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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5.21.2024 Inpatient Stay Value Set for Emergency Department Visits for Hypoglycemia in Older Adults with Diabetes (EDH) The HEDIS MY 2024 Value Set Directory (VSD) states that the Inpatient Stay Value Set was deleted from the EDH measure. Please clarify if it should be used for risk adjustment.

Yes, as described in the Guidelines for Risk Adjusted Utilization Measures, organizations must use the Inpatient Stay Value Set for the risk adjustment comorbidity category determination (use the Inpatient Stay Value Set to identify acute and nonacute inpatient discharges with a discharge date during the classification period). The value set was mistakenly deleted from the EDH measure in the VSD. Because the guidelines clearly state that the value set must be used, NCQA does not intend to reissue the VSD.

ALL MY 2024