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Here are some of the most frequently asked questions about NCQA’s various programs. If you don’t see what you are looking for in one of the entries below, you can  ask a question through My NCQA.

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8.19.2020 Prenatal and Postpartum Care If a member has multiple enrollment segments without any gaps leading up to the delivery date, should we use the beginning of the first such segment as the start of the last enrollment segment?

Yes. Use the beginning of the first segment as the start of the last enrollment segment. For HEDIS Volume 2 MY 2020 & 2021, multiple enrollment segments with no gaps are treated the same as one enrollment segment with no gaps.

**This FAQ applies to HEDIS Volume 2 MY 2020 & MY 2021.

ALL MY 2021