Common use of Required Program Reports Clause in Contracts

Required Program Reports. (a) Clinical Data i. The MA Health Plan must report clinical indicator data to EOHHS for all Dual Eligible Members in accordance with the specific HEDIS measures developed for Medicare Advantage Special Needs Plans (SNPs) by the National Commission on Quality Assurance (“NCQA”). The MA Health Plan must comply with, and report to EOHHS, the HEDIS SNP Measures as required and approved by NCQA and CMS and report to EOHHS on the same time schedule required by CMS. ii. The HEDIS measures must be collected according to HEDIS specifications or other specifications as specified by EOHHS, and reported to EOHHS with the annual reports, unless CMS requires submission of those materials on a different time schedule. (b) Consumer Assessment of Healthcare Providers and Services (“CAHPS”) Data i. The MA Health Plan must submit CAHPS data for its Dual Eligible members described in Appendix A to EOHHS annually, on the anniversary of the start date of the Agreement.

Required Program Reports. (a) Clinical Data i. The MA Health Plan must report clinical indicator data to EOHHS for all Dual Eligible Members in accordance with the specific HEDIS measures developed for Medicare Advantage Special Needs Plans (SNPs) by the National Commission on Quality Assurance (“NCQA”). The MA Health Plan must comply with, and report to EOHHS, the HEDIS SNP Measures as required and approved by NCQA and CMS and report to EOHHS on the same time schedule required by CMS. ii. The HEDIS measures must be collected according to HEDIS specifications or other specifications as specified by EOHHS, and reported to EOHHS with the annual reports, unless CMS requires submission of those materials on a different time schedule. (b) Consumer Assessment of Healthcare Providers and Services (“CAHPS”) Data i. The MA Health Plan must submit CAHPS data for its Dual Eligible members described in Appendix A A, to EOHHS annually, on the anniversary of the start date of the Agreement.

Required Program Reports. (a) Clinical Data i. The MA Health Plan must report clinical indicator data to EOHHS for all Dual Eligible Members in accordance with the specific HEDIS measures developed for Medicare Advantage Special Needs Plans (SNPs) by the National Commission on Quality Assurance (“NCQA”). The MA Health Plan must comply with, and report to EOHHS, the HEDIS SNP Measures as required and approved by NCQA and CMS and report to EOHHS on the same time schedule required by CMS. ii. The HEDIS measures must be collected according to HEDIS specifications or other specifications as specified by EOHHS, and reported to EOHHS with the annual reports, unless CMS requires submission of those materials on a different time schedule. (b) Consumer Assessment of Healthcare Providers and Services (“CAHPS”) Data i. The MA Health Plan must submit CAHPS data for its Dual Eligible members described in Appendix A A, data to EOHHS annually, on the anniversary of the start date of the Agreement.

Required Program Reports. (a) Clinical Data i. The MA Health Plan must report clinical indicator data to EOHHS for all Dual Eligible Members in accordance with the specific HEDIS measures developed for Medicare Advantage Special Needs Plans (SNPs) by the National Commission on Quality Assurance (“NCQA”). The MA Health Plan must comply with, and report to EOHHS, the HEDIS SNP Measures as required and approved by NCQA and CMS and report to EOHHS on the same time schedule required by CMS. ii. The HEDIS measures must be collected according to HEDIS specifications or other specifications as specified by EOHHS, and reported to EOHHS with the annual reports, unless CMS requires submission of those materials on a different time schedule. (b) Consumer Assessment of Healthcare Providers and Services (“CAHPS”) Data i. The MA Health Plan must submit CAHPS the Consumer Assessment of Healthcare Providers and Services (CAHPS) data for its Dual Eligible members described in Appendix A to EOHHS annually, on the anniversary of the start date of the Agreement.