2024 Quality Assurance Reporting Requirements (QARR)

October 23, 2024

RE: Clarification #5 for Measurement Year (MY) 2024 Updates

Dear Colleague,

This letter contains information about edits incorporated into the NYS 2024 Patient Level Detail (PLD) Specifications (Commercial) for Measurement Year (MY) 2024 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 MY2024 QARR.

This clarification includes the following changes made to the MY2024 QARR reporting requirements.

Change Version Version Date Section(s) Changed Change Summary
5 10/21/2024 Patient-Level Detail File (PLD) Commercial PLD:
Data Element: Plan Category
  • Updated specification guidelines, noting that 0=Not Applicable is a valid response for Commercial LOB ONLY. Essential Plan LOBs should select 1-5 as a plan category.
  • Clarification: 5= Essential Plan (EP) 200-250*
    • *EP 200-250 is for individuals with income greater than 200 percent of the FPL and less than or equal to 250 percent of the FPL.

If there are any questions about the above edits, or if you find issues or have concerns with the MY2024 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 Health Services Quality and Analytics

CC:  R. Josberger
        E. Nichols
        C. Fan