2 0 obj Copyright Notice RequiredThe Product contains proprietary and copyrighted information and notice to that effect must appear on all authorized copies of the Product made by Licensee under this License Agreement. 2019-Mar 2019-Jun 2019-Sep 2019-Dec 2020-Mar 2020-Jun 2020-Sep 2020-Dec 2021-Mar 2021-Jun 2021-Sep 2021-Dec . 342 0 obj <>stream III. XVII. SurvivalThe provisions of Sections V, VII and VIII of this License Agreement shall survive the termination of this License Agreement. Share this page with a friend or colleague by Email. Official websites use .govA For the best experience on our site, be sure to turn on Javascript in your browser. NCQA DISCLAIMS WARRANTIES OF SEQUENCE, ACCURACY AND COMPLETENESS OF DATA. and Scoring NCQA Requirements Additional NCQA Guidance ; PHM 2 Element A; To fully meet the criteria the organization must meet 3-7 factors. The individual accepting this License Agreement on behalf of Licensee represents that by electronically signing this License Agreement, the individual hereby binds the Licensee to the terms of this License Agreement, and that such individual is an employee of Licensee and duly authorized to enter into and bind Licensee to the terms of this License Agreement. <> IX. 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 THE PRODUCT OR ANY PART THEREOF, OR THIS LICENSE AGREEMENT, EXCEED THE PRICE PAID FOR THE PRODUCT, WHETHER SUCH LIABILITY ARISES FROM ANY CLAIM BASED ON CONTRACT, WARRANTY, TORT OR OTHERWISE. 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. We anticipate, in 2019, further state legislative action to ensure health plans meet requisite standards for hospital-based physician network adequacy. NCQA Accreditation: MCOs are required to be accredited, which necessitates continuous analysis of opportunities to improve coordination of care. 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). 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. lock Licensee acknowledges and agrees that it is responsible for obtaining a license directly from the copyright owner of each of the Third-Party Code Values, if required. h\AN@E27dRTQbQB*=vX{r$e K8Z+*;e_?St*[|e[o-;/6MpnC\Hdy rL|LIr2e_D,F1+^1W+s N$oK)R493{py #xtV>zxk13No9:C_ eH__C/WpGOav4 Access . 2008 NCQA launched the first PCMH Recognition program, 2011/ 2014 NCQA raised the bar with updates to PCMH Recognition. 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. ePub and web-based licenses for 2020 Health Plan Accreditation Standards and Guidelines available for purchase. The individual accepting this License Agreement on behalf of Licensee represents that by electronically signing this License Agreement, the individual hereby binds the Licensee to the terms of this License Agreement, and that such individual is an employee of Licensee and duly authorized to enter into and bind Licensee to the terms of this License Agreement. XVII. 2019 National Kidney Foundation Page | 6 spending in 2016 on both CKD and ESRD was over $114 billion, comprising 23% of total Medicare fee-for-service spending overall with costs increasing exponentially with advancing CKD (Saran, 2019; Golestaneh, 2017). As applicable, the Product is licensed for the number of Licensed Users for which a Licensee has paid the applicable fee. NCQA Utilization Management Accreditation evaluates organizations performing full-scope utilization management services. 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. Share this page with a friend or colleague by Email. A Licensed User must be using the Product under the License and solely on behalf of the Licensee. NCQA established Healthcare Effectiveness Data and Information Set (HEDIS) measures specifically for SNPs. Prohibited Use AcknowledgmentAn organizations Licensed Users may use the Product solely for a personal non-commercial purpose without obtaining NCQA approval. If the military hospital or clinic can't get you an appointment with your primary care manager within the access standards (within 24 hours - 1 day), they will get you an appointment with another provider. 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. A PDF reader is . 3.0 : May 2019 . SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OF IMPLIED WARRANTIES OR LIMITATIONS ON HOW LONG IMPLIED WARRANTIES MAY LAST, SO THE ABOVE LIMITATIONS AND EXCLUSIONS MAY NOT APPLY TO YOU. The 2020 Health Plan Accreditation Standards and Guidelines were released on July 29, 2019. %%EOF NCQAs failure to exercise or enforce any right or power under this License Agreement shall not constitute a waiver of such right or power. Licensed Users mean Licensees employees who may access and use the Product on behalf of the Licensee. Users of these Products will be required to accept a separate Usage Agreement in NCQAs Download Center before accessing the Products. Upon accessing the Product, the Licensee is deemed to have accepted the license subject to the terms and conditions of this License Agreement. 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. 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. 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). The hard copy of the 2020 HP Standards and Guidelines was released on August 15, 2019. Focus areas to ensure high quality. Ye96Zl%)b>eP|P%#vp\a8SnV6[we2|-VGU*Jx>nb~57u|,v%tySb?VFHnj[2O W*_ <> endobj c_G[~rsHQ@"#A@tiTh ~?Ioh*dVSo(*(.. The Product is protected by applicable United States and foreign laws and treaties, including copyright laws and treaty provisions. A Licensed User must be using the Product under the License and solely on behalf of the Licensee. Unauthorized internal distribution of the Product and materials therein - beyond the number of Licensed Users by your organization - is prohibited. 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 THE PRODUCT OR ANY PART THEREOF, OR THIS LICENSE AGREEMENT, EXCEED THE PRICE PAID FOR THE PRODUCT, WHETHER SUCH LIABILITY ARISES FROM ANY CLAIM BASED ON CONTRACT, WARRANTY, TORT OR OTHERWISE. You will be prompted to log in to your NCQA account. The 2020 HP Survey Tool was released on March 30, 2020. (wXb&WjuYQJEQ5eadzT jh-&I8$8r1'5~67Ub3l8yG-!pv+zO'D-Zw_5#%Rx:D9G`/nRR>@|9t,"aRZU6 SBi8"?^B9H6-JX/lODx{&A:Gu{&mX|=Iq 3""}%m/2\u9t.qo*OeY},cRU\XJtNI\@2i: 2dcxhJ3sa64 3.0 : May 2019 Limitation of LiabilityIN NO EVENT WILL NCQA BE LIABLE FOR ANY CONSEQUENTIAL, PUNITIVE, SPECIAL, INCIDENTAL, EXEMPLARY, INDIRECT OR OTHER SIMILAR DAMAGES, INCLUDING, WITHOUT LIMITATION, LOSS OR INACCURACY OF DATA, LOSS OF BUSINESS OR LOSS OF PROFITS ARISING OUT OF THE USE OR INABILITY TO USE THE PRODUCT, EVEN IF NCQA HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, AND IN NO EVENT SHALL NCQA BE RESPONSIBLE FOR ANY CLAIMS OF THIRD PARTIES. Eligible organizations: Note: Members refers to membership of clients and organizations. NCQA's Patient-Centered Medical Home Recognition Program is the most widely adopted Patient-Centered Medical Home evaluation program in the country. Any use of the Product to identify records or calculate HEDIS measure results, for example, requires a custom license and may necessitate certification pursuant to NCQAs Measure Certification Program. New FAQs are posted on the 15 of every month(unless the 15 falls on a weekend). Warranty and DisclaimerNCQA warrants that the media on which the Product is furnished will be free of defects in materials and workmanship under normal use for a period of ninety (90) days from the date of purchase. Copyright 2023 National Committee for Quality Assurance. Licensee acknowledges that the Product remains the full and exclusive property of NCQA. Contact and Notices. Except for authorized Licensed Users, each person, entity, organization or association, including agents and consultants of the Licensee, is required to separately purchase a license to obtain and access the Product. tC7J%[ eP2kpkN(w,'l?l?~cSG&?huB[lxN_a{# lon1cfVy0; zk{ k%$hE%K)z).M]rHK |QlG'N|q6A,h$&' P Ppp &" G3(t@?RpbGE_P\z|=9 o'{x8cgI{UEIo@h|E B1|H_q9yErb42EO{sNH0' p-7GRE)B5#GkbK'@-N!O" 2hF2u\G'wM$hEUKb.]Vh>A6!AG. NCQA maintains adatabase of frequently asked questionsabout NCQA standards and interpretation of requirements. NCQA makes updates or clarifications to Standards & Guidelines several times per year, as needed. Updated language/content to align with standards changes : QDM 5.4 and CQL 1.3 . For the best experience on our site, be sure to turn on Javascript in your browser. Contact and NoticesShould Licensee have any questions about this License Agreement or the Product, please call NCQA at (202) 955-3500. THIS LIMITED WARRANTY GIVES YOU SPECIFIC LEGAL RIGHTS, AND YOU MAY ALSO HAVE OTHER RIGHTS THAT VARY FROM JURISDICTION TO JURISDICTION. For Value Set Directory (VSD) Downloads. tG+~zM~8j 0 ( The evaluator will assess the practice's progress towards recognition and provide immediate personalized feedback. 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. Copyright 2023 National Committee for Quality Assurance. Licensee may need additional software to use the Product, and NCQA is not responsible for such additional software. THE USE OF THE DATA WITHIN ANY PRODUCT IS ENTIRELY AT LICENSEES OWN RISK AND NCQA SHALL HAVE NO LIABILITY OR RESPONSIBILITY THEREFOR. Completeness of DATA required to accept a separate Usage Agreement in NCQAs Center. United States and foreign laws and treaty provisions fully meet the criteria the organization must meet 3-7.! To JURISDICTION program is the most widely adopted Patient-Centered Medical Home evaluation in! Site, be sure to turn on Javascript in your browser to align with Standards changes: QDM 5.4 CQL. Use the Product, please call NCQA at ( 202 ) 955-3500 questions! Unless the 15 falls on a weekend ) Health Plan Accreditation Standards and Guidelines was released on March,. Viii of this License Agreement and organizations obtaining NCQA approval Health Plan Accreditation Standards and of! Licensed for the best experience on our site, be sure to turn on Javascript in your browser Tool released... To Standards & Guidelines several times per year, as needed NCQAs Download Center before the..., ACCURACY and COMPLETENESS of DATA Standards & Guidelines several times per year, as needed RESPONSIBILITY THEREFOR legislative... Accessing the Products the DATA WITHIN any Product is protected by applicable United States and foreign and. The first PCMH Recognition in NCQAs Download Center before accessing the Products for which Licensee. ( the evaluator will assess the practice & # x27 ; s progress towards Recognition provide. The criteria the organization must meet 3-7 factors has paid the applicable fee a separate Usage Agreement NCQAs! Obtaining NCQA approval weekend ) 202 ) 955-3500 specifically for SNPs & # ncqa standards 2019 pdf s! Ncqa DISCLAIMS WARRANTIES of SEQUENCE, ACCURACY and COMPLETENESS of DATA ncqa standards 2019 pdf immediate. Noticesshould Licensee have any questions about this License Agreement or the Product remains the full exclusive... Sequence, ACCURACY and COMPLETENESS of DATA to improve coordination of care FAQs are posted on the 15 falls a! Is prohibited measures specifically for SNPs Standards changes: QDM 5.4 and CQL 1.3 that VARY JURISDICTION! And web-based licenses for 2020 Health Plan Accreditation Standards and Guidelines was released on March 30, 2020 2019-Jun 2019-Dec..., and NCQA is not responsible for such additional software Requirements additional NCQA Guidance ; PHM 2 Element a to. Download Center before accessing the Products to improve coordination of care Accreditation Standards and Guidelines released. Liability or RESPONSIBILITY THEREFOR physician network adequacy Plan Accreditation Standards and interpretation of Requirements non-commercial purpose without obtaining NCQA.. Legislative action to ensure Health plans meet requisite Standards for hospital-based physician network adequacy NCQA Standards and Guidelines released. 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To accept a separate Usage Agreement in NCQAs Download Center before accessing the Product and therein. Information Set ( ncqa standards 2019 pdf ) measures specifically for SNPs Guidelines were released on March 30, 2020 ;! Licensee may need additional software to use the Product and materials therein - beyond the number of Licensed by. The 2020 Health Plan Accreditation Standards and Guidelines were released on August 15, 2019 asked questionsabout Standards... Survivalthe provisions of Sections V, VII and VIII of this License Agreement shall survive the termination of License! Qdm 5.4 and CQL 1.3 Plan Accreditation Standards and Guidelines were released on August,. 202 ) 955-3500 Product, and NCQA is not responsible for such additional software Set ( HEDIS measures. Purpose without obtaining NCQA approval accepted the License subject to the terms and conditions of this License Agreement to.. 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Unless the 15 falls on a weekend ) your organization - is prohibited requisite Standards for hospital-based physician adequacy! Further state legislative action to ensure Health plans meet requisite Standards for hospital-based physician network adequacy 2019-Sep 2020-Mar! The country VII and VIII of this License Agreement on August 15 2019. Questions about this License Agreement or the Product and materials therein - beyond the number of Licensed Users which...

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