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Here are some of the most frequently asked questions about NCQA’s various programs. If you don’t see what you are looking for in one of the entries below, you can  ask a question through My NCQA.

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12.15.2025 Direct Transfers and Observation Stays For measures that assess for direct transfers between acute inpatient facilities and observation stays, does each inpatient hospital stay need to be both acute and observation to be eligible for direct transfer?

No. Each inpatient hospital stay does not need to be both acute and observation for direct transfer. When assessing for direct transfer, include those with acute inpatient to acute inpatient, observation to observation, acute inpatient to observation and observation to acute inpatient.

This applies to both MY 2026 and MY 2025

This applies to the following Programs and Years:
HEDIS MY 2025, 2026