Healthcare Organization Questionnaire (HOQ) Frequently
Contents
1. N CQ A Healthcare Organization Questionnaire HOQ AA Frequently Asked Questions V easuring quality Improving health care General Information What is the time frame for completing HOQ submission requests for 2015 The HOQ will be available online on Monday January 5 2015 All HOQ submission requests are due by 11 59 pm ET on Friday February 27 What Web browsers does the HOQ support The HOQ supports Internet Explorer 9 10 and 11 HOQ Training Information I ve never done this before and I don t know how to complete the HOQ Don t panic Download the User s Guide when you log in and attend a training session We are offering four 4 sessions in January and February dates to be announced The HOQ release notification will contain the training schedule and instructions for reserving a spot Where can I get additional help completing the HOQ Contact your NCQA HEDIS Account Manager directly by e mail phone or at my ncqa org To find your HEDIS Account Manager go to http www ncqa org HEDIS Quality Measurement HEDISMeasures HEDIS DataSubmission aspx under Data Submission Resources for a complete listing My NCQA org NCQA has a new way to answer customer questions my ncqa org is our new Web based Q amp A system that lets you track your questions and answers If you are already registered in an NCQA system other than ISS the Interactive Survey System use your existing NCQA credentials to sign into my2. Medicaid CAHPS must we request submissions before giving the auditor access to enter the survey sample frame results Yes you must request the commercial or Medicaid submissions before the auditor can enter results Medicare submission requests for the same organization Medicare only organizations or unaudited submissions with CAHPS do not need auditor approval The same rule applies to Marketplace you must populate the pre loaded QHP Enrollee Survey submission before the auditor can enter results Healthcare Organization Questionnaire FAQs Must we mark the HOQ final before we give the auditor access to enter the results of the survey sample frame validation No you do not have to mark the HOQ final before the auditor enters results If you cannot request submissions before the survey sample frame results are due to the survey vendor you may get approval directly from the auditor send the sample frame with the auditor s approval to the survey vendor and finalize the HOQ before the February 27 deadline Does the auditor need to enter the survey sample frame validation results before the survey vendor can start fielding the survey No the sample frame approval process is not dependent on a complete HOQ The auditor can enter the survey sample frame validation results any time prior to the February 27 deadline Reports Where do I find the commercial OPM FEHB Codes required on the submission page The Yes or No designation for
3. OPM appears on the submission information chart at the bottom of the Interim Summary Report page When you click the Export Submissions to Excel the codes entered are located here Can I save a copy of the work I have completed for the HOQ Yes you can save and export the Interim Summary Report Mark As Final How do I review the HOQ before I mark my submission final When you complete the HOQ click Reports on the menu bar to generate a 2015 HOQ Interim Summary Report Review the report to ensure that the data are correct NCQA recommends this step because no further modifications may be made after you submit the HOQ
4. account and then click Continue We ll email you a link to a page where you can easily create a new password Email Enter email Type the characters you see in this image p i ai G3 ae uo i Type the text Privacy amp Terms Healthcare Organization Questionnaire FAQs User Access via Org Admin Primary Only the primary HEDIS contact the organization administrator or Org Admin has full access to the tool and can assign users and auditors to organizations There is only one administrator per organization all other plan users are Org Users A user cannot create or modify user access Note When giving multiple users access to the same organization be sure to coordinate their work schedules 33 the database saves the most recent information so the last person to make an update wins Read Add Modify Audit Apply Audit Users Validation Validation Mark HOQ Final Org Admin Primary v v v Org User Secondary v v Auditor v v Note Both Primary and Secondary contacts receive communications from NCQA through the HOQ Mailbox Getting Started Before you add or change organization information print or save the Interim Summary Report located under Quick Links so you can review the information completed the previous year Organization Information How to request a New Organization All new organization requests must be approved prior to starting the submission process Plea
5. dicare or Marketplace plans When the Organization marks the HOQ final no changes can be made to the CAHPS scoring selection Submission Information Why do I need to select a Submission Type for my product lines You must select a Submission Type for every submission other than Marketplace NCQA pre selects the Submission Type for this Product Line For plans with multiple submissions e g two submissions with the same Product Lines and same Reporting Product you must select one of three the submission types Your selection helps NCQA understand how you intend to use each submission Refer to the submission section of the HOQ User s Manual to view different scenarios to help guide you through for details about this field Submission Types for Commercial Medicaid and Marketplace e NCQA Programs eligible for Public Reporting Accreditation etc e State Programs not reported publically or accredited e Other Programs e g Federal or County programs NCQA requires all CMS submissions MA SNP MMP and HOS to have specific special project and special area information Your selection is based on your plan s specific CMS requirement After you make your selection the page will refresh with predefined special project and special area options Submission Type Medicare only e CMS Medicare Advantage Submission e Special Needs Plan SNP Submission e Other e g Accreditation e Medicare Medicaid MMP HMO Demonstrat
6. e requirements but the state is not contracted with NCQA are not required to use IDSS to submit their audited data Plans that submit via IDSS for this purpose will be assessed the IDSS Use Fee Contact your NCQA Certified Auditor for information about auditing your state required data User Access How do I access the HOQ Open an Internet browser and type http CustomerCenter ncga org in the address bar or you may go to http www ncqa org HEDIS Quality Measurement HEDISMeasures HEDIS DataSubmission aspx New users New users will not have access to the system contact the Primary HEDIS contact at the organization for access If you are the primary HEDIS contact and do not have access please enter a request at my ncqa org Note to Primary Refer to User Management for information about adding users and auditors Returning If you do not remember your password click Forgot your password When the NCQA users Password Assistance displays type the e mail address associated with your account and type the characters you see in the Captcha image and click Continue HOQ Updates System Login e The HOQ is unavailable for updates Your Primary HEDIS User Name Contact will receive a notification Password in the first week of January when BETE EEA it is available Forgot Your Password Healthcare Organization Questionnaire FAQs NCQA Password Assistance Enter the e mail address associated with your NCQA
7. ion For the Health Outcome Survey HOS how do I know what to report Plans are instructed by CMS to select one of two options Baseline or Follow up If you are unsure you can check with your NCQA HEDIS Account Manager Healthcare Organization Questionnaire FAQs Why does my submission read Review Marketplace Submission on the Submission Request page All Marketplace submissions will be pre loaded in the HOQ Complete the Audit Required Measure Logic and Measure Vendor fields using the dropdown menus The QHP Enrollee Survey will be gray and default to Yes Select the vendor the plan is contracted with and notify the auditor to complete the SSF for your submission Why do I receive a warning for my Commercial HMO POS PPO submission when I try to mark it final You must get approval from the NCQA Policy Department for any of these Reporting Product combination types e HMO PPO e POS PPO e HMO POS PPO Note You can mark your organization final while you wait for your submission s approval Why is this year s submission is ID different from last year s ID You get a new ID when you change a submission s components To rotate the submission based on a previous submission ID commercial and Medicaid only you must get approval from the NCQA Policy Department You may contact them through the Policy Program Clarification Support PCS system at www ncga org pcs When you have approval contact your account manager who will e
8. neqa org If you do not have an NCQA login create a new account in my ncqa org Policy Program Clarification Support PCS NCQA provides different types of policy support to customers including a function that allows customers to submit specific policy interpretation questions to NCQA staff the Policy Program Clarification Support PCS system The PCS system can be accessed on the NCQA Web site http pcs ncqa org NCQA 2015 HOQ FAQs 1 Healthcare Organization Questionnaire FAQs User Agreement What is the IDSS Use Fee Any licensee that uses IDSS and does not submit data to NCQA or submits data that meets all five criteria below will be invoiced an IDSS Use Fee of 2 795 per submission NCQA will send an electronic invoice to primary HEDIS contacts in September 2015 payment is due within 30 days upon receipt of invoice The IDSS Use Fee applies to only submissions that meet all five of these criteria The submission product line is commercial The submission does not contribute to an organization s Interim Scheduled In Process Accredited Commendable Excellent commercial Health Plan Accreditation status from NCQA The submission is not required by a federal project contracted with NCQA The submission is not required by a State s HEDIS Data Collection Project contracted with NCQA The submission includes HEDIS data CAHPS only submissions are not assessed a fee Plans that want to submit to NCQA because of stat
9. nter the information for you When I create a new submission why do I see instead of a new submission ID Your submission must go through an approval process to get an ID After the submission is approved you will receive the actual submission ID Give this number to your HEDIS Auditor or CAHPS vendor when the IDSS is released in April May I request a regular HEDIS submission and a state mandated submission for the same organization Yes you may create two submissions if you need an additional submission for the same product line and reporting product e g Commercial HMO For one submission select the state s Special Project e g TX Commercial For the second duplicate submission your regular HEDIS submission leave the Special Project field set to None How do I request a new SNP submission Select Special Needs Submission in the Submission Type field The key components for requesting a SNP submission are Special Area scroll down to the series of SNP Plan ID numbers Special Project scroll down to the series of SNP Plan Types and CMS contract number Why can t I add HOS to my SNP submission if the SNP meets the eligibly criterion for HOS You must add your HOS selection to your CMS submission for each SNP that meets the enrollment criterion How do I get the Survey Sample Frame SSF audited if I m submitting audited CAHPS data Follow these steps 1 Click on the Request Submission link t
10. o request the same Sub ID as the previous year or click on the Request New Submission link the Sub ID is assigned after the HOQ upload 2 Click on the Validate HOQ button on the 2015 Submission Request page after completing all submission requests or updates This option runs the HOQ through the second tier validations You will receive an error message instructing you to give your auditor access Healthcare Organization Questionnaire FAQs 3 Notify and give access to the auditor who will validate the SSF and close the submission request Follow these steps for the QHP Enrollee Survey 1 Click on the Review Marketplace Submission link to view the pre loaded QRS submission the Sub ID is assigned after the HOQ upload 2 Click on the Validate HOQ button on the 2015 Submission Request page after completing all submission requests or updates This option runs the HOQ through the second tier validations You will receive an error message instructing you to give your auditor access 3 Notify and give access to the auditor who will validate the QHP SSF and close the submission request Our plan has an accredited Medicaid product Must we complete the CAHPS Scoring Component field before giving the auditor access to enter the results of the survey sample frame validation Yes you must complete the CAHPS Scoring Component field in Products before the system allows you to request a Medicaid submission If we participate in commercial or
11. se contact your NCQA Account Manager or my ncqa org to request a new Org ID Contact Information How do I edit an existing contact s information Do I need to inactivate the contact first Edits can be made to only an existing contact s last name e g if she was recently married Changes to the first name require that you inactivate the contact and add a new person Is an Accreditation contact needed If the organization is NCQA Accredited we ask that you add the Accreditation contact Product Information HEDIS 2015 includes four 4 Product Lines commercial Medicaid Medicare and Marketplace and reporting products HMO POS PPO IND Medicare only and EPO Marketplace only Contact information collected by NCQA for organizations participating in QRS reporting will be shared with CMS Healthcare Organization Questionnaire FAQs What date do I use for my enrollment information You should submit the enrollment count as of 12 31 of the measurement year 2014 What is the CAHPS Scoring Component field All Medicaid plans that submit CAHPS are required to select which CAHPS scoring component Adult Child or Child with CCC NCQA should use for its evaluation and reporting products Based on this selection NCQA will use these CAHPS results for Accreditation scoring the Health Plan Insurance Rankings HPR in Quality Compass QC and other products Note The CAHPS Scoring Component field does not apply to commercial Me
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