8.16.2023Required Exclusions and Hybrid Reporting For HEDIS MY 2023, optional exclusions are now required exclusions. For hybrid measures, if a member meets exclusion criteria via medical record review, can the member be removed from the measure and replaced with a member of the oversample?
Yes. If medical records document that the member meets exclusion criteria, the member is excluded from the sample and replaced with a member of the oversample. Â