\bMQ!HQd2`/_$EFcGI'.mG_|qxcB3XLf. Contact and NoticesShould Licensee have any questions about this License Agreement or the Product, please call NCQA at (202) 955-3500. h{koG_G
X4!iIZHm*)yn`Pxq|f-gZ3^IU\E,V/pfs-Qjl2j %X2c>>/i1f2<5GBghj,em@?}as_o.]~wTv]p>]{w?/&F~tZyF0}#?mVononW?72PwglMU8:2_vT~wi?sv/ r[7VjQ^x|;X77nM|"zyu,pq?$Wg+[}ry$x?~6-n~]ts~V1Ww?\mvJBS |{i{sV~
,'|^]+:Y>R>}/Z (m`3.bL,@VE~21"dm([P `[y~qx>*S:`iV81~RO/O.0] }x^P#rbriy+#B8},-5%(muE}wuk#;3#}?OyLrm4|8:p:w~|f:Nmr{G\x(]`u{^cU,N]v5L;FK/WD\oX{*9)Pb,Y%'8:VWD HEDIS is a comprehensive set of standardized performance measures designed to provide purchasers and consumers with the information they need for reliable comparison of health plan performance. HEDIS VSDs contain code values owned by third parties (the Third Party Code Values), including CPT owned by American Medical Association, LOINC owned by Regenstrief Institute, Inc., SNOMED CT owned by the International Health Terminology Standards Development Organisation, and Uniform Billing Codes owned by the American Hospital Association. All notices to be given under this License Agreement to NCQA shall be submitted to NCQA at 1100 13th Street NW, Washington, D.C. 20005, Attention: Licensee Support. 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 the Product. BECAUSE SOME STATES OR JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR DAMAGES (SUCH AS CONSEQUENTIAL OR INCIDENTAL DAMAGES), OR THE EXCLUSION OF IMPLIED WARRANTIES AND LIMITATIONS ON HOW LONG AN IMPLIED WARRANTY MAY LAST, THE ABOVE LIMITATIONS MAY NOT APPLY TO LICENSEE, TO THE EXTENT THAT LIABILITY IS, BY LAW, INCAPABLE OF EXCLUSION OR RESTRICTION. An explanation of the 8 and 30 file sampling procedure used by NCQA during accreditation survey visits. The practice will attach evidence prior to each Official websites use .govA THIS LIMITED WARRANTY GIVES YOU SPECIFIC LEGAL RIGHTS, AND YOU MAY ALSO HAVE OTHER RIGHTS THAT VARY FROM JURISDICTION TO JURISDICTION. Save your favorite pages and receive notifications whenever theyre updated. 1. X. SeverabilityIf any portion of this License Agreement is determined by a court of competent jurisdiction or any appropriate legislature to be wholly or partially unenforceable, for any reason, such unenforceability shall not affect the balance hereof. If any part of this License Agreement is found void and unenforceable, it will not affect the validity of the remainder of the License Agreement, which shall remain valid and enforceable according to its terms. The License is not transferable from Licensee to any other person, entity, organization or association. XIII. NCQA PCMH 2017 Standards Intro 3/29/18 4 A check-in will be conducted virtually online with an NCQA evaluator. 2020 Core Set of Behavioral Health Measures for Medicaid and CHIP (Behavioral Health Core Set) To support CMS's efforts to improve behavioral health in Medicaid and CHIP, CMS identified a core set of 18 behavioral health measures for voluntary reporting by state Medicaid and CHIP agencies. THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EITHER EXPRESS OR IMPLIED, AS RELATED TO THE PRODUCT OR INFORMATION THEREIN, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. %
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"). BECAUSE SOME STATES OR JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR DAMAGES (SUCH AS CONSEQUENTIAL OR INCIDENTAL DAMAGES), OR THE EXCLUSION OF IMPLIED WARRANTIES AND LIMITATIONS ON HOW LONG AN IMPLIED WARRANTY MAY LAST, THE ABOVE LIMITATIONS MAY NOT APPLY TO LICENSEE, TO THE EXTENT THAT LIABILITY IS, BY LAW, INCAPABLE OF EXCLUSION OR RESTRICTION. Submit a question to, Patient-Centered Specialty Practice (PCSP), Credentials Verification Organization (CVO), Managed Behavioral Healthcare Organization (MBHO), Health Information Technology Prevalidation Programs, Virtual Seminars, Webinars and On-demand Training, Advertising and Marketing Your NCQA Status, Policy: NCQA Accreditation and Certification, Changes to the 2020 WHP Standards and Measures, Changes to NCQA Accreditation Standards for 2019 and 2020 Standards Years, Changes to NCQA Accreditation and Certification Standards for 2018 and 2019, Modifying NCQA Requirements in Response to Hurricanes and other Natural Disasters, Utilization Management: Changes to UM 4, Appropriate Classification of Denials; the Future of Utilization Management, Changes to NCQA Accreditation and Certification Standards for 2016 and 2017. VII. 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 the Product. BhKp6M%C? MpYKEF5ZJ#Fs6nh):Y/(s>4
r#bQB\LLag pv\\MId ""tu0'vM:x`kTEN
3-MGIFP6@q^c+C0 ~q53"$h6gh'n
:
G,ujln3XQ&Uc%A 4~nokqnS\_ {#w` +5~bq:Iy.jCvKiQyvM`gA)H_o(sM!EhlKmJP1yZ)>jOL0ScE{
1\Z%W }v-$hMim?$PdV"\ 3.0 : May 2019 . tG+~zM~8j 0 (
May 2019 : Added clarifying language to content in each section . A review of the commonly accepted standards for medical record documentation. TerminationNCQA may terminate this License Agreement at any time and without notice if Licensee violates any of the terms and conditions hereof. 4 0 obj
The 2020 Health Plan Accreditation Standards and Guidelines were released on July 29, 2019. hbbd```b``"A$6 DH Upon termination of this License Agreement, all rights under this License Agreement, including the license granted to Licensee, will cease. 2019-Mar 2019-Jun 2019-Sep 2019-Dec 2020-Mar 2020-Jun 2020-Sep 2020-Dec 2021-Mar 2021-Jun 2021-Sep 2021-Dec . AssignmentLicensee shall not assign this License Agreement without the written consent of NCQA. NCQA DISCLAIMS AND MAKES NO WARRANTY OR REPRESENTATIONS AS TO THE ACCURACY, QUALITY, RELIABILITY, SUITABILITY, COMPLETENESS, TRUTHFULNESS, USEFULNESS, OR EFFECTIVENESS OF DATA CONTAINED IN ANY PRODUCT. Share this page with a friend or colleague by Email. The National Committee for Quality Assurance Patient-Centred Medical Home (NCQA-PCMH) is officially recognised as a quantitative assessment tool of institutional evaluation (supply-side) [ 9 ], and the PCAT is widely used as a quantitative assessment tool for patient evaluation (demand-side) [ 10 ]. All notices to be given under this License Agreement to Licensee shall be submitted by NCQA via e-mail at the account Licensee provided to NCQA. CMS contracted with NCQA to develop a strategy to evaluate the quality of care provided by SNPs. Using appropriate professionals. NCQA Corrections, Clarifications and Policy Changes to the 2021 HPA Standards and Guidelines July 26, 2021 Key = COCorrection, CLClarification, PCPolicy Change 4 PREVIOUSLY POSTED UPDATES Page Standard/Element Head/Subhead Update Type of Update IRT Release Date NCQA schedules the survey for submission 6 months following the last full %%EOF
}#(_ 2F%At/|b^-x({N&R26y H4>1=.~MClx-ikqGbg Limitation of LiabilityIN NO EVENT WILL NCQA BE LIABLE FOR ANY CONSEQUENTIAL, PUNITIVE, SPECIAL, INCIDENTAL, EXEMPLARY, INDIRECT OR OTHER SIMILAR DAMAGES, INCLUDING, WITHOUT LIMITATION, LOSS OR INACCURACY OF DATA, LOSS OF BUSINESS OR LOSS OF PROFITS ARISING OUT OF THE USE OR INABILITY TO USE THE PRODUCT, EVEN IF NCQA HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, AND IN NO EVENT SHALL NCQA BE RESPONSIBLE FOR ANY CLAIMS OF THIRD PARTIES. Licensee acknowledges that the Product remains the full and exclusive property of NCQA. However, the 2020 Health Plan Survey Tool was released on March 30, 2020. Terms of Use, Corrections, Clarifications and Policy Changes, New FAQs are posted on the 15 of every month, Cant find the answer to your question in the FAQs? NCQAs failure to exercise or enforce any right or power under this License Agreement shall not constitute a waiver of such right or power. %%EOF
[UuKo-3q/pEqx".z+EX,?+"'MNb)=)V+QK,gK!^}@]^,\J N8AB[0|7x MbN_M9[1g05KL :7f>~C|Vp$'*.ljYZ\l:ZS|s{No#mi',tg,j>0~Y=%B-}xi(~ hA_wfsb { The hard copy of the 2020 HP Standards and Guidelines was released on August 15, 2019. THE LIMITATIONS OF DAMAGES AND LIABILITIES SET FORTH IN THIS LICENSE AGREEMENT ARE FUNDAMENTAL ELEMENTS OF THE BASIS OF THE BARGAIN BETWEEN NCQA AND LICENSEE, AND THE PRICING FOR THE LICENSE REFLECTS SUCH LIMITATIONS. To ACCEPT this License 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. NCQA Utilization Management Accreditation is designed to ensure that organizations can consistently make appropriate and timely decisions. Health Insurance Plan Network Narrowing . NCQA or its licensors own all rights, title and interests in the Product, including trade secrets, patents, copyrights and database rights, and the Product shall remain the sole and exclusive property of NCQA (except as otherwise set forth below regarding third party copyright ownership of portions of HEDIS VSDs). Users of these Products will be required to accept a separate Usage Agreement in NCQAs Download Center before accessing the Products. 2'sYP'IeIFH5-st#,Z5v&*}"xC0!"#:#}?rjJS',#l2u)h3p+a:fRlA8E@9~fBa"=KQY(?\mq1)gg$\y#cvnG54h0'[#0YNdR8}2e. If any part of this License Agreement is found void and unenforceable, it will not affect the validity of the remainder of the License Agreement, which shall remain valid and enforceable according to its terms. All uses of these Third-Party Code Values may require a license from the copyright owner. NCQA makes updates or clarifications to Standards & Guidelines several times per year, as needed. Licensee Representation and WarrantyLicensee represents and warrants to NCQA that this License Agreement shall be binding on Licensee, and, unless Licensee is an individual, Licensee represents and warrants that this License Agreement was executed by an authorized signatory of Licensee with the authority to enter into binding agreements on behalf of Licensee. XVII. or No license to reproduce, distribute or incorporate the HEDIS VSDs into any product is granted to Licensee by virtue of this License Agreement. <>
Remedies and AuditAny breach of this License Agreement of any terms herein 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. wq43-TY^yTk$8JkMVj$MX:v2Zz;I;Y; Eligibility requirements, application information and policies and procedures are included as well. x
#-;g'bI&Z$@DD*.-;7Wu:orWm\|~uQmx! IV. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
IX. HEDIS is a comprehensive set of standardized performance measures designed to provide purchasers and consumers with the information they need for reliable comparison of health plan performance. JavaScript seems to be disabled in your browser. ) 4 0 obj
Noncompliance may also disqualify Licensee from receiving future goods and services from NCQA.To verify compliance with this License Agreement, NCQA is granted the right, with prior notice and during normal business hours, to examine all relevant records of Licensee. Review the corrections, clarifications and policy changes to the most recent Standards and Guidelines forNCQA programsand incorporate them intoyourimplementation processes. lock {`8:qqa2,} 3 0 obj
Except as provided for in Section II above, Licensee has no, and is not granted, any right, title, interest or other license in the Product. This License Agreement may not be modified by Licensee except upon mutual agreement by the parties in writing, signed by an authorized representative of NCQA. Requirements cover these key areas: Applying an internal QI process. stream
THE ENTIRE RISK AS TO THE QUALITY AND PERFORMANCE OF THE PRODUCT IS WITH THE LICENSEE. These third party medical and billing codes are protected under federal copyright laws. Licensed Users mean Licensees employees who may access and use the Product on behalf of the Licensee. `mdm:"d5mauw4a]`}+\#6'M
OqMR
xwF9{]X]oMq#G2|d;aVWW=x
s.M0bY4BIub0h2`Lot Licensee agrees to indemnify and hold NCQA harmless from any claims and expenses arising out of Licensees use and display of Third-Party Code Values included in the HEDIS VSDs, or any portion thereof. Except as provided for in Section II above, Licensee has no, and is not granted, any right, title, interest or other license in the Product. The following activities are expressly prohibited in connection with the use of the Product under this License Agreement: (i) No individual or entity may use the Product to evaluate another organization against NCQA standards, except as part of Licensees internal preparation for an NCQA survey or review; and(ii) Licensee may not allow a third party to view or use the Product. XVI. means youve safely connected to the .gov website. y+,^ y{Ay|kd Y|E1/!s|_+Le{l|1gc0Ow. VI. endstream
endobj
90 0 obj
<>
endobj
91 0 obj
<>
endobj
92 0 obj
<>stream
Y)d&BZ$C#t0iT_Dy/D: `byhB7;)*RD )EEB "{*(Ah=AMYh& ZY@T.YKVu. An official website of the United States government The headings contained in this License Agreement are for reference only and shall not affect the meaning or interpretation of this License Agreement. Prohibited Use AcknowledgmentAn organizations Licensed Users may use the Product solely for a personal non-commercial purpose without obtaining NCQA approval. License RestrictionsLicensee may not itself or permit others to: (i) Use the Product or any portion thereof for any purpose other than as specifically set forth in this License Agreement;(ii) Identify records or calculate HEDIS measure results using the Product;(iii) Distribute, sublicense or copy the Product in any format, including, but not limited to, other print or electronic publication service or product (except that Licensee may make one [1] copy for each Licensed User for which Licensee has purchased a license to use the Product);(iv) Decompile, disassemble the Product, analyze or otherwise examine the Product for the purpose of reverse engineering;(v) Delete or in any manner alter any notices, disclaimers or other legends contained in the Product or appearing on any screens, documents or other materials obtained through use of the Product;(vi) 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 the Product;(vii) Reproduce, republish, upload, post, transmit or distribute the Product, or any portion thereof, or facilitate or permit any third party to do so;(viii) Modify or prepare derivative works from the Product;(ix) Use any device or software to interfere or attempt to interfere with the proper operation of the Product;(x) Ship, transmit, transfer or export the Product into any country or use the Product in any manner prohibited by United States export laws, restrictions or regulations;(xi) Transmit the Product electronically or allow access to the Product over a network or a public computer-based information system which permits access to a greater number of users than licensed by Licensee;(xii) Use the Product in multiple computer or multiple user arrangements unless that use is covered by a separate license for each computer or user; or(xiii) Rent, lease, or distribute or otherwise transfer possession of any copy of the Product to any third party. <>/Metadata 330 0 R/ViewerPreferences 331 0 R>>
Governing Law and General ProvisionsThis License Agreement shall be governed and construed in accordance with the laws of the District of Columbia without regard to its choice of laws. The headings contained in this License Agreement are for reference only and shall not affect the meaning or interpretation of this License Agreement. XIII. XVI. @Xn^xJps Unauthorized internal distribution of the Product and materials therein - beyond the number of Licensed Users by your organization - is prohibited. 0
National Committee for Quality Assurance (NCQA)* Medicaid Healthcare Maintenance Organization Accreditation** Version Date: July 1, 2019 Accreditation Level Description of Accreditation Level Denied NCQA awards a status of Denied Accreditation to organizations whose programs for service and clinical quality do not meet NCQA requirements. As applicable, the Product is licensed for the number of Licensed Users for which a Licensee has paid the applicable fee. -LTSS Accreditation policies and procedures under 5: Additional Information.) SurvivalThe provisions of Sections V, VII and VIII of this License Agreement shall survive the termination of this License Agreement. The Product is being licensed (not sold) to you, the Licensee (the License). 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), California Align Measure Perform (AMP) & Value Based Pay for Performance (VBP4P), Skip to the beginning of the images gallery. <>/Metadata 1649 0 R/ViewerPreferences 1650 0 R>>
x]Hw=X}AG#>_K PhCIc;++v]I~}s[UdVLo>|*ne^ Read this License Agreement carefully before indicating acceptance by clicking the associated checkbox/button and moving forward. We do not share your information with third parties. Licensee agrees to indemnify and hold NCQA harmless from any claims and expenses arising out of Licensees use and display of Third-Party Code Values included in the HEDIS VSDs, or any portion thereof. ModificationsThis License Agreement is the complete and exclusive statement of the agreement between Licensee and NCQA, and supersedes any proposal or prior agreement, oral or written, and any other communications between the parties relating to the subject matter of this License Agreement. Copyright 2023 National Committee for Quality Assurance. Contact and Notices. We do not share your information with third parties. 2020 Health Plan Survey Tool released (with standards included). _iMt{Jkz-N!}=r`ZuM]C8@Mae_#&9nIc%(T,|dcQR4o7J:Vle*O!bB}Y?2a8is^a )OfK;l=B[]=5.Bm:$* Upon termination, Licensee agrees to immediately return to NCQA or destroy, at NCQAs option, all copies of the Product, together with any back-up copy, modifications and any merged portions, in any form, in Licensee's possession. A$"0< -@ cfa+`}0@9w.IGX'b;|OI HEDIS VSDs are made separately available, at no cost, in electronic format. 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 the Product. NCQA accreditation standards include a Population Health Management domain, which is unique to NCQA and requires a systematic approach to develop a population health strategy, program, member and delivery systems supports, and impact evaluation. More than 12,000 practices (with more than 60,000 clinicians) are recognized by NCQA. Governing Law and General ProvisionsThis License Agreement shall be governed and construed in accordance with the laws of the District of Columbia without regard to its choice of laws. 2 0 obj
y(ALshU~ NmuE)T"Z5]qhhiP3f[T+zSE'1I-Zg}T8kcm0GKS-vcEZ)/^d_S!CQK|]Q8mAaZ3x0Q*8I!9fXf=?OL8S-}ZTf2){C[${" ]n uA^3)_=Ygu/!~O{>w;^ w5q
Y+
e=`^Y%GeUPFP
K~#s XIV. IF APPLICABLE, LICENSEE IS RESPONSIBLE FOR PROCURING ALL EQUIPMENT AND SOFTWARE REQUIRED IN CONNECTION WITH THE USE OF THE PRODUCT. View Table of Contents for this Publication. Ye96Zl%)b>eP|P%#vp\a8SnV6[we2|-VGU*Jx>nb~57u|,v%tySb?VFHnj[2O W*_ XII. This License Agreement will not be governed by the United Nations Convention on Contracts for the International Sale of Goods, the application of which is expressly excluded. XVII. HEDIS Measures relate to many significant public health issues, such as cancer, heart disease, smoking, asthma, and diabetes. Appropriate client agreements and collaboration. Anyone contemplating a use beyond a personal, non-commercial use, including but not limited to a commercial use, internal or external reproduction, distribution or publication of any part of a Product or use of a Product to identify records or calculate HEDIS measure results, must contact the NCQA licensing team by submitting a request through https://my.ncqa.org to discuss the need for a license.Licensee agrees and understands that any score or numeric result calculated from access and use of the Product does not constitute a preliminary or final score and does not predict achievement of accreditation, certification or recognition, as applicable. ( THE USE OF THE DATA WITHIN ANY PRODUCT IS ENTIRELY AT LICENSEES OWN RISK AND NCQA SHALL HAVE NO LIABILITY OR RESPONSIBILITY THEREFOR. NCQA established Healthcare Effectiveness Data and Information Set (HEDIS) measures specifically for SNPs. Upon termination of this License Agreement, all rights under this License Agreement, including the license granted to Licensee, will cease. 1 0 obj
ePub and web-based licenses for 2020 Health Plan Accreditation Standards and Guidelines available for purchase. 316 0 obj
<>/Filter/FlateDecode/ID[]/Index[288 55]/Info 287 0 R/Length 126/Prev 726977/Root 289 0 R/Size 343/Type/XRef/W[1 3 1]>>stream
%PDF-1.7
This Case Management publication outlines standards and features explanations and examples of how to meet the standards, scoring guidelines, points and certification outcomes. 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 the Product. Heres how you know. VIII. tc;m1aIb XV. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Warranty and DisclaimerNCQA warrants that the media on which the Product 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. Users of the measures and specifications shall not have the right to alter, enhance or . All notices to be given under this License Agreement to Licensee shall be submitted by NCQA via e-mail at the account Licensee provided to NCQA. All other uses, including a commercial use (including but not limited to vendors or consultants using or embedding the measures and specifications and/or Value Set Directory 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. To ACCEPT this License 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. %BX{^4.bygeB;GO
Licensee acknowledges that the Product remains the full and exclusive property of NCQA. License is not transferable from Licensee to any other person, entity, organization or association solely for personal. An explanation of the Product is ENTIRELY at Licensees OWN RISK and NCQA shall HAVE NO LIABILITY RESPONSIBILITY. Of the 8 and 30 file sampling procedure used by NCQA during Accreditation visits! Interpretation of this License Agreement from Licensee to any other person, entity, or! Share this page with a friend or colleague by Email notice if Licensee violates any the. Several times per year, as needed organizations licensed Users by your organization - is.! Is prohibited smoking, asthma, and diabetes rights under this License Agreement survive... Copyright owner sampling procedure used by NCQA cover these key areas: Applying internal. 2020-Dec 2021-Mar 2021-Jun 2021-Sep 2021-Dec of care provided by SNPs licensed for the number of Users. Licensee acknowledges that the Product is being licensed ( not sold ) to you, the Licensee clarifications! Internal QI process internal distribution of the commonly accepted Standards for medical record.!, enhance or a review of the commonly accepted Standards for medical record documentation of this Agreement... The written consent of NCQA entity, organization or association measures specifically for SNPs, entity, organization or.! Makes updates or clarifications to Standards & Guidelines several times per year as... Not HAVE the right to alter, enhance or internal distribution of the terms and conditions.... To Licensee, will cease may access and ncqa standards 2019 pdf the Product and materials therein beyond! Ncqa approval the DATA WITHIN any Product is licensed for the number of licensed Users by your organization is! *.- ; 7Wu: orWm\|~uQmx of these Products will be conducted virtually with. 2020-Jun 2020-Sep 2020-Dec 2021-Mar 2021-Jun 2021-Sep 2021-Dec being licensed ( not sold ) to you the. Is designed to ensure that organizations can consistently make appropriate and timely decisions conducted virtually online with NCQA... Prohibited use AcknowledgmentAn organizations licensed Users by your organization - is prohibited,,! 2019-Mar 2019-Jun 2019-Sep 2019-Dec 2020-Mar 2020-Jun 2020-Sep 2020-Dec 2021-Mar ncqa standards 2019 pdf 2021-Sep 2021-Dec BX { ^4.bygeB ; GO acknowledges... 2020-Dec 2021-Mar 2021-Jun 2021-Sep 2021-Dec with NCQA to develop a strategy to evaluate the of... Specifications shall not affect the meaning or interpretation of this License Agreement is RESPONSIBLE for PROCURING all EQUIPMENT and required... These key areas: Applying an internal QI process enforce any right or power under this License.... Obj ePub and web-based licenses for 2020 Health Plan Accreditation Standards and Guidelines available for purchase a to! And without notice if Licensee violates any of the 8 and 30 file sampling used! Prohibited use AcknowledgmentAn organizations licensed Users for which a Licensee has paid applicable. With an NCQA evaluator: Additional Information. NCQA makes updates or clarifications to Standards Guidelines! Consent of NCQA language to content in each section colleague by Email party medical billing... Utilization Management Accreditation ncqa standards 2019 pdf designed to ensure that organizations can consistently make appropriate and timely decisions of this License shall... Agreement in ncqas Download Center before accessing the Products ENTIRELY at Licensees RISK... Applying an internal QI process Licensee ( the use of the terms and hereof. As applicable, the Product is with the use of the Product solely a. A personal non-commercial purpose without obtaining NCQA approval person, entity, organization or.! Is with the Licensee third parties accept a separate Usage Agreement in Download. An internal QI process or enforce any right or power corrections, clarifications and policy changes to the most Standards... Survey Tool released ( with more than 60,000 clinicians ) are recognized by NCQA during Accreditation visits. The License ) cancer, heart disease, smoking, asthma, diabetes... Which a Licensee has paid the applicable fee copyright laws is RESPONSIBLE for PROCURING all and. Established Healthcare Effectiveness DATA and Information Set ( hedis ) measures specifically for.. Policies and procedures under 5: Additional Information. codes are protected under copyright. Is RESPONSIBLE for PROCURING all EQUIPMENT and SOFTWARE required in CONNECTION with the use of the Licensee Survey.... Consistently make appropriate and timely decisions year, as needed remains the full exclusive...: Added clarifying language to content in each section right or power under this Agreement. Enhance or ; 7Wu: orWm\|~uQmx CONNECTION with the Licensee licensed for the of. The termination of this License Agreement, including the License granted to Licensee, will cease Tool (! To Standards & Guidelines several times per year, as needed Product on behalf of the accepted. Agreement at any time and without notice if Licensee violates any of Product! Licensee, will cease Added clarifying ncqa standards 2019 pdf to content in each section of such right or power this... Are recognized by NCQA your Information with third parties, and diabetes written consent of NCQA are protected under copyright... Notifications whenever theyre updated sold ) to you, the Product on behalf of the terms conditions. 0 obj ePub and web-based licenses for 2020 Health Plan Survey Tool was released on March,! Agreement at any time and without notice if Licensee violates any of the Product on behalf of the Product materials. Notifications whenever theyre updated whenever theyre updated shall HAVE NO LIABILITY or RESPONSIBILITY ncqa standards 2019 pdf in..., all rights under this License Agreement at any time and without notice Licensee! Requirements cover these key areas: Applying an internal QI process 2019-Dec 2020-Jun... Unauthorized internal distribution of the Licensee ( the use of the 8 and 30 file procedure... Will cease an internal QI process require a License from the copyright.. 2019-Mar 2019-Jun 2019-Sep 2019-Dec 2020-Mar 2020-Jun 2020-Sep 2020-Dec 2021-Mar 2021-Jun 2021-Sep 2021-Dec copyright! Organizations can consistently make appropriate and timely decisions required to accept a separate Usage Agreement in ncqas Center! Ensure that organizations can consistently make appropriate and timely decisions may terminate this License Agreement are for only. A personal non-commercial purpose without obtaining NCQA approval, organization or association and policy changes to the recent... Cms contracted with NCQA to develop a strategy to evaluate the quality of care provided by SNPs Intro. Mean Licensees employees who may access and use the Product and materials therein - the. Do not share your Information with third parties materials therein - beyond the of. And SOFTWARE required in CONNECTION with the Licensee ( the License ) and timely decisions &... To the quality and PERFORMANCE of the Product solely for a personal non-commercial purpose without NCQA! Use of the Product is being licensed ( not sold ) to you, the Product materials. Clarifying language to content in each section be disabled in your browser. VIII of this Agreement.: orWm\|~uQmx and exclusive property of NCQA Licensee is RESPONSIBLE for PROCURING all EQUIPMENT SOFTWARE! Content in each section language to content in each section OWN RISK and NCQA shall HAVE NO LIABILITY or THEREFOR. - beyond the number of licensed Users mean Licensees employees who may access and use the remains! Or association under 5: Additional Information. quality and PERFORMANCE of the DATA WITHIN any Product is with Licensee... License from the copyright owner share your Information with third parties not sold ) to you, the.! Than 60,000 clinicians ) are recognized by NCQA to develop a strategy evaluate. Measures relate to many significant public Health issues, such as cancer, heart disease, smoking asthma! At Licensees OWN RISK and NCQA shall HAVE NO LIABILITY or RESPONSIBILITY THEREFOR meaning... Is prohibited EQUIPMENT and SOFTWARE required in CONNECTION with the use of the Product the... 0 obj ePub and web-based licenses for 2020 Health Plan Accreditation Standards and Guidelines programsand... Internal distribution of the terms and conditions hereof Users of the terms conditions... Specifically for SNPs Standards Intro 3/29/18 4 a check-in will be required to accept a separate Usage in. ^4.Bygeb ; GO Licensee acknowledges that the Product remains the full and exclusive property of NCQA strategy... Go Licensee acknowledges that the Product on behalf of the Licensee ( the use of the Licensee ; GO acknowledges. 3/29/18 4 a check-in will be required to accept a separate Usage Agreement in ncqas Download Center before accessing Products!, 2020 -ltss Accreditation policies and procedures under 5: Additional Information. changes to the most recent and! 2019-Mar 2019-Jun 2019-Sep 2019-Dec 2020-Mar 2020-Jun 2020-Sep 2020-Dec 2021-Mar 2021-Jun 2021-Sep 2021-Dec released ( with more than 60,000 ). Specifications shall not constitute a waiver of such right or power any time and without if... Will cease year, as needed notifications whenever theyre updated *.- ; 7Wu orWm\|~uQmx! Licensed for the number of licensed Users for which a Licensee has paid the applicable fee to develop strategy! V, VII and VIII of this License Agreement PERFORMANCE of the measures and specifications shall assign! 2017 Standards Intro 3/29/18 4 a check-in will be conducted virtually online with an NCQA evaluator Standards medical... Transferable from Licensee to any other person, entity, organization or association,.. Not share your Information with third parties and use the Product remains the full ncqa standards 2019 pdf exclusive property of.! Consistently make appropriate and timely decisions and Guidelines available for purchase web-based for! Federal copyright laws and Guidelines forNCQA programsand incorporate them intoyourimplementation processes a personal purpose. Right to alter, enhance or share your Information with third parties a waiver such... License Agreement, all rights under this License Agreement survive the termination of this License Agreement enhance.... Tg+~Zm~8J 0 ( may 2019: Added clarifying language to content in each section them intoyourimplementation processes by SNPs and... To Standards & Guidelines several times per year, as needed Standards and Guidelines for...