MY 2013 P4P Manual and Value Set Directories

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NCQA PUBLICATION LICENSE AGREEMENT

This Publication License Agreement, along with all materials referenced herein ("License Agreement"), is a legal agreement between the individual or entity purchasing the license to use the Product (hereinafter the “Licensee”) and the National Committee for Quality Assurance (“NCQA”). “Licensee” means only the individual or legal entity whose authorized acceptance appears below as evidence of agreement to the License Agreement terms below.

NOTE: This License Agreement is null and void as related to the following NCQA Products (as such term is defined in Section I below): Risk Adjustment Tables, HEDIS® Medication List Directory and CA DHCS QIP (any) Edition of HEDIS Digital Measures Bundle For ECDS Reporting. Users of these Products will be required to accept a separate Usage Agreement in NCQA’s Download Center before accessing the Products. Users must still click the “I AGREE” checkbox at the end of this License Agreement to access those Products, but the terms of this License Agreement will have no legal effect.

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I. Product
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(i) Use the Product or any portion thereof for any purpose other than as specifically set forth in this License Agreement;
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An organization’s Licensed Users may use the Product solely for a personal non-commercial purpose without obtaining NCQA approval.

All other uses, including a commercial use (including but not limited to vendors or consultants using or embedding the measures and specifications and/or Value Set Directory into any product or service to calculate measure results or provide any measure-related service to customers for any purpose) and/or any internal or external reproduction, distribution or publication (including but not limited to federal and state entities using or incorporating the measures into their programs) must be approved by NCQA and are subject to a license at the discretion of NCQA.

Anyone contemplating a use beyond a personal, non-commercial use, including but not limited to a commercial use, internal or external reproduction, distribution or publication of any part of a Product or use of a Product to identify records or calculate HEDIS measure results, must contact the NCQA licensing team by submitting a request through https://my.ncqa.org to discuss the need for a license.
Licensee agrees and understands that any score or numeric result calculated from access and use of the Product does not constitute a preliminary or final score and does not predict achievement of accreditation, certification or recognition, as applicable. Any use of the Product to identify records or calculate HEDIS measure results, for example, requires a custom license and may necessitate certification pursuant to NCQA’s Measure Certification Program. The following activities are expressly prohibited in connection with the use of the Product under this License Agreement:

(i) No individual or entity may use the Product to evaluate another organization against NCQA standards, except as part of Licensee’s internal preparation for an NCQA survey or review; and
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For Value Set Directory (VSD) Downloads. HEDIS VSDs contain code values owned by third parties (the “Third Party Code Values”), including CPT® owned by American Medical Association, LOINC® owned by Regenstrief Institute, Inc., SNOMED CT® owned by the International Health Terminology Standards Development Organisation, and Uniform Billing Codes owned by the American Hospital Association. HEDIS VSDs are made separately available, at no cost, in electronic format. These third party medical and billing codes are protected under federal copyright laws. No license to reproduce, distribute or incorporate the HEDIS VSDs into any product is granted to Licensee by virtue of this License Agreement. All uses of these Third-Party Code Values may require a license from the copyright owner. Licensee acknowledges and agrees that it is responsible for obtaining a license directly from the copyright owner of each of the Third-Party Code Values, if required. Licensee agrees to indemnify and hold NCQA harmless from any claims and expenses arising out of Licensee’s use and display of Third-Party Code Values included in the HEDIS VSDs, or any portion thereof.

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MEASUREMENT YEAR 2013 P4P MANUAL AND VALUE SET DIRECTORIES

The MY 2013 P4P VSDs provide an easy way to incorporate CPT, ICD-9-CM, POS, MS-DRG, HCPCS, LOINC, TOB and UB codes into your organization's data collection program - saving programming hours, eliminating the manual search for codes and reducing keying errors. The MY 2014 P4P VSD consists of an electronic locked Excel file that is searchable and sortable.