FAQ Directory: HEDIS

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4.28.2020 COVID-19 If an organization opts not to report for HEDIS 2020, may it use its HEDIS 2019 (MY 2018) audited reportable hybrid rates when considering sample size reduction for HEDIS MY 2020 reporting?

Yes. Due to changes in reporting requirements because of COVID-19, organizations that do not report HEDIS 2020 results this year may use their audited HEDIS 2019 (MY 2018) reportable hybrid rates when considering sample size reduction rules for HEDIS MY 2020 reporting. In addition, if an organization is required to report their MY2019 administrative rate for HEDIS 2020, they will still be able to use their audited HEDIS 2019 (MY 2018) reportable hybrid rates when considering sample size reduction.

 

HEDIS 2020