WebIn addition to the AHRQ and the CMS adult and child core set measures audited by HSAG, DCH required Amerigroup to report a selected set of HEDIS measures to DCH. Amerigroup was required to contract with a National Committee for Quality Assurance (NCQA)-licensed audit organization and undergo an NCQA HEDIS Compliance Audit™, Web** The Adult Core Set includes the NCQA version of the measure, which is adapted from the CMS measure (NQF #1879). *** The Adult Core Set includes the NCQA version of …

Recommended Core Measures CMS

WebThe term “states” includes the 50 states, the District of Columbia, and Puerto Rico. States can voluntarily report the Child and Adult Core Set measures. The 2024 Child Core Set … WebAll performance measures but four were selected from CMS’ Core Set of Children’s Health Care Quality Measures 3for Medicaid and CHIP (Child Core Set) ... In addition to the AHRQ and the CMS adult and child core set measures audited by HSAG, DCH required WellCare to report a selected set of HEDIS measures to DCH. WellCare was required to gotcha burger

Core Measures CMS - Centers for Medicare & Medicaid Services

WebFeb 3, 2016 · Blood Pressure" HEDIS measure in the core set if data needed for either measure is available through EHR or provider self-report with audit. Note: Both blood pressure control measures are included in the core set with the choice being an "either/or" due to controversyiii regarding the 2014 JAMA paperiv sometimes referred to as “JNC 8”, … Webadults mandatory starting in FY 2024. While Adult Core Set measures, other than behavioral health, are not mandatory, DMS is working towards improving the number of measures from the Adult Core Set reported to CMS each year. To improve alignment with current and future CMS requirements (e.g., CHIPRA, Managed Care Rules) WebInitial Adult Core Set The Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) required the development of a core set of adult health care quality measures in Medicaid (§ 1139B of the Act). In 2010, CMS and AHRQ convened a separate advisory committee to evaluate measures for inclusion in the initial Adult gotcha by bolt