2022 Quality Assurance Reporting Requirements (QARR)

November 30, 2022

RE: Clarification #9 for Measurement Year (MY) 2022 Updates

Dear Colleague,

This letter contains information about edits incorporated into the 2022 Quality Assurance Reporting

Requirements (QARR) Technical Specifications for Measurement Year (MY) 2022 reporting. The information contained in this clarification has been incorporated into a revised version of the MY2022 PLD File Specifications. The updated files are posted on our Managed Care Information for Health Plans page. The revised specifications should be used in plans' processing for MY2022 QARR.

This clarification includes the following changes made to the 2022 QARR Technical Specifications Manual and Patient-Level Detail File (PLD).

Change Version Version Date Section(s) Changed Change Summary
9 11.23.2022 QARR Technical Specifications To maintain consistency between CMS' 2023 Quality Rating System Measure Technical Specifications and NYS QARR reporting requirements for the Exchange, Blood Pressure Control for Patients With Diabetes (BPD) has been changed to Not Required (NR) for reporting for Qualified Health Plans (QHP) for PPO/EPO and HMO/POS product lines.

COVID-19 Immunization Status (Primary and Booster Series) - Added applicable CVX codes to Table 1: COVID-19 Vaccination Codes – Primary Series and Table 2: COVID-19 Vaccination Codes – Booster Series
9 11.23.2022 Patient-Level Detail File (PLD) Commercial: Measure AXR:
  • Updated measure specifications to allow for episodic tracking in numerator and denominator. Increased column length from 1 to 2.
  • This impacts every Column Start and Column End after 525. Measure PND-E:
  • Corrected numbering sequence between columns 564 to 565 to account for the change in the measure's denominator size (Clarification #8).
  • This impacts every Column Start after 565. Medicaid Measure AXR:
  • Updated measure specifications to allow for episodic tracking in numerator and denominator. Increased column length from 1 to 2.
  • This impacts every Column Start and Column End after 540.
9 11.23.2022 Patient-Level Detail File (PLD) Exchange: Measure BPD:
  • Removed from required reporting for PPO/EPO and HMO/POS product lines.
  • This impacts columns 314 to 315 of the Exchange PLD.

If there are any questions about the above edits, or if you find issues or have concerns with the 2022 Technical Specifications manual or other documents, please email nysqarr@health.ny.gov.

Sincerely,

Paloma Luisi, MPH
Director, Bureau of Quality Measurement & Evaluation
Center for Applied Research and Evaluation
Office of Quality and Patient Safety

CC: R. Josberger
       M. Lurie