2022 Quality Assurance Reporting Requirements (QARR)

November 7, 2023

RE: Clarification #4 for Measurement Year (MY) 2023 Updates

Dear Colleague,

This letter contains information about edits incorporated into the 2023 Quality Assurance Reporting Requirements (QARR) Technical Specifications, specifically the Patient Level Detail (PLD) for Measurement Year (MY) 2023 reporting. The updated files are posted on our Managed Care Information for Health Plans page. The revised specifications should be used in the plans’ processing for MY2023 QARR.

This clarification includes the following changes made to the MY2023 QARR reporting requirements.

Change Version Version Date Section(s) Changed Change Summary
4 11/7/2023 Patient-Level Detail File (PLD) Commercial PLD:

Measure AIS-E (electronic version):
  • Labels and descriptions updated to match HEDIS numerator and denominator population criteria.
Measure SNS-E (electronic version)
  • Updated numerator labels to include "Total Number of Members", per HEDIS Reporting specifications: The total is the sum of the age stratifications.
Medicaid PLD:

Measure AIS-E (electronic version):
  • Labels and descriptions updated to match HEDIS numerator and denominator population criteria.
Measure SNS-E (electronic version)
  • Updated numerator labels to include "Total Number of Members", per HEDIS Reporting specifications: The total is the sum of the age stratifications.
Exchange PLD:

Measure AIS-E (electronic version):
  • Labels and descriptions updated to match HEDIS numerator and denominator population criteria.
Measure COL-E (electronic version)
  • Beginning with column start 157 (COL-E 51 -75 age stratification denominator) all remaining column start and column end numbering has been corrected.
Measure HBD
  • Per QRS 2024-ratings year (MY2023) reporting guideline; "QHP issuers are required to submit data for the HbA1c Control for Patients with Diabetes: HbA1c poor control (>9.0%)", the numerator has been updated.
Measure IMA-E (electronic version)
  • Per QRS reporting guideline, removed reporting requirement for IMA-E for Combo 1; indicating it may be left blank "0".
Measure CIS
  • Numerator specifications have been added to the end of the PLD (row #306) to include Influenza reporting.

If there are any questions about the above edits, or if you find issues or have concerns with the MY2023 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
     C. Fan