FAQ Directory: HEDIS

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1.15.2019 Risk of Continued Opioid Use (COU) When calculating the number of days covered for the COU measure’s numerators, must the days be consecutive?

No. The covered days are not required to be consecutive when reporting the numerators of the measure. Review all dispensed opioids on the IPSD through the 30-day or 62-day period and follow the instructions for calculating number of days covered for the numerator. For example, if the IPSD is 1/1/18 and the member has an eligible prescription with a 5-day supply and another eligible prescription with a 10-day supply on 1/10/18, the member meets criteria for the ≥15 Days Covered numerator.

HEDIS 2019