has updated the naming convention of HEDIS publications to refer to the measurement year (MY) for HEDIS measures. Noncompliance may also disqualify Licensee from receiving future goods and services from NCQA. 0000012962 00000 n Commercial specifications should be followed for all required HEDIS 2022 and QARR 2022 NYS-specific measures. 0000009862 00000 n hXkTG/@$crvna%Ds]Tl 0000008197 00000 n 0000034814 00000 n 0000011303 00000 n L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. 0000308048 00000 n MEASUREDESCRIPTION OF MEASUREDOCUMENTATION TIPSCOMPLIANCE CODES & MEASURE TIPS Prevention and Screening Cervical Cancer Screening (CCS)* 0000043989 00000 n 11. h_HSQ]B,7=$,h5%A9(4zoIdXYT 0000040716 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. 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 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. 0000043472 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. 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. 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. 0000004308 00000 n We have a number of tools to help you boost HEDIS rates and increase your P4P award. 0000033081 00000 n o,;6iN?e/.y)>2-@%!H20C@eW D* G^ 0000042542 00000 n 0000021024 00000 n 0000306886 00000 n 0000310045 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. 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. 0000040496 00000 n 0000043052 00000 n 0000041786 00000 n 0000042130 00000 n 0000038593 00000 n 0000041742 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. Sole ownership rights to the Licensed Measure Specifications and any modifications, alterations or adjustments thereof reside with NCQA. 0000017908 00000 n 0000041171 00000 n 0000009862 00000 n Documentation of LMP, EDD or gestational age, or Anyone contemplating a commercial use, or external reproduction, distribution or publication of any part of Volume 2, should not purchase HEDIS Volume 2 via the NCQA Store, and must contact the NCQA licensing teamto discuss the need for a license. 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. 0000009093 00000 n 1111 0 obj <> endobj 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. 0000042889 00000 n JavaScript seems to be disabled in your browser. Helpful Hints What is HEDIS HEDIS rates are the most widely used set of health care performance measures on important preventive and clinical services. 0 0000021658 00000 n 0000013873 00000 n 0000029379 00000 n 0000106048 00000 n 0000040903 00000 n 0000043902 00000 n / 0000007623 00000 n hb```b``e`c` @1v %M0-en{B)"p.1*'Y>Me}E;)2&u_hvO4Wu)4/Q%fV![\AE:-Trdc 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. 0000306723 00000 n Most PDF readers are a free download. 7 e># v3jDZE#VLFPq3O "{B hs` p$}$gi}3.a Q[TjX Hb)UF0 ]nX3"W`XLi"0Lkc@JeH,6dTj&RXeQP_R%M0z/lTY\>T`*-8Y{VH_1j-9l$U61u~ju\t'vQ4sZJ.QsKIhQv\!W0$lOGG%r2/8=q smB9cve5vsAnU36 E{(f4OL`NY65U%mfu x.fxEy:f,*&_%7cSaAzATC G'QNXpk:@8S. HEDIS CHEAT SHEET 2022 - 2023 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Documented yearly for ages 3-17. Order educational materials for your patients. HEDIS/CAHPS Measures Required for HP AccreditationCommercial *The weight column indicates the weight of the item (maximum value = 3) in the overall score calculation. LICENSEE IS RESPONSIBLE FOR PROCURING ALL EQUIPMENT AND SOFTWARE REQUIRED IN CONNECTION WITH THE USE OF HEDIS VOLUME 2. 0000010923 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). 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. 0000006919 00000 n ?t5o7~ 2l7~w3o0B3rq /3}1l?Fc % Npttr}>'1*ePXQl6?WDCBc68:_14%p{}8Tbj XkN,KrfNi+o 1. 0000017945 00000 n 4 0 obj xref 0000043174 00000 n 0000021645 00000 n 0000013361 00000 n xn0#eR;TUj!@iFQ;6t$-h4Lblp|FC''p6@b^{|K@i&!MBot&ji`Wix P)V(K+Yn*g^\(5%ha 0000032997 00000 n 0000042498 00000 n 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. The HEDIS VSD is made available for customers that purchase a license for HEDIS Volume 2 from NCQA. %PDF-1.7 0000007509 00000 n xref Apr 1, 2022 Administrative. TO THE MAXIMUM EXTENT ALLOWABLE BY LAW, THE PARTIES DISCLAIM THE APPLICABILITY OF THE UNIFORM COMMERCIAL CODE OR OTHER UNIFORM LAWS. H@z Pk4wXvTxv 0000033807 00000 n 0000026677 00000 n 0000313326 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. REQUIRED HEDIS1 AND CAHPS2 MEASURES FOR HEDIS REPORTING YEAR 2022 Summary of Changes to Measure List: Added the following measures. Refer to your state's guidance for payment details and telehealth regulations. For HEDIS related inquiries, please contact HEDIS_Ops@lacare.org. 0000003174 00000 n 0000040601 00000 n External link You are leaving this website/app (site). Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777. THE LIMITATIONS OF DAMAGES AND LIABILITIES SET FORTH IN THIS AGREEMENT ARE FUNDAMENTAL ELEMENTS OF THE BASIS OF THE BARGAIN BETWEEN NCQA AND LICENSEE. 0000039591 00000 n 0000006884 00000 n The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. 0000009879 00000 n 2127 87 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. 0000306648 00000 n 0000041498 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. 1111 61 endstream endobj 2212 0 obj <>/Filter/FlateDecode/Index[119 2008]/Length 63/Size 2127/Type/XRef/W[1 1 1]>>stream 0000042169 00000 n 3 0 obj <> 0000013099 00000 n 0000310995 00000 n 0000033339 00000 n 2127 0 obj <> endobj rates. 0000307846 00000 n 0000040259 00000 n 0000013020 00000 n 0000043770 00000 n 0000004280 00000 n 0000042011 00000 n As a result, HEDIS is the ultimate measurable tool to evaluate provider's performance and quality of care. 0000043130 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. Health Net - Coverage for Every Stage of Life | Health Net 0000043549 00000 n 0000011383 00000 n 0000004632 00000 n 1407 0 obj <> endobj 7nuT.,qUN^UNws}a9z6^.WU'_, rQTULzX{3yq\9$`IKz128~LVPwZZ8/8}W6!e2=M!\K!;.^)`'>F=D;D5L>5PfOTx) 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). 0000033025 00000 n 0000009121 00000 n 0000012573 00000 n 0000043182 00000 n 0000311299 00000 n %PDF-1.6 % This Publication License Agreement, along with all materials referenced herein ("License Agreement"), is a legal agreement between the individual or entity purchasing the license to use the Product (hereinafter the "Licensee") and the National Committee for Quality Assurance ("NCQA"). Optima Health 2023, 4417 Corporation Lane, Virginia Beach, VA 23462-3162. %%EOF 0000308215 00000 n 0000034562 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). 0000004778 00000 n 0000001516 00000 n 0000009376 00000 n 0000043814 00000 n Rate 1: Six or more well-child visits* 0 to 15 months. %%EOF 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. 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. 0000306585 00000 n 0000010426 00000 n 2022. It also includes general guidelines for data collection and reporting, detailed instructions about how to perform the necessary calculations and guidelines for sampling. 0000039096 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). 0000020709 00000 n 0000041110 00000 n HEDIS is a nationally standardized set of measures related to important areas of care and service. 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{ 0000310217 00000 n 0 0000014908 00000 n 0000009453 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* 2021-2022 HEDIS and VBP TIP Sheet . 0000034332 00000 n startxref 0000313076 00000 n 0000000016 00000 n 0000313465 00000 n 0000010020 00000 n 0000041082 00000 n 0000003478 00000 n NCQA has recommended 5 HEDIS measures be included beginning MY2022 with expectations to expand across a minimum of 15 measures by MY2024. Quality measures help ensure our members receive appropriate care. i09}}y P 5 0000033138 00000 n 0000041005 00000 n The clinical information provided is intended to aid in the understanding of HEDIS measures. 0000313191 00000 n See how we support the vision of everyone having fair and just opportunities to be as healthy as possible. 0000005408 00000 n 0000000016 00000 n 1349 0 obj <> endobj 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. or. 0000040184 00000 n 0000019374 00000 n 0000106227 00000 n 0000032765 00000 n vital signs log in . %PDF-1.6 % endstream endobj 1350 0 obj <. 0000007580 00000 n Read more about the HEDIS schedule changehere. 0000004991 00000 n 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. 0000040859 00000 n 0000014342 00000 n trailer <<544F2374A80A4621986B17D4733DBC3A>]/Prev 388715>> startxref 0 %%EOF 118 0 obj <>stream 0000312102 00000 n L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. 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. 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. 0000020999 00000 n 0000043858 00000 n 0000043353 00000 n Follow HEDIS 2022 instructions regarding commercial POS products. 0000108677 00000 n 0000006410 00000 n HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting 0000038081 00000 n 0000034564 00000 n 0000039666 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. 0000033741 00000 n 0000012813 00000 n vtt4LJ0G4v@uE %%aP=PKhXZ`ZZZF&m sq/P"]@ 0000004105 00000 n 0000040003 00000 n THE ENTIRE RISK AS TO THE QUALITY AND PERFORMANCE OF HEDIS VOLUME 2 IS WITH THE LICENSEE. 0000031527 00000 n *i_k/ULV?v']+:9[VmCs>T1eANwI8e8`Fc1OK^As1(z}4==OQf*T",V/qq}%I XwsNL"~-u{UIppi/$&zh} 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. 0000018305 00000 n 0000036980 00000 n Has your contact information changed in the past two years? 0000029168 00000 n A required resource for anyone involved in collecting, calculating or submitting HEDIS data, HEDIS MY 2022 Volume 2 features the complete technical specifications for each measure. 0000028129 00000 n 0000093172 00000 n 0000042754 00000 n Neither Party shall assign or otherwise delegate this Agreement or any rights, duties and/or obligations hereunder without the prior written consent of the other Party. 0000044158 00000 n 0000038514 00000 n 0000040760 00000 n 0000307059 00000 n 0000041331 00000 n 0000309871 00000 n %%EOF h1 04,n\GMyC. 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. 0000018194 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. 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. 0000044076 00000 n 0000012545 00000 n 0000034483 00000 n 0000031213 00000 n 0000043946 00000 n 0000309524 00000 n %PDF-1.6 % 0000039848 00000 n Unauthorized internal distribution of HEDIS Volume 2 and materials therein - beyond the number of Licensed Users by your organization - is prohibited. Our staff of Certified Health Coaches and Registered Dietitians can help you reach your health goals. 0000021322 00000 n 0000000016 00000 n [ 0000042661 00000 n 0000010761 00000 n 0000042375 00000 n 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. %PDF-1.6 % All other uses, including a commercial use (including but not limited to vendors using or embedding the measures and specifications and/or HEDIS VSD into any product or service to calculate measure results for customers for any purpose) and/or any 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. 0000033926 00000 n No amendment, other modification or waiver of any term of this Agreement will be valid unless in writing signed by both parties. 0000021318 00000 n 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. 0000109736 00000 n trailer 0000312403 00000 n 8314 0 obj <>stream 0000109048 00000 n xref 0000037381 00000 n 0000004580 00000 n 0000041375 00000 n One option is Adobe Reader which has a built-in reader. 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). More than 90 percent of America's health plans use HEDIS to evaluate performance. 1527 0 obj <>stream All Optima Health plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. 0000311932 00000 n NCQA has separated the Comprehensive Diabetes indicators into stand-alone measures: 0000011140 00000 n 0000034181 00000 n 0000037913 00000 n 0000031901 00000 n For the best experience on our site, be sure to turn on Javascript in your browser. 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. 0000037764 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. 0000041621 00000 n 0000033702 00000 n 0000042845 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. 0000042635 00000 n 0 0000029610 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. 2022. 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. Women 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) testing performed between 2018-2022. . L.A. Care rewards high performing physicians for providing quality care to our members. All notices to be given under this Agreement to Licensee shall be submitted by NCQA via e-mail at the account Licensee provided to NCQA. 0000108933 00000 n <<3742E41188BCC64D926D69F1B7DDE543>]/Prev 282268/XRefStm 4469>> 0000043593 00000 n "R6!YV\#VAz\,E0Q{vrW7| Upon termination of this Agreement, all rights under this Agreement, including the License, will cease. Documentation in a standardized prenatal flow sheet, or; b.

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