HEDIS Reporting Clause Samples
The HEDIS Reporting clause establishes requirements for the collection and submission of healthcare data according to the Healthcare Effectiveness Data and Information Set (HEDIS) standards. It typically obligates healthcare providers or organizations to gather specific performance metrics, such as patient outcomes or service utilization, and report them to a designated entity or regulatory body within set timeframes. This clause ensures standardized measurement and reporting of healthcare quality, enabling benchmarking, regulatory compliance, and informed decision-making by stakeholders.
HEDIS Reporting. The Parties agree that they will negotiate in good faith to develop the specifications on the reporting of HEDIS data that meets federal and programmatic requirements. Any subsequent requirements leading to actual data reporting will be handled through an amendment of this Agreement.
HEDIS Reporting. The MCO must report unaudited HEDIS measures to BMS annually by June 15. While a HEDIS audit is not required, if the MCO chooses to perform a HEDIS audit, the audited results should be submitted to BMS upon receipt from NCQA. BMS will provide guidance to MCOs regarding which measures should be reported, according to the current version of HEDIS.
HEDIS Reporting. Contractor shall provide the State with access to the Quality Intelligence Suite and the Application Services required to enable the State to perform HEDIS® reporting, as further set forth herein. Contractor shall maintain certification for the Quality Intelligence Suite for all certifiable measures.
HEDIS Reporting. This Statement of Work covers the activities for the provision of services to enable NCQA HEDIS® reporting. The Contractor has agreed to provide State with the business information processing and related services (“Services”) set forth below. The Contractor will provide State internet access to the following software modules: • Quality Intelligence The Contractor’s Standard support hours are 8:00am – 5:00pm Central Time, Monday through Friday. For support outside Standard support hours, specific arrangements for after-hours support must be made by State with the Contractor a minimum of forty-eight (48) hours in advance of the support being conducted. The Contractor will inform State in advance when a specific request for service requires support outside of the standard support hours. Services available via: Email – ▇▇▇▇▇-▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ Phone – ▇▇▇.▇▇▇.▇▇▇▇
HEDIS Reporting. PBHC shall provide to each HMO Subsidiary HEDIS reports as required by applicable law or as an HMO Subsidiary may reasonably request. PBHC shall maintain records as necessary to support such HEDIS reports and shall make such records available to the HMO Subsidiaries for audit.
HEDIS Reporting. 56 (b) Physical Health....................................................................................56 (c) Behavioral Health..................................................................................56 Section 17.05 Focused Studies Reports..........................................................................56 Section 17.06 Annual Quality Improvement Plan (QIP) Summary Report.............................................56 Section 17.07
HEDIS Reporting. The Contractor shall be responsible for activities as follows:
1. Maintain certification for its HEDIS® software for all certifiable measures.
2. Provide requested professional services as required by State during normal business hours as stated in Section IV.
HEDIS Reporting. APS shall provide to each HMO Subsidiary HEDIS reports as required by applicable law or as an HMO Subsidiary may reasonably request. APS shall maintain records as necessary to support such HEDIS reports and shall make such records available to the HMO Subsidiaries for audit.