Data Errata for HEDIS® Data Submission

The data errata is a list of self-reported errors that were identified by organizations after the HEDIS data re-submission deadline of June 30th. Per NCQA’s HEDIS Volume 2, “organizations must immediately report any error in a measure rate or in its component (in any previous submission, regardless of timing) that is >5% higher or lower than what was reported originally.”

Errors are reviewed by NCQA to assess the impact to NCQA products and programs, including but not limited to Health Plan Ratings, Quality Compass and Accreditation. If the impact is determined to be significant, NCQA will notify customers via the data errata page and potential other avenues of communication such as the Quality Compass homepage.

Depending on the significance and scope of the error, NCQA takes the necessary actions. This data errata page lists the reported errors so that users of NCQA’s programs and products can see the description and resolution and consider any implications to their use of the data.

Date ReportedHEDIS Measurement YearOrg IDOrganization NameProduct LinesMeasure NameDescription of ErrorResolution
1/10/20242022144CareFirst BlueChoiceCommercialFUH -Follow-Up After Hospitalization For Mental Illness - 30 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercialFUH - Follow-Up After Hospitalization For Mental Illness - 7 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercialPRS-E - Prenatal Immunization Status - InfluenzaErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercialPRS-E - Prenatal Immunization Status - CombinationErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercialCIS - Childhood Immunization Status - InfluenzaErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercialIMA - Immunizations for Adolescents - Combination 1Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercialHBD - Hemoglobin A1c Control for Patients With Diabetes - HbA1c Control (<8%)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercialEED - Eye Exam for Patients With DiabetesErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercialPPC - Prenatal and Postpartum Care - Timeliness of Prenatal CareErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercialCIS-E - Childhood Immunization Status - InfluenzaErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercialIMA-E - Immunizations for Adolescents - Combination 1Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialAMM - Antidepressant Medication Management - Effective Continuation Phase TreatmentErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialADD -Follow-Up Care for Children Prescribed ADHD Medication - Continuation and Maintenance PhaseErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialFUH -Follow-Up After Hospitalization For Mental Illness - 30 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialFUH - Follow-Up After Hospitalization For Mental Illness - 7 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialFUA - Follow-Up After Emergency Department Visit for Substance Use - 30 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialFUA - Follow-Up After Emergency Department Visit for Substance Use - 7 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialAPP - Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialADD-E -Follow-Up Care for Children Prescribed ADHD Medication - Continuation and Maintenance PhaseErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialCIS - Childhood Immunization Status - Diptheria, Tetanus, Acellular PertussisErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialCIS - Childhood Immunization Status - Polio VaccineErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialCIS - Childhood Immunization Status - Haemophilis Influenza Type B (HIB B)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialCIS - Childhood Immunization Status - Pneumococcal ConjugateErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialCIS - Childhood Immunization Status - RotavirusErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialHBD - Hemoglobin A1c Control for Patients With Diabetes - HbA1c Control (<8%)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialBPD - Blood Pressure Control for Patients With DiabetesErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialEED - Eye Exam for Patients With DiabetesErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialPPC - Prenatal and Postpartum Care - Timeliness of Prenatal CareErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialCIS-E - Childhood Immunization Status - Diptheria, Tetanus, Acellular PertussisErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialCIS-E - Childhood Immunization Status - Polio VaccineErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialCIS-E - Childhood Immunization Status - Haemophilis Influenza Type B (HIB B)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialCIS-E - Childhood Immunization Status - Pneumococcal ConjugateErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)CommercialCIS-E - Childhood Immunization Status - RotavirusErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidFollow-Up After Emergency Department Visit for Substance Use - 30 days (FUA)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidFollow-Up After Emergency Department Visit for Substance Use - 7 days (FUA)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidFollow-Up After High-Intensity Care for Substance Use Disorder - 30 Days (FUI)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidFollow-Up After High-Intensity Care for Substance Use Disorder - 7 Days (FUI)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidInitiation and Engagement of Substance Use Disorder Treatment - Initiation of SUD Treatment (IET)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidInitiation and Engagement of Substance Use Disorder Treatment - Engagement of SUD Treatment (IET)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
10/12/2023202221588Kansas Medicaid Health Plan (Sunflower Health Plan)MedicaidRisk of Continued Opioid Use ->=15 Days (65+) (COU)Erroneous logic resulted in underreporting of performance.Due to the assessed level of impact, no product updates were made.
7/10/20232021458983Molina Healthcare of MississippiMedicaidAntidepressant Medication Management - Effective Acute Phase Treatment (AMM)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
7/10/20232021458983Molina Healthcare of MississippiMedicaidAntidepressant Medication Management - Effective Continuation Phase Treatment (AMM)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
7/10/20232021458983Molina Healthcare of MississippiMedicaidPharmacotherapy for Opioid Use Disorder (Total) (POD)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
7/10/20232021458983Molina Healthcare of MississippiMedicaidPharmacotherapy for Opioid Use Disorder (16-64) (POD)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
7/10/20232021458983Molina Healthcare of MississippiMedicaidStatin Therapy for Patients With Cardiovascular Disease - Statin Adherence 80% (F 30-75) (SPC)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
7/10/20232021458983Molina Healthcare of MississippiMedicaidStatin Therapy for Patients With Cardiovascular Disease - Statin Adherence 80% (M 21-75) (SPC)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
7/10/20232021458983Molina Healthcare of MississippiMedicaidStatin Therapy for Patients With Cardiovascular Disease - Statin Adherence 80% (Total) (SPC)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
7/10/20232021458983Molina Healthcare of MississippiMedicaidStatin Therapy for Patients With Diabetes - Statin Adherence 80% (SPC)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
6/14/2023202110700Catholic Special Needs Plan, LLC DBA ArchCare AdvantageMedicareFollow-Up After Emergency Department Visit for People With Multiple High-Risk Chronic Conditions (Total) (FMC)Erroneous logic results in under reporting of performance.Due to assessed level of impact, no product updates were made.
6/14/2023202110700Catholic Special Needs Plan, LLC DBA ArchCare AdvantageMedicarePotentially Harmful Drug-Disease Interactions in Older Adults - DDI - Total (DDE)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
6/14/2023202110700Catholic Special Needs Plan, LLC DBA ArchCare AdvantageMedicarePotentially Harmful Drug-Disease Interactions in Older Adults - DDI - Dementia (DDE)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
6/14/2023202110700Catholic Special Needs Plan, LLC DBA ArchCare AdvantageMedicarePotentially Harmful Drug-Disease Interactions in Older Adults - DDI - Chronic Kidney Disease (DDE)Erroneous logic results in under reporting of performance.Due to assessed level of impact, no product updates were made.
6/14/2023202110700Catholic Special Needs Plan, LLC DBA ArchCare AdvantageMedicareUse of High-Risk Medications in Older Adults - High-Risk Medications to Avoid Except for Appropriate Diagnosis (DAE)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
6/14/2023202110700Catholic Special Needs Plan, LLC DBA ArchCare AdvantageMedicarePotentially Harmful Drug-Disease Interactions in Older Adults - DDI - History of Falls (DDE)Erroneous logic results in under reporting of performance.Due to assessed level of impact, no product updates were made.
6/14/2023202110700Catholic Special Needs Plan, LLC DBA ArchCare AdvantageMedicareAntidepressant Medication Management - Effective Acute Phase Treatment (AMM)Erroneous logic results in under reporting of performance.Due to assessed level of impact, no product updates were made.
6/14/2023202110700Catholic Special Needs Plan, LLC DBA ArchCare AdvantageMedicareAntidepressant Medication Management - Effective Continuation Phase Treatment (AMM)Erroneous logic results in under reporting of performance.Due to assessed level of impact, no product updates were made.
11/17/2022202110357UPMC For You, Inc.MedicaidLTSS Reassessment and Care Plan Update After Impatient Discharge (RAC)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
11/17/20222021780Volunteer State Health Plan, Inc. dba BlueCare TennesseeMedicaidLTSS Reassessment and Care Plan Update After Impatient Discharge (RAC)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
11/17/2022202179Humana Medical Plan, Inc (Florida)MedicaidLTSS Reassessment and Care Plan Update After Impatient Discharge (RAC)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
5/24/20222020129Kaiser Permanente ColoradoCommercialFollow-Up Care for Children Prescribed ADHD Medication (ADD)Erroneous logic results in under reporting of performance.Due to assessed level of impact, no product updates were made.
2/9/2022202013946Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.Commercial Medicaid MedicareAdherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/13/202220201565Kaiser Foundation Health Plan of the Northwest, Inc.Commercial MedicarePharmacotherapy for Opioid Use Disorder (POD)Erroneous logic results in under reporting of performance.Due to assessed level of impact, no product updates were made.
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