0000043814 00000 n 0000310669 00000 n 58 61 NCQA warrants that the media on which HEDIS Volume 2 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. 0000004280 00000 n 0000109048 00000 n Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment. 0000042845 00000 n 0000311633 00000 n hb```B ce`aB-G_PG 0000043182 00000 n 0000009238 00000 n 0000043726 00000 n 0000013780 00000 n %PDF-1.5 % 0000033334 00000 n 0000106009 00000 n Upon termination, Licensee agrees to immediately return to NCQA or destroy, at NCQAs option, all copies of HEDIS Volume 2, together with any back-up copy, modifications and any merged portions, in any form, in Licensee's possession. 0000106153 00000 n A Licensed User must be using HEDIS Volume 2 under the License and solely on behalf of the Licensee. %%EOF 0000313191 00000 n %%EOF NEITHER PARTY SHALL HAVE ANY LIABILITY FOR ANY INCIDENTAL, SPECIAL, CONSEQUENTIAL OR OTHER INDIRECT DAMAGES ARISING UNDER OR RELATED TO THIS AGREEMENT, WHETHER OR NOT THE PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. The License is limited subject to the following terms and conditions. hUoKZ1Y8\..gM - Pu2&R;"pI3%8N`9ql(u[a3~pP. The following activities are expressly prohibited in connection with the use of HEDIS Volume 2 under this Agreement: 1. %PDF-1.7 0000009453 00000 n L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. 0000016961 00000 n 0000032166 00000 n 0000012545 00000 n 2020 HEDIS Cheat Sheet Measure HEDIS Requirement Rendering Provider Needs to report W34 Well Child visits in ages 3-6 years of life Measures percentage of members 3 to 6 years of age who had one or more comprehensive well child visits with a PCP during the year. Licensee shall indemnify and hold harmless NCQA and its directors, officers and employees from and against any and all liability, loss, cost, expense (including reasonable attorney fees), damage, or claim (Losses), including any Losses asserted by third parties, in proportion to, and to the extent the Losses arise from / or relate to the Licensees breach of this Agreement. 0000011425 00000 n Most PDF readers are a free download. It is not intended to influence clinical and coding judgment. Rate 2: Two additional well-child visits 15 to 30 months. If a required measure has only Medicaid specifications, commercial organizations 0000012694 00000 n Updates on HEDIS Measures MY2022 . 0000043309 00000 n 0000013372 00000 n 0000034564 00000 n Order educational materials for your patients. 0000009093 00000 n 0000310217 00000 n 0000012368 00000 n trailer 0000311784 00000 n 0000042375 00000 n 0000009862 00000 n 0000040003 00000 n The individual accepting this Agreement on behalf of Licensee represents that by electronically signing this Agreement, the individual hereby binds the Licensee to the terms of this Agreement, and that such individual is an employee of Licensee and duly authorized to enter into and bind Licensee to the terms of this Agreement. NCQA SHALL HAVE NO LIABILITY FOR ANY DAMAGES RESULTING FROM USE OR INTERPRETATION OF THE LICENSED MEASURE SPECIFICATIONS OR HEDIS VSD, INCLUDING BUT NOT LIMITED TO THE IMPACT, PROVISION OR STANDARD OF MEDICAL CARE, WHETHER OR NOT NCQA HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. 0000010580 00000 n 0000004778 00000 n 8259 0 obj <> endobj 0000040760 00000 n Developed by the National Committee for Quality Assurance (NCQA), it is one of the most widely used set of health . 0000311155 00000 n 0000015577 00000 n Any breach of this Agreement 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. 0000002081 00000 n 0000033255 00000 n 0000313076 00000 n 0000038453 00000 n startxref The License is not transferable from Licensee to any other person, entity, organization or association. 0000042635 00000 n 0000001516 00000 n hV PSW}I~B!i `!VDEeSpIQEF-@YBUDm_tw&s9 @@8 @L.i f,2e#/]DHVjI41;k!hM'% ALqnEyWyyrR}w05(Z2|D 0000310375 00000 n 0000041623 00000 n T 0000001550 00000 n 0 All questions, comments or notices concerning this Agreement shall be submitted to NCQA by Licensee via email at my.NCQA.org or via mail at NCQA, Attention: Information Products, 1100 13th Street NW, Third Floor, Washington, DC 20005. endobj L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. 0000038514 00000 n 0000009834 00000 n 0000034562 00000 n Sole ownership rights to the Licensed Measure Specifications and any modifications, alterations or adjustments thereof reside with NCQA. LICENSEE IS RESPONSIBLE FOR PROCURING ALL EQUIPMENT AND SOFTWARE REQUIRED IN CONNECTION WITH THE USE OF HEDIS VOLUME 2. In effectuating its obligations hereunder, Licensee shall not consent to the entry of a judgment or otherwise settle any claim against NCQA, in which NCQA shall be obligated to make any admission of fault, liability or wrongdoing or otherwise involve any prejudice of its interests without the prior written consent of NCQA, which shall not be unreasonably withheld, delayed or conditioned. We created tip sheets to help you satisfy quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS) measures* from the National Committee for Quality Assurance (NCQA). 0000313326 00000 n 2021-2022 HEDIS and VBP TIP Sheet . 2022. In effectuating its obligations hereunder, the Licensee shall not consent to the entry of a judgment or otherwise settle any claim against NCQA, in which NCQA shall be obligated to make any admission of fault, liability or wrongdoing or otherwise involve any prejudice of its interests, without the prior written consent of NCQA, which shall not be unreasonably withheld, delayed or conditioned. BECAUSE SOME STATES OR JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR DAMAGES, THE ABOVE LIMITATIONS MAY NOT APPLY TO LICENSEE. hbbd```b`x"/I0yDHw`-R H2b;HWYH|&" 4H F ,{L `s?mm&F "3 0000010020 00000 n 0000029610 00000 n 0000007580 00000 n 0000034483 00000 n 0000037577 00000 n [ 0000043472 00000 n 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), Quality Compass 2023 (MY 2022) Commercial, Quality Compass 2023 (MY 2022) Exchange Data File, Quality Compass 2023 (MY 2022) Member Experience Data Set, California Align Measure Perform (AMP) & Value Based Pay for Performance (VBP4P), Skip to the beginning of the images gallery. 0000010761 00000 n 0000006884 00000 n All notices to be given under this Agreement to Licensee shall be submitted by NCQA via e-mail at the account Licensee provided to NCQA. 0000004991 00000 n 0000037990 00000 n 2022. with: Progress note with latest blood pressure reading taken in . xn0#eR;TUj!@iFQ;6t$-h4Lblp|FC''p6@b^{|K@i&!MBot&ji`Wix P)V(K+Yn*g^\(5%ha What is HEDIS? 0000044201 00000 n 0000011157 00000 n H\n0E For the best experience on our site, be sure to turn on Javascript in your browser. 0000042498 00000 n 0000029379 00000 n 0000037913 00000 n 0000041742 00000 n "R6!YV\#VAz\,E0Q{vrW7| In January to May of 2023, data for 2022 continues to be submitted along with Medical Record review for Hybrid measures and final HEDIS 2022 rates and results are reported. AWARE- California Medical Association Foundation: Physician Resources, HEDIS MY 2023 Hybrid Measure Quick Guide with Codes, HEDIS MY 2023 Hybrid Measure Pocket Guide, HEDIS MY 2023 Administrative Measure Quick Guide with Codes, HEDIS MY 2023 Chart Submission Requirements, QI Interventions Reported by Top Performing IPAs, How to access Provider Opportunity/Gaps in Care Reports, HEDIS Tip Sheet: Timeliness of Prenatal Care, Preventive Care Documentation Flyers for Providers, Timely Access to Care Suggested Interventions for IPAs, Timely Access to Care Oversight & Monitoring PPG Training, Timely Access to Care Oversight & Monitoring FAQ, Slide Deck: Moving the Needle on Member Satisfaction. 11. 2 0 obj 0000043858 00000 n Unauthorized internal distribution of the publication and materials thereinbeyond the number of users licensed by your organizationis prohibited. The adjusted measure specification may be used only for internal quality improvement purposes. We created tip sheets to help you satisfy quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS) measures* from the National Committee for Quality Assurance (NCQA). 0000006599 00000 n 0000029485 00000 n 58 0 obj <> endobj xref Use of the Marks shall inure to the benefit of NCQA. rates. Sentara Health Plans, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. Health Net - Coverage for Every Stage of Life | Health Net If any portion of this Agreement is determined by a court of competent jurisdiction or any appropriate legislature or governmental agency to be wholly or partially unenforceable, for any reason, such term shall be deemed to be modified to the minimum extent necessary to comply with such law, ruling or regulation, and the remainder of this Agreement shall not be affected thereby. 0000013099 00000 n 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 HEDIS Volume 2 does not constitute a preliminary or final score and does not predict achievement of accreditation, certification or recognition, as applicable. Optima Health is the trade name of Optima Health Plan, Optima Health Insurance Company, and Sentara Health Plans, Inc. Optima Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products, are issued and underwritten by Optima Health Plan. 0000052324 00000 n 0000015921 00000 n 0000033702 00000 n L.A. Care rewards high performing physicians for providing quality care to our members. 0000309339 00000 n Rate 1: Six or more well-child visits* 0 to 15 months. 0000042710 00000 n To view this file, you may need to install a PDF reader program. 0000019374 00000 n 0000004632 00000 n Helpful Hints NCQA and Licensee may be individually referred to as a Party, or collective, the Parties. 0000019994 00000 n 0000040259 00000 n 0000010923 00000 n 0000311299 00000 n 0000020999 00000 n 0000012426 00000 n Anyone contemplating a commercial use, or external reproduction, distribution or publication of any part of Volume 2, should not purchase HEDIS Volume 2 via the NCQA Store, and must contact the NCQA licensing teamto discuss the need for a license. Upon termination of this Agreement, all rights under this Agreement, including the License, will cease. 0000042542 00000 n HEDIS Measures A quick and easy reference containing the most current information, measure descriptions, and tips to help improve rates of compliance. 0000307514 00000 n 0000002956 00000 n Optima Health Medicare, Medicaid, and FAMIS programs are administered under agreements with Optima Health and the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance Services (DMAS). HEDIS MY 2022, Volume 2 HEDIS VOLUME 2 MY 2022 . 0000013020 00000 n trailer <<544F2374A80A4621986B17D4733DBC3A>]/Prev 388715>> startxref 0 %%EOF 118 0 obj <>stream These Third-Party Codes may be protected under federal copyright laws and are included in HEDIS Volume 2 with the permission of the copyright owners. 0000021645 00000 n 0000042208 00000 n The National Committee for Quality Assurance (NCQA) has changed, revised, and retired HEDIS for measurement year 2022. 0000306585 00000 n Any use of HEDIS Volume 2 to identify records or calculate HEDIS measure results, for example, requires a custom license and may necessitate certification pursuant to NCQAs Measure Certification Program. IMPORTANT: Are you enrolled in Medi-Cal? 0000308347 00000 n ' f it4A@! 0000037764 00000 n 0000042889 00000 n 0000135675 00000 n The report cards use a standard set of measures called the Healthcare Effectiveness Data and Information Set (HEDIS ).*. NCQA is an independent, nonprofit organization. 0000012711 00000 n View our frequently asked questions. Documentation in a standardized prenatal flow sheet, or; b. 0000032558 00000 n 0000092876 00000 n HEDIS MY 2022 includes 96 measures across 6 domains of care: Effectiveness of Care Access/Availability of Care Experience of Care Utilization and Risk Adjusted Utilization Health Plan Descriptive Information Measures Reported Using Electronic Clinical Data Systems How is HEDIS Data Collected? The site may also contain non-Medicare related information. 2127 87 0000004603 00000 n 0000039096 00000 n For the best experience on our site, be sure to turn on Javascript in your browser. 0000012962 00000 n View Table of Contents for this Publication. 0000009376 00000 n 0000027069 00000 n 0000021322 00000 n 0000027717 00000 n Any HEDIS Volume 2 and the Licensed Measure Specifications expressly exclude all third-party code values contained in the HEDIS VSD which are owned, licensed or otherwise provided by third parties and protected under federal copyright laws (Third-Party Codes). 0000041082 00000 n 0000007912 00000 n Help your patients with redetermination. 0000006410 00000 n 0000307344 00000 n With respect to any and all claims brought by a third party, Licensee shall promptly notify NCQA of such claim and the Licensee shall have the right, at its sole discretion, to defend and control any action or proceeding with respect to such claim. %PDF-1.6 % For example, 2022 claims, encounters, and other HEDIS data are submitted throughout 2022. Failure to insist on strict performance of any term of this Agreement will not operate as a waiver of any subsequent default or failure of performance. 0000043174 00000 n 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 HEDIS Volume 2. Nothing in this Agreement shall grant, or shall be deemed to grant, to Licensee a right or license to use, reproduce, distribute, incorporate or display the Third-Party Codes. The HEDIS VSD is made available for customers that purchase a license for HEDIS Volume 2 from NCQA. 0000307059 00000 n This new site may be offered by a vendor or an independent third party. 1371 0 obj <>/Filter/FlateDecode/ID[<7F9DDD8800BFEE4C9404AE52E016A647><02E18FF8926EFD40AEA58E0129A180D3>]/Index[1349 36]/Info 1348 0 R/Length 110/Prev 309529/Root 1350 0 R/Size 1385/Type/XRef/W[1 3 1]>>stream 0000031213 00000 n This information sheet is accurate as of the date it is published but may change as HEDIS measures are updated or based on other factors. 0000043593 00000 n 0000036980 00000 n 0000011027 00000 n As a result, HEDIS is the ultimate measurable tool to evaluate provider's performance and quality of care. All other uses, including a commercial use (including but not limited to vendors or consultants using or embedding the measures and specifications and/or HEDIS VSD 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. NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows: 1.1 Licensed Measure Specifications shall mean NCQAs HEDIS measures and specifications and HEDIS CAHPS survey measures and specifications detailed in HEDIS Volume 2 (including the Rules), subject to payment of any related fees. 0000032947 00000 n Commercial specifications should be followed for all required HEDIS 2022 and QARR 2022 NYS-specific measures. Women 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) testing performed between 2018-2022. . View our FAQs. HEDIS is a set of standardized measures that specifies how organizations collect, audit and report performance information across the most pressing clinical areas, as well as important dimensions of customer satisfaction and patient experience. 0000312555 00000 n Below is a summary of some of the key changes to be aware of: Diabetes measures. All Optima Health plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. 0000041498 00000 n 2022. 0000306723 00000 n 0000000016 00000 n 0000043130 00000 n 0000312251 00000 n hb```b``e`c` @1v %M0-en{B)"p.1*'Y>Me}E;)2&u_hvO4Wu)4/Q%fV![\AE:-Trdc %%EOF 0000009093 00000 n 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 HEDIS Volume 2. 0000011272 00000 n 0000310045 00000 n 0000038002 00000 n NCQA updated telehealth guidance in 40 HEDIS measures for HEDIS MYs 2020 and 2021. endstream endobj startxref 0000014908 00000 n THE ENTIRE RISK AS TO THE QUALITY AND PERFORMANCE OF HEDIS VOLUME 2 IS WITH THE LICENSEE. vital signs log in . As a part of L. A. Care's initiative to improve quality of care to our members, these HEDIS (Healthcare Effectiveness Data and Information Set) reference guides for selected priority HEDIS measures are designed to help your practice provide the best quality care, in alignment with the HEDIS standards as well as with evidence-based clinical practice guidelines. 4 0 obj 0000033741 00000 n digital device in . 0000310525 00000 n 0000004537 00000 n 0000042667 00000 n 1384 0 obj <>stream Read this Agreement carefully before indicating acceptance by clicking the associated checkbox/button and moving forward. endobj 0000309871 00000 n endobj 0000014362 00000 n 0000043353 00000 n To ACCEPT this 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. oaoNNg. %PDF-1.6 % Copyright 2023 National Committee for Quality Assurance. 0000041544 00000 n More than 90 percent of America's health plans use HEDIS to evaluate performance. 0000010484 00000 n 0000006654 00000 n Except where noted, the tip sheets include measure requirementsfor all our members including,all fully-insured PPO, Blue Choice PPOSMand HMO, Blue Cross Community Health PlansSM(BCCHPSM), Blue Cross Community MMAI (Medicare-Medicaid Plan)SMand Medicare Advantage members(unless otherwise specified). 8314 0 obj <>stream 0000033357 00000 n 0000056729 00000 n Sign up for or check out past quality improvement webinars on topics ranging from diabetes care to data submission. 0000044158 00000 n 0000004308 00000 n 0000012573 00000 n All other uses, including a commercial use (including but not limited to vendors using or embedding the measures and specifications and/or HEDIS VSD into any product or service to calculate measure results for customers for any purpose) and/or any 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. In addition, some sites may require you to agree to their terms of use and privacy policy. 0000043549 00000 n Relevant records as used in this paragraph shall include all computer systems; software products; and print and electronic books and records. This Agreement represents the complete agreement between the Parties concerning its subject matter and shall supersede all other agreements, whether written or oral, with respect to such subject matter, other than any nondisclosure or similar agreement, which shall remain in full force and effect. 0000033025 00000 n 0000039652 00000 n MEASUREDESCRIPTION OF MEASUREDOCUMENTATION TIPSCOMPLIANCE CODES & MEASURE TIPS Prevention and Screening Cervical Cancer Screening (CCS)* Controlling High Blood 18 - 85 yrs. 0000002775 00000 n 0000007623 00000 n Refer to your state's guidance for payment details and telehealth regulations. The HEDIS VSD is published as part of HEDIS Volume 2 and contains Third-Party Codes, including without limitation CPT by American Medical Association, LOINC by Regenstrief Institute, Inc., SNOMED CT by the International Health Terminology Standards Development Organisation, RxNorm by the U.S. National Library of Medicine and Uniform Billing Codes by the American Hospital Association. 0000003724 00000 n 0000042754 00000 n HEDIS Volume 2 and the Licensed Measure Specifications expressly exclude all third-party code . 0000310823 00000 n NCQA has recommended 5 HEDIS measures be included beginning MY2022 with expectations to expand across a minimum of 15 measures by MY2024. HEDIS MY 2022 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2022 General Guidelines for Data Collection and Reporting 0000041066 00000 n HEDISThe Healthcare Effectiveness Data and Information Set (HEDIS) is a registered trademark of NCQA. <> 0000011749 00000 n 0000036187 00000 n B,2I#QayB\*@. 7nuT.,qUN^UNws}a9z6^.WU'_, rQTULzX{3yq\9$`IKz128~LVPwZZ8/8}W6!e2=M!\K!;.^)`'>F=D;D5L>5PfOTx) THE LIABILITY OF EITHER PARTY TO THE OTHER PARTY ARISING UNDER THIS AGREEMENT WHETHER IN CONTRACT, TORT, OR OTHERWISE SHALL BE LIMITED TO ACTUAL AND DIRECT DAMAGES. We have a number of tools to help you boost HEDIS rates and increase your P4P award. fz4cFb'98}1m'Gv{YMvEH_Wma}hn'a^`lwZwRis-^sQF6'[ZR)kH6fW=gpO'/ n &a)^y`_O~~$H67XIkxz}qk7^UXYlP!Fc#jxw!W(E_4CvF4DnL))Tz2R8./SiV5,hKkO(|Q_Y{IWYj&Yp\2/3%XhWtt0E{At5n6E'>loT%/$[s7 ]c9~G 0000010194 00000 n 0000002338 00000 n IN NO EVENT WILL NCQA'S TOTAL LIABILITY FOR ANY DIRECT DAMAGES RESULTING FROM ANY CLAIMS, DEMANDS OR ACTIONS ARISING OUT OF OR RELATING TO HEDIS VOLUME 2 OR ANY PART THEREOF, OR THIS AGREEMENT, EXCEED THE PRICE PAID FOR HEDIS VOLUME 2, WHETHER SUCH LIABILITY ARISES FROM ANY CLAIM BASED ON CONTRACT, WARRANTY, TORT OR OTHERWISE. 0000064508 00000 n 0000000016 00000 n 0000011383 00000 n 0000042977 00000 n Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, Adult Access to Preventive/Ambulatory Health Services, Annual Dental Visit for Children and Adolescents, Appropriate Testing for Children with Pharyngitis, Appropriate Treatment for Upper Respiratory Infection, Kidney Health Evaluation for Patient with Diabetes, Use of Spirometry Testing in Assessing and Diagnosing COPD, Diabetes Screening forPeople with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications, Follow-Up After Emergency Department Visit for Substance Use, Follow-Up After Emergency Department Visit for Mental Illness, Follow Up After Hospitalization for Mental Illness, Follow-Up Care for Children Prescribed ADHD Medication, Initiation and Engagementof Substance Use DisorderTreatment, Metabolic Monitoring for Children and Adolescents on Antipsychotics, Social Need Screening and Intervention (SNS-E). Give your county office your updated contact information so you can stay enrolled. %PDF-1.6 % 0000008197 00000 n h1 04,n\GMyC. 0000014954 00000 n xref Apr 1, 2022 Administrative. 0000043989 00000 n 0000016662 00000 n A list of potential measures for initial stratification in MY2022 are as follows: Controlling High Blood Pressure (CBP) Comprehensive Diabetes Care (CDC) Antidepressant Medication Management (AMM) HEDIS Volume 2 is licensed for the number of Licensed Users for which a Licensee has paid the applicable fee. 0000004679 00000 n bfLZiPnBFAJ@9KN2kl>xnxX:+spU||)p?@enq-}\pyPRaex6W~)(Ix/]fFxP0 0000039848 00000 n Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). HEDIS is the gold standard in health care performance measurement, used by more than 90 percent of the nation's health plans and many leading employers and regulators. 0000022782 00000 n 0000003478 00000 n st francis catholic church mass schedule,