No. Indacteral was removed from the ASM-C NDC list and noted in a Word document posted with the NDC lists on November 2, 2012. The medication was reviewed by the HEDIS Expert Pharmacy Panel and determined to be not indicated for asthma, so it was removed from the measure. The MY 2013 P4P manual will reflect this change.
FAQ Directory
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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4.16.2013 Asthma Medication Ration (AMR) Table AMR-C includes the drug Indacteral, but this drug is not the final ASM-C NDC table. Should Indacteral be included in the measure?
4.16.2013 Diabetes Care (CDC) The following note appears to be listed under the Optimal Diabetes Care indicator for CDC: Additional exclusion criteria are required for this indicate that will results in a different eligible population from all other indicators. What are the additional criteria for the Optimal Diabetes Care indicator?
4.15.2013 Scoring for CR 2, Element C: Agreement and Collaboration with Health Plans How is CR 2, Element C scored for organizations that may not have a delegation agreement in place?
4.15.2013 Look-back period for delegation agreements and pre-delegation assessments of Interim Eos What is the look-back period for delegation agreements and predelegation evaluations for organizations coming through for Interim Surveys?
4.15.2013 Delegating to an entity out of the country Does NCQA allow organizations to delegate to entities that are outside the United States and its territories?
4.15.2013 Scoring for CRC 2, Element C: Agreement and Collaboration with Health Plans How is CRC 2, Element C scored for organizations that may not have a delegation agreement in place?
3.16.2013 Encounter Rate by Service Type (ENRST) Table ENR-F in the Encounter Rate by Service Type measure has instructions to download codes from the CMS Web site, but the referenced file is no longer on the site. The instructions refer specifically to a spreadsheet titled Addendum AA-ASC Covered Surgical Procedures (ASC_AddAA.csv) for October 2012 from the site http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ASCPayment/11_Addenda_Updates.html
When I click the link, it brings up a download file named "asc-october2012-aa-bb-dd1-dd2-ee.zip," which has an excel spreadsheet and 5 txt files, ASC AA, ASC BB (and so on). Are these correct? Which should we use?
From the site http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ASCPayment/11_Addenda_Updates.html, select the link October 2012 ASC Approved HCPCS Code and Payment Rates and use the text file AA. This will be corrected in the next release of the P4P manual.
3.16.2013 General Guidelines I am a self-reporting PO who plans to submit results for Medicare members. Please clarify which health plans members I should include.
3.16.2013 Evidence-Based Cervical Screening (ECS) For Measurement Year 2012, would a member who had a Pap test and an HPV test on different dates of service in 2009 or 2008 fall in Rate 1 (Appropriately Screened) or in Rate 2 (Not Screened)?
3.16.2013 Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis (ART) In HEDIS 2013, Table ART-C includes code J3262, but P4P does not. Please confirm that it should be included.
3.15.2013 Eligibility for accreditation prior to establishing relationships Is an organization eligible for accreditation if it does not perform the functions specified within the standards and guidelines directly and has not entered into an effective service agreement with another entity to perform the function?
3.15.2013 Web chat as a means of meeting MEM 4, Element A Does the availability of a Web chat meet the requirements for an attempt or contact to meet MEM 4, Element A?
Yes. As long as the member can receive the information or complete the listed activities in the element in one attempt or contact, a Web chat will meet the requirements. The organization would need to provide documentation explaining how the system works and evidence of completion of the specified actions.