Common use of Required Program Reports Clause in Contracts

Required Program Reports. A. Clinical Indicator Data‌ 1. The Contractor must report clinical indicator data in accordance with the specific HEDIS measures developed for Medicare Advantage Special Needs Plans (SNPs) by the National Commission on Quality Assurance (NCQA), to the extent they are relevant to the SCO population. 2. For calendar year 2009, the following HEDIS measures must be collected according to HEDIS specifications, and reported to EOHHS on the same time schedule required by CMS. a. Glaucoma Screening for Older Adults; b. Use of Spirometry Testing in the Assessment and Diagnosis of COPD; c. Persistence of Beta Blocker Treatment after a Heart Attack; d. Osteoporosis Management in Older Women; e. Antidepressant Medication Management; f. Follow-up After Hospitalization for Mental Illness; g. Annual Monitoring for Patients on Persistent Medication; h. Potentially Harmful Drug-Disease Interactions; i. Use of High-Risk Medication in the Elderly; and j. Board Certification.

Required Program Reports. A. Clinical Indicator Data‌Data 1. The Contractor must report clinical indicator data in accordance with the specific HEDIS measures developed for Medicare Advantage Special Needs Plans (SNPs) by the National Commission on Quality Assurance (NCQA), to the extent they are relevant to the SCO population. 2. For calendar year 2009, the The following HEDIS measures must be collected according to HEDIS specifications, and reported to EOHHS on the same time schedule required by CMS. a. Glaucoma Screening for Older Adults; b. Use of Spirometry Testing in the Assessment and Diagnosis of COPD; c. Persistence of Beta Blocker Treatment after a Heart Attack; d. Osteoporosis Management in Older Women; e. Antidepressant Medication Management; f. Follow-up After Hospitalization for Mental Illness; g. Annual Monitoring for Patients on Persistent Medication; h. Potentially Harmful Drug-Disease Interactions; i. Use of High-Risk Medication in the Elderly; and j. Board Certification.