1. Attachment #1: Examples of Encounter Data
Health Plan ID
Beneficiary ID
Date of Service
Place of Service
Provider Name
Provider Number
Prior Authorizations
Referrals
Diagnosis Codes
Procedure Codes
Medications/Prescriptions
Surgical Codes
Admission Dates
Discharge Dates
Patient Status Code
Long-term care
Number of days
X-Rays and Imaging
Laboratory Services
“What diagnosis was made?
What tests were performed?
What treatments were provided?”

2. Attachment #2: HEDIS Measurements
Well-Child Visits (Years 3-6)
Adolescent Well-Care Visits
Childhood Immunization Status-Combo 3
Prenatal & Postpartum Care (Timeliness of Prenatal Care, Postpartum Care)
Use of Imaging Studies for Low Back Pain
Cervical Cancer Screening
Weight Assessment & Counseling for Nutrition & Physical Activity for Children & Adolescents
Comprehensive Diabetes Care (e.g. Eye exam, LDL-C screening & control, HbA1c testing & control, medical attention for Nephropathy, blood pressure)
Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis
HbA1c Testing indicator used for Auto Assignment (Diabetes)
Children & Adolescents' Access to Primary Care Practitioners*
Immunizations for Adolescents*
Ambulatory care: Outpatient visits, Emergency Department visits*
Annual Monitoring for Patients on Persistent Medications (w/out anticonvulsant indicator)*
All-Cause Readmissions - Statewide Collaborative QIP measure*
* New for 2012