HEDIS L.A. Care Data Submissions Implementation Guide

This document is an implementation guide for the HEDIS data submissions required by LA Care for Quality Performance Management in 2023. It outlines the requirements for data submissions, including file naming conventions, data types, and specific fields necessary for compliance. The guide specifies that files must be in tab-delimited format and adhere to the UTF-8 encoding standard. It details the necessary provider information, including demographic data and specialty codes, as well as the required data fields for claims, such as Claim ID, Service Date, and Claim Status. Additionally, it emphasizes the importance of accurate data submission to ensure compliance and facilitate processing. The guide also notes that certain fields, like the Provider Taxonomy Code, have been updated from optional to required for HEDIS compliance. Contact information for further inquiries is provided, ensuring that users can seek assistance if needed.