1. Slide 1 2011-2012 Upcoming Performance Measure Validation Activity Monday, September 26, 2011 Presenter: David Mabb, MS, CHCA Associate Director, HEDIS/PMV Audits

2. Slide 2 Upcoming Activities Performance Measure Validation Activities –Performance Measure Validation Report  Summary of HEDIS audit findings –HEDIS Aggregate Report  Summary of performance on HEDIS and Agency- Defined measures –20 HEDIS measures –10 Agency-Defined measures

3. Slide 3 Submission Requirements HSAG requested the following information: –2011 HEDIS Roadmap –2011 Final Audit Report –2011 Final locked IDSS file (.csv and.xls format)  For those MCOs who do not report to NCQA, submission of the 2011 AHCA Reporting Template –Supplemental Questionnaire: HMOs/PSNs If you have both a reform and non-reform contract and the process to collect and calculate the performance measures are the same, you may submit one document and indicate that the submissions addresses both contracts.

4. Slide 4 Timeline of Events TaskTimelineResponsible Party Submit request for documentation to MCOs9/9/11HSAG HMOs/PSNs will submit the following to HSAG: Completed 2011 HEDIS Roadmap 2011 Final Audit Report 2011 Final locked IDSS –or- AHCA Reporting Template Supplemental Questionnaire By 10/14/11 HMO/PSN Review submitted information and prepare draft Performance Measure Validation Report By 12/16/11 HSAG Submit draft Performance Measure Validation Report to AHCA 12/19/11HSAG Finalize Performance Measure Validation ReportBy 1/18/12HSAG

5. Slide 5 Uploading to the FTP Site Intended to be secure, browser-based medium to exchange electronic files If over 20MB file size, please compress and zip files. How to Access –HSAG.com website –Partners login in upper right hand corner –Requires User Name and Password  User Name is full email address  Password is set by user at registration  Contact Denise Driscoll (602) 801-6882 or ddriscoll@hsag.com for assistance

6. Slide 6 Prior Lessons Learned Submission of all requested documentation –Need Final Audit Report (FAR), not just Final Audit Statement (FAS)

7. Slide 7 Questions & Answers