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2.12.2018 VBP4P/ACO- HEDIS UPDATE: 2018 NDC List Correction On February 8, 2018, HEDIS released a letter addressing an issue identified in the Asthma Controller Medications List in the HEDIS® 2018 Medication List Directory (MLD) of NDC codes posted to the NCQA website on November 1, 2017. Does this affect health plans and providers participating in IHA performance measurement programs?

Yes. The issue affects the Asthma Medication Ratio (AMR) measure used in commercial HMO and commercial ACO reporting.
The Asthma Controller Medications List incorrectly included codes for nebulizer medications. NCQA issued a correction and has removed the codes from the NDC list. An updated version of the MLD was released on February 8, and IHA released a communication to stakeholders on February 9.

Next Steps for VBP4P

NCQA has identified next steps:

  • Self-reporting physician organizations and health plans that program AMR are required to download the updated HEDIS® 2018 Medication List Directory (MLD) of NDC codes. NCQA certified auditors have been notified and will review your corrected code during your VBP4P audit.
  • NCQA certified vendors are required to submit an attestation that the certified vendors have removed the codes from their software.
  • If your organization contracts with an NCQA certified vendor or a vendor seeking certification, they have been notified and asked to incorporate this update when programming your MY 2017 results.

If you contract with a noncertified vendor, notify your vendor about this change immediately.

ALL 2017