FAQ Directory: Health Plan Accreditation

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3.17.2025 Measure removed from Health Plan Ratings and its impact on QI 3. When calculating the 3.0 average for QI 3, Element B, the FUI measure is included on the Medicare measure list, but was not included on our Health Plan Rating scoring sheet. How do we account for this measure in the calculation?

In the 2024 Health Plan Ratings, Follow-Up After High Intensity Care for Substance Use Disorder (FUI) was removed from the final ratings for the Medicare product line due to insufficient data in MY 2023 HEDIS submissions.

If a measure is not required in the 2024 Health Plan Ratings, it is not required in QI 3. Thus, because FUI was not included in the most recent scoresheet for the Medicare product line, it is not included in the average calculation in Element B and will not be considered (may not be chosen as a measure to act on) in Element C.

HP 2025