Measurement Year 2009

Measure Set

The measurement set goes through a multi-step process of vetting by P4P committees, public comment, and P4P Steering Committee approval before becoming final. The most recent version of the 2009 measure set can be accessed at the link below. The red text in the document represents changes from MY 2008.

MY 2009 Measure Set (Date Posted: December 22, 2009)

P4P Manual

The manual includes technical measure specifications along with data collection and reporting guidelines. The most recent version of the manual can be accessed at the link below.

MY 2009 P4P Manual (Date Posted: November 17, 2009)

• MY 2009 P4P Crosswalk to HEDIS 2010 NDC List 

Frequently Asked Questions (FAQ) (Date Posted:  January 15, 2010)

Although the MY 2009 P4P manual is frozen as of the November 17th 2009 release, we strongly recommend that you adhere to the changes outlined in the FAQ.  Adhering to these changes will help ensure that the MY 2009 P4P measures are run successfully.

NCQA and IHA update the technical specifications twice annually:

MY 2009 P4P Manual, released on September 1, reflects applicable changes in HEDIS 2010 Volume 2: Technical Specifications (released in July 2009).

MY 2009 P4P Manual, released on November 17, reflects applicable changes in the HEDIS 2010 Volume 2: Technical Specifications Update (released in October 2009).

Audit Manual

P4P Audit Review Standards are derived from NCQA's HEDIS Compliance Audit Standards, the foundation on which Certified HEDIS Compliance Auditors assess a health plan's ability to report HEDIS data accurately and reliably. These standards represent key processes involved in P4P clinical data collection and reporting. This section includes the standards and assessments that apply to groups that opt to self-report the P4P clinical data and which are a derived subset of the HEDIS Compliance Audit Standards that health plans must meet during HEDIS audits. HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

MY 2009 Audit Manual

MY 2009 Audit Manual Appendix

MY 2009 P4P Roadmap

Data Submission File Layouts

Physician Organization Clinical Measure File Layout (Commercial and Medicare)

Physician Organization Transition and Testing Measure File Layout (Commercial and Medicare)

Health Plan Clinical Measure File Layout (Commercial)

Health Plan Transition and Testing Measure File Layout (Commercial)