FAQ Directory: HEDIS

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1.15.2021 General Guideline 15 What is the time frame for assessing dual enrollment?

As stated in the General Guideline 15, the time frame is assessed by measure. For measures with continuous enrollment, dual enrollment is determined as of the end of the continuous enrollment period, or the last enrollment segment, if there is a gap at the end of the continuous enrollment period.
For measures without a continuous enrollment requirement, members must have dual enrollment on the date of service or the date of discharge.

HEDIS MY 2021