NY Manual
SHP Manual

New York Provider Manual
XV New York State Communicable Disease Reporting Requirements | XVII Quality Rating Measures

Appendix XVI — HEDIS/QARR Quick Reference Guides (QRG)

Healthcare Effectiveness Data and Information Set (HEDIS) and Quality Assurance Reporting Requirements (QARR) are Federal and New York State tools used to measure the performance of health plans and practitioners on important aspects of care and service. Healthfirst has placed on our web-site HEDIS/QARR Quick Reference Guides (QRG) at www.healthfirst.org/HEDIS.
The All Measures Quick Reference Guide is a comprehensive list of measures. It contains measure descriptions and acronyms, criteria for denominator inclusion, and numerator adherence requirements. Each measure has a hyperlink that will take you directly to the code list
The Prenatal/Postpartum Care and Frequency of Prenatal Care Quick Reference Guide includes a measure decision tree to assist with determining numerator adherence, as well as all numerator adherent codes.
Please go to www.healthfirst.org/HEDIS to learn more.
AAB Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis
AAP Adults’ Access to Preventive
ABA Adult BMI Assessment
ADD Follow-Up Care for Children Prescribed ADHD Medication
ADV Annual Dental Visit
AMM Antidepressant Medication
AMR Asthma Medication Ratio
APC  Use of Multiple Concurrent Antipsychotics in Children and Adolescents
APC Adolescent Preventive Care
APM Metabolic Monitoring for Children and Adolescents on Antipsychotics
APP Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics
ART Disease Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis
AWC Adolescent Well Care
BCS Breast Cancer Screening
CAP Children’s and Adolescents Access to Primary Care Practitioners
CBP Controlling High Blood Pressure
CCS Cervical Cancer Screening
CDC Comprehensive Diabetes Care
CHL Chlamydia Screening in Women
CIS Childhood Immunizations Status
COA Care for Older Adults
COL Colorectal Cancer Screening
CWP Appropriate Testing for Children with Pharyngitis
FPC Frequency of Visits
FUH Follow-Up After Hospitalization for Mental Illness
HCC HIV/AIDS Comprehensive Care
HPV Human Papillomavirus Vaccine for Female Adolescents
IET Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
IMA Immunizations for Adolescents LBP Use of Imaging Studies for Lower Back Pain
LBP Use of Imaging Studies for Lower back Pain
LCS Lead Screening in Children MMA Medication Management for People with Asthma
MMA Medication Management for People with Asthma
MPM Annual Monitoring for Patients on Persistent Medications
MRP Medication Reconciliation Post-Discharge
NCS Non-Recommended Cervical Cancer Screening in Adolescent Females
OMW Osteoporosis Management in Women Who Had a Fracture
PCE Pharmacotherapy Management of COPD Exacerbation
PPC Postpartum Care, Prenatal Visits, Timeliness of First Visit
PSA Non-Recommended Prostate-Specific Antigen (PSA) Screening in Older Men
SAA Adherence to Antipsychotic Medications for Individuals With Schizophrenia
SMC Cardiovascular Monitoring for People With Cardiovascular Disease and Schizophrenia
SMD Diabetes Monitoring for People With Diabetes and Schizophrenia
SPR Use of Spirometry Testing in the Assessment and Diagnosis of COPD
SSD Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications
URI Appropriate Testing for Children with Upper Respiratory Infection
W15 Well-Child Visits – 0–15 Months
W34 Well-Child Visits – 3–6
WCC Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents