FAQ Directory: HEDIS

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12.14.2018 Appendix 3: PCP Definition May rural health centers be mapped to the PCP definition in Appendix 3 of Volume 2, similar to how Federally Qualified Heath Centers are handled?

No. Rural Health Clinics are not addressed in the updated PCP definition in Volume 2. All providers billing under the Rural Clinic facility codes must meet the definition of “PCP” in Appendix 3 in order to be included in the PCP-based HEDIS measures.

HEDIS 2019