HEDIS Audit and eCQM Certified Vendor Information

Measures That Can Be Certified for HEDIS

Measure CMSMeasure NameApplicable HEDIS Measure
cms122 Diabetes: HbA1c ControlCDC-HbA1c testing, >9%, <8%
cms165Controlling High Blood PressureCBP, CDC-BP
cms117Childhood Immunization Status CIS
cms124Cervical Cancer ScreeningCCS
cms125Breast Cancer ScreeningBCS (ECDS)
cms130Colorectal Cancer ScreeningCOL (ECDS)
cms155Weight Assessment and Counseling for Nutrition and Physical Activity for Children and AdolescentsWCC
cms2Preventive Care and Screening: Screening for Depression and Follow-Up PlanDSF (ECDS)
cms127Pneumococcal VaccinationAIS (ECDS)
cms134Diabetes: Nephropathy ScreeningCDC-nephropathy
cms147Preventive Care and Screening: Influenza ImmunizationCIS-influenza, Combo 6, Combo 8, Combo 9 and Combo-10, AIS (ECDS)
cms153Chlamydia ScreeningCHL
cms131Diabetes: Eye ExamCDC-eye exam
cms146Appropriate Testing for Children with PharyngitisCWP
cms137Initiation and Engagement of Alcohol and Other Drug Dependence TreatmentIET
cms156Use of High Risk Medications in the ElderlyDAE, DDE
cms144Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)PBH
cms145Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVSD)PBH
cms128Antidepressant Medication ManagementAMM
cms159Depression Remission at 12 MonthsDRR (ECDS)
cms136Follow-Up Care for Children Prescribed ADHD MedicationADD
cms154Appropriate Treatment for Children with Upper Respiratory InfectionURI
cms347Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseSPC, SPD

Updated July 2020.

The certification report should indicate the vendor was certified for the performance period 2020 measures (posted May, 2019).

For HEDIS MY 2020, NCQA Certified eCQM vendors can transform certified QRDA1 files to other industry standard formats (e.g., CCD, FHIR) so the data can be ingested for HEDIS reporting. The transformed file (e.g., CCD, FHIR) must include only data from the certified QRDA1 file. Auditors must validate the transformed file to the certified QRDA1 file, verifying nothing changed in the transformation process. If validation passes, the transformed file can continue to be considered standard supplemental data.

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