HEDIS Hybrid Medical Record Review

Overview

CalOptima Health is required to report Healthcare Effectiveness Data and Information Set (HEDIS) rates to the National Committee for Quality Assurance (NCQA), the Centers for Medicare & Medicaid Services (CMS) and the Department of Health Care Services (DHCS). Medical record review is allowed for a subset of measures known as hybrid measures.

This training contains annual content to help providers and staff understand the specifications and required documentation to meet compliance for each measure while working with CalOptima Health members.

Questions

If you have questions or need assistance, please email our team at: HEDISMailBox@CalOptima.org

HEDIS Measurement Year 2023 Training

This training video is for providers and their staff to become familiar with the HEDIS process and hybrid measure specifications.

If you would like to provide feedback about this training please follow this link to complete a brief survey.

Providers and other health care professionals with questions regarding Medi-Cal, OneCare Connect, OneCare or PACE can call the Provider Relations department at 714-246-8600 or email providerservices@caloptima.org
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