Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 30.2.1

HOS-Modified

Last amended: 2014Year: 2014Length: 205 wordsOfficial source
30.2.1 - HOS-Modified (Rev. 117, Issued: 08-08-14, Effective: 08-08-14, Implementation: 08-08-14) The HOS-Modified (HOS-M) is a shorter, modified version of the Medicare HOS and contains 6 ADL items as the core items used to calculate an annual frailty adjustment factor for PACE organizations. The survey also includes 12 physical and mental health status questions from the VR-12. The HOS–M survey is cross–sectional, measuring the physical and mental health functioning of beneficiaries at a single point in time. HOS-M reporting requirements specify that all PACE organizations with a Medicare contract in effect on or before January 1st of the previous year and a minimum enrollment of 30 report the HOS-M for current year reporting. Similar to the HOS, the HOS-M design is based on a randomly selected sample of 1,200 individuals from each participating PACE Organization. All eligible members are included in the sample for plans with populations of less than 1,200. The survey protocols for the HOS and HOS-M data collection efforts are similar. The HOS and HOS-M technical specifications are updated annually by NCQA and published each February in HEDIS® Volume 6: Specifications for the Medicare Health Outcomes Survey. Additional information is available from NCQA’s web site at http://www.ncqa.org under HEDIS® and Quality Measurement.
Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 30.2.1: HOS-Modified | Justis AI