HEDIS® MY 2027 Volume 2 Release for Long-Term Services and Supports

The Healthcare Effectiveness Data and Information Set (HEDIS^®) is continuously evolving to reflect clinical best practices for organizations delivering long-term services and supports (LTSS).

The HEDIS MY 2027 Technical Specifications for Long-Term Services and Supports Measures is a set of HEDIS measures designed to assess whether LTSS organizations are delivering high-quality, person-centered care.

The specifications include a set of four measures that evaluate the quality of assessment, care planning and care coordination for organizations providing LTSS. These measures facilitate the creation of performance standards, allow for comparison of LTSS quality across programs and establish national benchmarks. LTSS HEDIS measures are reported exclusively using the case management record review method.

Updates to LTSS HEDIS Measures for MY 2027

For HEDIS Measurement Year (MY) 2027, NCQA updated the sampling guidelines and the LTSS measure specification format.

In MY 2027, the guidelines for the case management record review method were updated to include instructions for reducing the sample size based on the prior year’s rate. As with HEDIS Volume 2 sampling, organizations may use a rate calculated from the prior year’s reported rate to determine the sample size.

The LTSS technical specifications have a new format that aligns with the Fast Healthcare Interoperability Resources (FHIR^®) data standard and is similar to current HEDIS ECDS reported measures. The new format gives users all the information they need to calculate a HEDIS measure, in addition to the following updates:

• Integration of the clinical evidence base and general guidelines, reducing the need to reference multiple resources.
• Addition of a “Systematic Sample” section.
• Adoption of new terms, for consistency with FHIR and to reflect how measures are used. For example:

• • Replaced “eligible population” with “initial population.”
  • Replaced “required exclusions” with “denominator exclusions.”
  • Replaced “measurement year” with “measurement period.”

We did not modify the measures’ intent or requirements. Changes should not affect performance results.

New HEDIS Reporting Requirements for Health Plans with LTSS Distinction

For Health Plan Accreditation surveys on or after July 1, 2027, under the Renewal Evaluation Option, NCQA will require organizations with LTSS Distinction to report the two HEDIS LTSS measures listed below annually. Measures will be reported for MY 2027, beginning in June 2028.

• LTSS Comprehensive Assessment and Update (LTSS-CAU).
• LTSS Comprehensive Care Plan and Update (LTSS-CPU).

Organizations must submit audited HEDIS results to NCQA each year by the reporting date in HEDIS Technical Specifications for Long-Term Services and Supports Measures.

Visit our website for more information about LTSS Distinction for Health Plans.

Learn More

• Get the HEDIS MY 2027 LTSS measures in the NCQA Store.
• Visit the Digital Quality Hub to learn about the transition to digital quality measurement.

HEDIS^® is a registered trademark of the National Committee for Quality Assurance (NCQA).

HL7^® and FHIR^® are the registered trademarks of Health Level Seven International and their use does not constitute endorsement by HL7.