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Category C
More Information...
• Events
• Calendar
Category C
Aug
24
Early Baselines
Early Baseline: HHSC will send notification of baseline acceptance or additional information /TA needed the 1
st
week of September.
Early baseline measures will be marked as either
“Accepted”, “Flagged for TA”, or “Not Accepted”
Accepted:
Approved for payment for the baseline reporting milestone in October DY7 and are approved to report performance year 1 (PY1 /CY2018) in April DY8.
Flagged for TA:
Approved for payment for the baseline reporting milestone in October DY7 but
require additional communication between the provider and HHSC to resolve the baseline TA flag before PY1 can be reported.
Common causes of "Flagged for TA" include insignificant denominator volume for the currently approved achievement payer type, unreasonably low baseline rate (typically for process measures with a positive directionality), and adherence to measure specifications.
Measures flagged for Technical Assistance will receive a written summary of identified issues in the baseline review results. HHSC is not asking for an immediate response to the technical assistance flags.
HSC will begin working with providers with one or more TA flags to resolve the flags during the month of September. HHSC will contact providers via email to initiate the technical assistance process, and will CC anchors with the TA initiation email. Depending on the identified issues, HHCS may request a response in writing or request a conference call.
Some of the changes that could result from TA include:
Changes to the milestone structure, baseline measurement period, approved approximate baseline, or baseline numerator of zero;
Requiring that a correction be submitted in October DY7 or prior to PY1 reporting.
The baseline review results will include a general summary of common TA flags, possible resolutions, and the TA process.
Not Accepted:
Do not meet the minimum baseline reporting requirements (for example, not reporting the all-payer rate when required and there is clearly an all-payer volume), or the provider indicated that significant modification requests were pending. Measures that are marked as "Not Accepted" will not be approved for payment for baseline reporting in October DY7 based on the early baseline reporting submission. Measures marked as "Not Accepted" will be eligible to submit a baseline that meets the minimum reporting requirements in October DY7, and will be reviewed by HHSC and possibly approved for payment when they are resubmitted.
Measure Specs
MSLC’s Data Support Guide and FAQ to be updated this week
HHSC’s Cat C FAQ to be updated early September
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