FAQ Directory: HEDIS

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9.15.2016 Mapping Facilities to Provider Types May an organization map a facility to a provider type for reporting HEDIS measures (e.g., map a Federally Qualified Health Center [FQHC] to the type Primary Care Practitioner (PCP))?

No. Facilities may not be mapped to a provider type unless an organization can demonstrate that all providers rendering services at the facility meet the NCQA provider definition defined in Appendix 3. Organizations should work with their HEDIS Compliance Auditor, who can review and approve mapping.

HEDIS 2017