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2022 Quality Rating System Measure Technical Specifications

The contents of this document do not have the force and effect of law and are not meant to bind the public in any way, unless specifically incorporated into a contract. This document is intended only to provide clarity to the public regarding existing requirements under the law. Health Insurance Exchange2022 Quality Rating System Measure Technical Specifications October 2021 THIS PAGE LEFT INTENTIONALLY BLANK Technical Assistance and Contact Information i Technical Assistance and Contact Information The following links and contact information should be used to obtain additional details and Technical assistance related to the Quality Rating System (QRS) Measure set for 2022 (Measurement Year 2021). Website Links Centers for Medicare & Medicaid Services (CMS) Health Insurance Marketplace Quality Initiatives website: National Committee for Quality Assurance (NCQA) Healthcare Effectiveness data and Information Set (HEDIS )1 Compliance AuditTM website: Contact Information For questions regarding the QRS clinical Measure Specifications , please contact the appropriate Measure steward: o NCQA for the HEDIS measures: via the Policy Clarification Support (PCS) System available at

QRS clinical measure technical specifications. This section includes measure specifications and data collection guidelines for NCQA’s HEDIS measures and the PQA measures in the QRS measure set. For the PQA measures, QHP issuers should refer to NCQA’s “General Guidelines for Data Collection”

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