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24-1340 HEDIS Supplemental Data Submission Deadlines for Measurement Year 2024

Date: 12/23/24

Submit your data on time to make an impact on MY 2024 reporting

Health Net, on behalf of CalViva Health, is committed to ensuring accurate and timely reporting for HEDIS®1 Measurement Year (MY) 2024. Providers play a pivotal role in closing care gaps and improving patient outcomes. To make sure your supplemental data is included in MY 2024 reporting, it is vital to submit all new data by the deadlines listed below.

Data received after the submission deadlines will be applied to MY 2025 reporting.

Key Deadlines for Submission

To guarantee your supplemental data is included in MY 2024 reporting, please submit your files no later than the dates outlined below.

Date

Type

Descriptions

January 31, 2025

Non-standard data via Cozeva®

Chart review completed [deadline to ensure data is entered into the user interface].

March 13, 2025

Supplemental standard data

Final submission (for established sources): a file needs to be received on March 13, 2025, by the end of business day for final submission impact. Data files received after this date will not be utilized for the MY 2024 final run.

March 31, 2025

Encounters

Final deadline for encounters submission.

 

Why timely submission matters

Submitting your supplemental data on time is crucial for achieving the following outcomes:

  • Addressing Care Gaps: Ensure gaps in patient care are identified and closed for MY 2024.
  • Reflecting Patient Care Improvements: Your data directly supports quality measures that highlight care improvements.
  • Maximizing Your Contributions: Ensure your efforts are accurately recognized in the current reporting year.
  • Timely submission is not just about meeting a deadline—it is about impacting patient care and quality performance.

Supplemental data categories and submission

Supplemental data sources fall into two categories for HEDIS, nonstandard and standard:

  • ·Nonstandard is data from manual chart collection and abstraction of the clinical medial record or from continuity of care document data.
  • Standard data is data extracted from billing systems, standardized back end electronic health record (EHR) data extractions, immunization registry and lab data.

Supplemental data must be submitted separately for the following sources:

  • Standard supplemental data sources (laboratory, EHR, immunizations).
  • Risk adjustment factor (RAF) alternative submission method (ASM) extract.

Additional information

If you have questions about supplemental data submissions, please contact your assigned Plan representative or our HEDIS supplemental data team via email. Please do not include protected health information or personally identifiable information in your email.

If you have questions regarding the information contained in this update, contact CalViva Health at 888-893-1569. Behavioral Health providers can call at 844-966-0298.

1HEDIS – Healthcare Effectiveness Data and Information Set.

 

This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary Providers, Community Supports (CS) Providers, Enhanced Care Management (ECM) Providers, and Behavioral Health Providers.

This information applies to Medi-Cal in Fresno, Kings and Madera counties.



Last Updated: 12/21/2024