• HEDIS® - QARR Measure Coding Reference Guides

  • The HEDIS®/QARR measures are used as performance tools to help monitor specific quality indicators throughout the year.  To ensure accuracy and completeness of reporting, proper coding is key to improving quality performance for every individual HEDIS®/QARR measure!

    The Affinity Quality Management Department has developed HEDIS®/QARR Measure Coding Reference Guides to the tool kit as a resource to better understand proper coding requirements.  The HEDIS®/QARR Measure Coding Reference Guides are organized in alphabetical order based on the proper measure name, with the three letter abbreviation included for your reference.  You can download the HEDIS®/QARR Measure Coding Reference Guides by individual measure or as a complete set.

    HEDIS®/QARR Measure Coding Reference Guides Complete Set (as a pdf)*

    Click on the measure(s) below to download the individual coding reference guide pdf by measure.

  • 2019-2020 KIDS Quality Agenda Performance Improvement Project (PIP) Coding Reference Guides

    Affinity Health Plan is participating in New York State’s Medicaid Managed Care Kids Quality Agenda Performance Improvement Project (Kids PIP) from 2019-2020. The Kids PIP is part of the governor’s First 1,000 Days on Medicaid initiative, and aims to improve outcomes and access to services for children in the first three years of life. Running from the second half of 2019 through the end of 2020 (with extension if the program shows success), the KIDS Quality Agenda PIP will focus on three early childhood screenings: Blood Lead Testing and Follow-Up, Newborn Hearing Screening and Follow-Up, and Developmental Screening.

    The Affinity Quality Management Department has added the KIDS Quality Agenda PIP Coding Reference Guides to the tool kit as a resource to better understand proper coding requirements. You can download Kids PIP Coding Reference Guides by focus area or as a complete set for your reference.

    KIDS Quality Agenda PIP Coding Reference Guides Complete Set (as a pdf)*

    Click on the measure(s) below to download the individual coding reference guide pdf by measure.