Tuesday, February 10, 2015

2015 Healthcare Effectiveness Data and Information Set (HEDIS) Medicaid data collection

“The Department of Health Care Policy and Financing has begun preparing for the 2015 Healthcare Effectiveness Data and Information Set (HEDIS®) Medicaid data collection study. The Department has contracted with Health Services Advisory Group, Inc. (HSAG), to conduct this study. Beginning in February 2015, Guardian Angel Consulting will be contacting providers to collect the necessary medical records. It is critical to the success of the study that providers respond with the requested information as soon as possible.

Obtaining a signed release form from the member is not necessary; by signing the Medicaid application, the member has already agreed to medical record access. In addition, the provider contract/agreement with the Department contains a statement allowing the Department and its designees access to the medical records of Medicaid members. The Code of Colorado Regulations allows the Department or its designees to obtain copies of medical records “at the expense of the provider”; therefore, reimbursement to the provider or to vendors for photocopying medical records is not offered.

If you receive a medical record request, you must send your charts to Guardian Angel Consulting prior to the May 9, 2015, deadline. Please do not send charts to Guardian Angel Consulting after this date, as they will not be included in the study. Thank you for your cooperation towards the success of this project.

If you have any questions about the 2015 HEDIS data collection study, please contact Rachel Henrichs, HSAG project coordinator, at 303-755-1912, or Russell Kennedy (HCPF) at 303-866-3340.” [Source: HCPF]

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