If a member has two separate 90+ day enrollment periods during the measurement year, each with a pharmacy benefit, exclude the member due to a gap in enrollment.
If a member has two separate enrollment periods, one for fewer than 90 days, include the member in the measure but count only the 90+ day enrollment period. Use the date of disenrollment from the 90+ day enrollment period as the end of the measurement period.
If a member has two separate enrollment periods, one with no pharmacy benefit, include the member in the measure but count only the enrollment with the pharmacy benefit. Use the date of disenrollment from the enrollment period with the pharmacy benefit as the end of the measurement period.