Every year the National Committee for Quality Assurance (NCQA) updates and makes changes to the Healthcare Effectiveness Data and Information Set (HEDIS) measures. It is known that the HEDIS measure is one of the most widely used health care performance improvement tool utilized in the United States with more than 90 measures and 6 domains. Since it’s the new year, let’s take some time to review some of the deadlines for HEDIS during the first part of 2020.
January 2020 – The NCQA will release the 2020 Online Healthcare Organization Questionnaire (HOQ) for health plans to request and update submissions. Additionally the auditors will complete the Consumer Assessment of Healthcare Providers and Systems (CAHPA) survey sample frame validation in the HOQ by the end of the month, January 31, 2020.
February 2020 – Health plans to finalize commercial, exchange, Medicaid and medicare HOQ requests to obtain access to the Interactive Data Submission System (IDSS) and submission IDs for HEDIS 1 and CAHPS 2 on February 14, 2020.
April 2020 – NCQA will release the 2020 Interactive Data Submission System for data loading and validation. The submission IDs for survey measures are distributed to NCQA certified survey vendors.
May 2020 – The NCQA conditions for public reporting letter will be sent to the primary and secondary HEDIS contacts. The letter will include the rules used for displaying data in the public reporting programs, such as the Health Plan ratings. NCQA certified survey vendors will begin their submission of commercial and Medicaid CAHPS member level data files. Additionally, Health Plan ratings plan confirmation will process will begin for commercial, Medicaid, and Medicare. Plans must verify the information that will be used to determine how their organization is displayed in the ratings.
June 2020 – The commercial and Medicaid CAHPS survey results will be available for download in the IDSS. The IDSS plan lock must be applied for all the commercial, exchange, Medicaid, and Medicare audited submissions on June 1, 2020 to ensure that auditors have enough time to validate the health plan results. Additionally, the Centers for Medicaid and Medicare requires patient-level-detail file validation for Medicare submissions this month. Organizations must submit the files to CMS vendor by June 15, 2020. The final health plan submission for commercial, exchange, Medicaid, and Medicare HEDIS results into IDSS is also by June 15, 2020. All attestations must also be submitted by June 15, 2020 and the last day for IDSS resubmission requests for data and attestations will be June 30, 2020.
This is the timeline to look forward to with the HEDIS measures for the first part of 2020. Reach out to Hedis Nurses if you need any assistance with your HEDIS needs. Give us a call at (877) 328-2343 today to see how we can help you with a successful HEDIS year!