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6.15.2026 BR, NR and NQ Audit Designations for QI 3, Element B In the Related Information section of QI 3, Element B, the table under "Handling missing values" indicates that all the audit designations should not be included in the 3.0 average calculation. However, Example 2 includes a missing value (such as "BR" audit designation) in the calculation. Should BR, NR and NQ follow Example 2 and be included in the calculation of the 3.0 average?

Yes. The "Handling Missing Values" table in the Related Information section is incorrect for the BR, NR and NQ audit designations. If any measure has a BR (Biased Rate), NR (Not Reported) or NQ* (Not Required) audit designation, it is assigned a rating of 0 and included in the calculation of the 3.0 average.

The information above is a correction to the Policy Update issued in March 2026 for QI 3, Element B.

*Accredited health plans may not use the NQ audit designation for measures included in the Health Plan Ratings measure list.

Applicable standards: 
•    Health Plan Accreditation: QI 3, Element B

This applies to the following Programs and Years:
HP 2026