FAQ Directory: HEDIS

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10.15.2018 Plan All-Cause Readmissions In General Guideline 15: Members With Dual Enrollment, the Medicare-Medicaid (MMP) subhead indicates that these members must be in both the Medicaid and Medicare HEDIS reports. Does this apply to Plan All-Cause Readmissions (PCR)?

No. For PCR, MMP members are removed from Medicaid reporting and are included in only Medicare reporting.

HEDIS 2019