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MM13024 -HCPCS代码和临床实验室改进修订修订：2023年4月
1。Measure Data page .............................................................................................................................................152 Table S-1: Measure Data page sample ......................................................................................................................152 2.Measure Detail page............................................................................................................................................152 Table S-2: Measure Detail page fields .......................................................................................................................154 3.Measure Detail – Part C Appeals page ................................................................................................................154 Table S-3: Measure Detail – Part C Appeals page fields ............................................................................................154 4.Measure Detail – SNP CM page ..........................................................................................................................154 Table S-4: Measure Detail – SNP CM page fields ......................................................................................................155 5.Measure Detail – SNP COA page ........................................................................................................................155 Table S-5: Measure Detail – SNP COA page fields ....................................................................................................155 Table S-6: HEDIS 2020 Audit Designations and 2022 Star Ratings ...............................................................................................................................................................................................................................Measure Detail – CTM page ................................................................................................................................156 Table S-7: Measure Detail – CTM page fields ............................................................................................................156 7.Measure Detail – Disenrollment ...........................................................................................................................156 Table S-8: Measure Detail – Disenrollment page fields ..............................................................................................156 8.Measure Detail – DR (Disenrollment Reasons) ....................................................................................................156 Table S-9: Measure Detail – Disenrollment Reasons page fields ...............................................................................156 9.Measure Detail – MTM page ................................................................................................................................157 Table S-10: Measure Detail – MTM page fields..........................................................................................................157 10.Measure Detail – CAHPS page ............................................................................................................................157 Table S-11: Measure Detail – CAHPS page fields .....................................................................................................158 11.Calculation Detail – CSR .....................................................................................................................................158 Table S-12: Measure Detail – Part C Scaled Reductions page fields ..........................................................................158 12.Calculation Detail – MD .......................................................................................................................................158 Table S-13: Calculation Detail – MD page fields ........................................................................................................159 13.Calculation Detail – CAI .......................................................................................................................................159 Table S-14: Measure Detail – CAI page fields ............................................................................................................160 14.Measure Detail – HEDIS LE page ........................................................................................................................160 Table S-15: Measure Detail – HEDIS LE page fields ..................................................................................................161 15.Measure Detail – C Disaster Results ....................................................................................................................161 Table S-16: Measure Detail – C Disaster Results ......................................................................................................161
NSTC M-1533.2E
6.NSTC 1533-112 (11-19) – NROTC 申请的认证和理解声明 7.NSTC 1533-113 (01-22) – 个人 NROTC 教育计划费用 8.NSTC 1533-115 (08-22) – 学期表现和咨询记录 9.NSTC 1533-116 (06-18) – 供应行动文件登记册 10.NSTC 1533-117 (08-19) – 学位完成计划 11.NSTC 1533-120 (03-16) – NROTC 取消注册确认 12.NSTC 1533-121 (04-17) – NROTC 荣誉准则 13。NSTC 1533-122 (08-19) – NROTC 学生退学报告 14。NSTC 1533-123 (03-22) – NROTC 退学授权 15。NSTC 1533-124 (03-22) – 终止任命退学 16。NSTC 1533-126 (08-19) – NROTC 接受和宣誓就职 17。NSTC 1533-127 (01-23) – 高级大学课程学生服务协议 18。NSTC 1533-128 (12-18) – 学生档案索引 19。NSTC 1533-129 (11-22) – 护士理解声明 (SOU)
BCCHP 长期服务和支持豁免手册
DON 分数范围为 0 到 100。您的 DON 分数必须达到 29 或更高才有资格。州委派的评估员将对您进行评估和评分。如果您不符合或未保持部门标准规定的资格要求，您可能会被取消豁免资格。如果伊利诺伊州机构发现您不再符合资格，他们会通知您。他们会告诉您取消豁免资格的日期。Blue Cross Community Health Plans 也会被告知此决定和取消豁免资格的日期。取消豁免资格后，Blue Cross Community Health Plans 将停止您的所有豁免服务并通知您的 HCBS 提供商。我们将与这些机构合作进行您的年度重新评估，或者在您的病情或需求发生变化时进行重新评估。您的 DON 分数有助于您的护理协调员与您合作制定适当的服务计划。您至少每年需要完成一次 DON。
Medicare D部分计划报告要求：
•CMS的离群值通知仅使D部分发起人有机会在需要时纠正提交的数据，并且不表示提交的数据不正确，或者需要重新提交。•合同拒绝的注册请求百分比将检查以获取异常数据。在考虑了提交的入学人数数量后，其合同类型的第95个百分点的合同将被标记为离群值。•合同拒绝的删除请求的百分比将进行审查以获取异常数据。在考虑了提交的撤销请求的数量后，其合同类型的第95个百分点的合同将被标记为离群值。•CMS可以根据D部分发起人收到的数据来调整现有的质量保证检查和阈值验证的现有质量保证检查。
无标题
o 本出版物是一次重大修订和改组，取代了 2011 年 9 月 12 日发布的 CC PAM 145-4。各章与学员的生命周期保持一致，从入伍开始到退伍结束。o 更正组织名称和结构名称。o 删除陆军条例中指定的冗余信息。o 更新参考出版物并进行全面管理变更。o 要求 PMS 在将学员置于 LOA 之前咨询 USACC 指挥外科医生 o 图 8-1 至 8-6 为退伍程序、调查委员会行政程序和有无记录员的委员会脚本添加了 PMS 清单。o 增加了新的政策变更陆军指令 2018-12（关于任命和入伍申请人豁免的新政策），日期为 2018 年 7 月 30 日 o 增加了授权 USACC 处理学员医疗豁免和医疗取消资格。IAW ASA (M&RA) 备忘录，2016 年 4 月 21 日。 o 增加了陆军指令 2016-34（处理需要豁免陆军制服或仪容政策的宗教住宿请求） o 增加了陆军指令 2018-19（批准、拒绝和提升宗教住宿请求）
健康计划恢复通知
WKR ID：（工作人员 ID）SVC LOC：（县）（投保人姓名）（通知邮寄日期）（投保人地址）（投保人城市/州/邮编）健康计划恢复通知收件人 ID：（PMI）姓名：（投保人姓名）案件编号：（案件编号）开始日期：（恢复生效日期）健康计划：（健康计划名称）计划：（MA）自（恢复生效日期）起，您将继续投保（健康计划名称）。请忽略在（取消投保日期）终止您健康计划投保的健康计划取消投保信。继续从（健康计划名称）获得所有医疗保健。本计划未批准或提供的任何医疗保健均不予承保。这意味着您可能需要支付账单。如有任何疑问，请咨询您的健康计划。您的健康计划会员服务号码印在您的健康计划卡背面。您的健康计划可能会更改您的初级保健诊所。致电您的健康计划会员服务部，确保您可以前往您想要的诊所。然后，使用该诊所进行所有医疗保健。______________________________________________________________________
致长期护理机构关于医疗保险计划登记的备忘录
这同样适用于在护理机构或专业护理机构接受护理的受益人。无论参保或取消参保行为涉及不带 D 部分的 Medicare Advantage 计划（仅限 MA）、带 D 部分的 MA 计划（MA-PD）、作为财务协调倡议 1 或 PACE 组织下示威的一部分的医疗保险-医疗补助计划 (MMP)，这也同样适用。2 背景：CMS 收到了受益人及其代表的投诉，通常是在受益人已经从 LTC 机构出院后，指控他们在未经同意的情况下被取消了 Medicare 健康计划的参保资格。出院受益人在尝试访问服务和/或开始收到他或她认为 Medicare 健康计划应该承保或已经承保的服务账单时，发现他们的计划覆盖范围已终止。有时只有在此时，受益人才会得知他们的参保情况已发生变化。机构的责任：受益人医疗保险的变更通常必须由受益人或其代表发起。如果受益人或其法定代表人请求 LTC 机构协助变更受益人的医疗保险，则 LTC 机构应采取以下步骤，帮助确保受益人医疗保险的变更符合有关登记/取消登记和居民权利的规定：3
Medicare编号：出生日期：性别：M-f家庭电话号码：（）请仔细阅读并完成以下信息
Medicare Number: Birth Date: Sex: M F Home Phone Number: ( ) Please carefully read and complete the following information before signing and dating this disenrollment form: If I have enrolled in another Medicare Advantage, Medicare Advantage Special Needs Plan or Medicare Prescription Drug Plan, I understand Medicare will cancel my current membership in Tufts Health Plan Senior Care Options (HMO SNP) on the effective date of that new enrollment.我知道我可能目前无法参加另一个计划。我也明白，如果我从Medicare处方药覆盖范围中取消介绍并希望将来需要Medicare处方药覆盖范围，那么我可能不得不为此承保范围支付更高的保费。您的签名 * ____________________________________________________________________ *或根据您居住的国家法律，被授权代表您行事的人的签名。如果由授权个人签署（如上所述），则该签名证明：1）根据州法律授权该人完成此剥夺，并且2）2）根据Tufts Health Plan或Medicare的要求，可以根据要求提供此权限的文件。拥有MassHealth标准（医疗补助）的65岁及以上的高级护理选择计划。If you are the authorized representative, you must provide the following information: Name: ____________________________________________________________________________ Address: __________________________________________________________________________ Phone Number: (________) __________ - _______________________________________________ Relationship to Enrollee: ______________________________________________________________ Tufts Health PLAN SCO是一项HMO-SNP计划，签订了Medicare合同，并与马萨诸塞州联邦医疗补助计划签订了合同。
联邦医疗保险 2024 年 C 部分和 D 部分星级评定技术说明
1. 测量数据页面 ................................................................................................................................................ 195 表 S-1：测量数据页面示例 ................................................................................................................................ 195 医疗保险星级评定报告卡主表 ................................................................................................................ 195 2. 测量详情 – CTM 摘要页面 ...................................................................................................................................... 196 表 S-2：测量详情 – CTM 摘要页面字段 ...................................................................................................................... 197 3. 测量详情 – C 部分上诉页面 ............................................................................................................................. 197 表 S-3：测量详情 – C 部分上诉页面字段 ............................................................................................................. 197 4. 测量详情 – SNP CM 页面 ............................................................................................................................. 198 表 S-4：测量详情 – SNP CM 页面字段 ............................................................................................................. 198 表 S-5：测量详情 – HEDIS 页面字段 ...................................................................................................................... 199 表 S-6：HEDIS 2022 审计指定和 2024 星级评定 ................................................................................................ 199 6. 测量详情 – CTM 页面 ...................................................................................................................................... 199 表 S-7：测量详情 – CTM 页面字段 ...................................................................................................................... 200 7. 测量详情 – 取消注册 ...................................................................................................................................... 200 表 S-8：测量详情 – 取消注册页面字段 ................................................................................................................ 200 8. 测量详情 – DR（取消注册原因） ................................................................................................................ 200 表 S-9：测量详情 – 取消注册原因页面字段 .......................................................................................................... 201 9. 测量详情 – MTM 页面................................................................................................................................ 201 表 S-10：测量详情 – MTM 页面字段 .......................................................................................................................... 201 10. 测量详情 – CAHPS 页面 ...................................................................................................................................... 202 表 S-11：测量详情 – CAHPS 页面字段 ...................................................................................................................... 202 11. 计算详情 – MD ...................................................................................................................................................... 202 表 S-12：计算详情 – MD 页面字段 ............................................................................................................................. 203 12. 计算详情 – CAI ...................................................................................................................................................... 203 表 S-13：测量详情 – CAI 页面字段 ............................................................................................................................. 204 13. 测量详情 – HEDIS LE 页面 ................................................................................................................................ 204 表 S-14：测量详情 – HEDIS LE 页面字段........................................................................................................... 205 14. 测量细节 – C MD 结果 ...................................................................................................................................... 205 表 S-15：测量细节 – C MD 结果 ............................................................................................................................. 205 15. 测量细节 – D MD 结果 ............................................................................................................................. 205 表 S-16：测量细节 – D MD 结果 ............................................................................................................................. 206 16. 测量细节 – C 改进页面 ............................................................................................................................. 206 表 S-17：C 部分测量改进结果 ............................................................................................................................. 206 17. 测量细节 – D 改进页面 ............................................................................................................................................... 207 表 S-19：测量星级页面示例 ...................................................................................................................................... 207 医疗保险星级评定报告卡主表 .............................................................................................................................. 207 19. 领域星级页面 ...................................................................................................................................................... 207 表 S-20：领域星级页面示例 ...................................................................................................................................... 208 医疗保险星级评定报告卡主表 ............................................................................................................................. 208 20. C 部分摘要评级页面 ............................................................................................................................................. 208 表 S-21：C 部分摘要评级页面字段 ............................................................................................................................. 208 21. D 部分摘要评级页面 ............................................................................................................................................. 209 表 S-22：D 部分摘要评级视图 ............................................................................................................................. 209 22. 总体评级页面 ............................................................................................................................................. 209 表 S-23：总体评级视图........................................................................................................................... 210 23. 表现不佳的合同清单 ...................................................................................................................................... 210 表 S-24：表现不佳的合同清单 ................................................................................................................................ 211 24. 表现优异的合同清单 ...................................................................................................................................... 211................................ 208 医疗保险星级评定报告卡主表 ...................................................................................................................... 208 20. C 部分总结评级页面 ........................................................................................................................................ 208 表 S-21：C 部分总结评级页面字段 ...................................................................................................................... 208 21. D 部分总结评级页面 ...................................................................................................................................... 209 表 S-22：D 部分总结评级视图 ............................................................................................................................. 209 22. 总体评级页面 ............................................................................................................................................. 209 表 S-23：总体评级视图 ............................................................................................................................................. 210 23. 低绩效合同清单 ............................................................................................................................................. 210 表 S-24：低绩效合同清单 ............................................................................................................................................. 211 24. 高绩效合同清单 ............................................................................................................................................. 211................................ 208 医疗保险星级评定报告卡主表 ...................................................................................................................... 208 20. C 部分总结评级页面 ........................................................................................................................................ 208 表 S-21：C 部分总结评级页面字段 ...................................................................................................................... 208 21. D 部分总结评级页面 ...................................................................................................................................... 209 表 S-22：D 部分总结评级视图 ............................................................................................................................. 209 22. 总体评级页面 ............................................................................................................................................. 209 表 S-23：总体评级视图 ............................................................................................................................................. 210 23. 低绩效合同清单 ............................................................................................................................................. 210 表 S-24：低绩效合同清单 ............................................................................................................................................. 211 24. 高绩效合同清单 ............................................................................................................................................. 211........................................................................... 210 表 S-24：低绩效合同清单 ................................................................................................................................ 211 24. 高绩效合同清单 ........................................................................................................................................ 211........................................................................... 210 表 S-24：低绩效合同清单 ................................................................................................................................ 211 24. 高绩效合同清单 ........................................................................................................................................ 211
联邦医疗保险 2025 C 和 D 部分星级评定技术说明
1. 测量数据页面 ................................................................................................................................................ 190 表 S-1：测量数据页面示例 ................................................................................................................................ 190 2. 测量详情 – CTM 摘要页面 ................................................................................................................................ 190 表 S-2：测量详情 – CTM 摘要页面字段 ................................................................................................................ 191 3. 测量详情 – C 部分申诉页面 ............................................................................................................................. 191 表 S-3：测量详情 – C 部分申诉页面字段 ............................................................................................................. 191 4. 测量详情 – SNP CM 页面 ............................................................................................................................. 192 表 S-4：测量详情 – SNP CM 页面字段 ............................................................................................................. 192 5. 测量详情 – HEDIS 页面 ............................................................................................................................. 192 表 S-5：测量详情 – HEDIS 页面字段........................................................................................................... 193 表 S-6：HEDIS 2023 审计指定和 2025 星级评定 .............................................................................................. 193 6. 测量详情 – CTM 页面 ...................................................................................................................................... 193 表 S-7：测量详情 – CTM 页面字段 ...................................................................................................................... 194 7. 测量详情 – 取消注册 ...................................................................................................................................... 194 表 S-8：测量详情 – 取消注册页面字段 ............................................................................................................. 194 8. 测量详情 – DR（取消注册原因） ................................................................................................................ 194 表 S-9：测量详情 – 取消注册原因页面字段 ............................................................................................................. 195 9. 测量详情 – MTM 页面 ............................................................................................................................................. 195 表 S-10：测量详情 – MTM 页面字段 ................................................................................................................ 195 10. 测量详情 – CAHPS 页面 ...................................................................................................................................... 196 表 S-11：测量详情 – CAHPS 页面字段 ...................................................................................................................... 196 11. 计算详情 – MD ...................................................................................................................................................... 196 表 S-12：计算详情 – MD 页面字段 ...................................................................................................................... 197 12. 计算详情 – CAI ...................................................................................................................................................... 197 表 S-13：测量详情 – CAI 页面字段 ...................................................................................................................... 198 13. 测量详情 – HEDIS LE 页面 ................................................................................................................................ 198 表 S-14：测量详情 – HEDIS LE 页面字段 ................................................................................................................ 199 14. 测量详情 – C MD 结果........................................................................................................................... 199 表 S-15：测量细节 – C MD 结果 .......................................................................................................................... 199 15. 测量细节 – D MD 结果 ............................................................................................................................. 199 表 S-16：测量细节 – D MD 结果 ............................................................................................................................. 200 16. 测量细节 – C 改进页面 ............................................................................................................................. 200 表 S-17：C 部分测量改进结果 ............................................................................................................................. 200 17. 测量细节 – D 改进页面 ............................................................................................................................. 200 表 S-18：D 部分测量改进结果 ............................................................................................................................. 201 18. 测量星号页面 ............................................................................................................................................. 201 表 S-19：测量星号页面示例 ............................................................................................................................................. 201 19. 域名星级页面 ...................................................................................................................................................... 201 表 S-20：域名星级页面示例 ...................................................................................................................................... 202 20. C 部分摘要评级页面 ............................................................................................................................................. 202 表 S-21：C 部分摘要评级页面字段 ............................................................................................................................. 202 21. D 部分摘要评级页面 ............................................................................................................................................. 203 表 S-22：D 部分摘要评级视图 ............................................................................................................................. 203 22. 总体评级页面 ............................................................................................................................................................. 203 表 S-23：总体评级视图 ............................................................................................................................................. 204 23. 表现不佳的合同列表 ............................................................................................................................................. 204 表 S-24：表现不佳的合同列表 ............................................................................................................................. 205 24. 表现优异的合同列表................................................................................................................................... 205 表 S-25：高绩效合同清单 ...................................................................................................................................... 205 25. 技术说明链接 ...................................................................................................................................................... 205 26. 药物 NDC 清单 ...................................................................................................................................................... 206 27. C 部分和 D 部分示例测量数据 ............................................................................................................................. 206........................................................................................................................... 202 表 S-21：C 部分总结评级页面字段 .......................................................................................................................... 202 21. D 部分总结评级页面 ...................................................................................................................................... 203 表 S-22：D 部分总结评级视图 ............................................................................................................................. 203 22. 总体评级页面 ............................................................................................................................................. 203 表 S-23：总体评级视图 ...................................................................................................................................... 204 23. 低绩效合同清单 ............................................................................................................................................. 204 表 S-24：低绩效合同清单 ............................................................................................................................................. 205 24. 高绩效合同清单 ............................................................................................................................................. 205 表 S-25：高绩效合同清单 ............................................................................................................................................. 205 25. 技术说明链接 ............................................................................................................................................................. 205 26. 药物NDC 清单 ................................................................................................................................................ 206 27. C 部分和 D 部分示例测量数据 .......................................................................................................................... 206........................................................................................................................... 202 表 S-21：C 部分总结评级页面字段 .......................................................................................................................... 202 21. D 部分总结评级页面 ...................................................................................................................................... 203 表 S-22：D 部分总结评级视图 ............................................................................................................................. 203 22. 总体评级页面 ............................................................................................................................................. 203 表 S-23：总体评级视图 ...................................................................................................................................... 204 23. 低绩效合同清单 ............................................................................................................................................. 204 表 S-24：低绩效合同清单 ............................................................................................................................................. 205 24. 高绩效合同清单 ............................................................................................................................................. 205 表 S-25：高绩效合同清单 ............................................................................................................................................. 205 25. 技术说明链接 ............................................................................................................................................................. 205 26. 药物NDC 清单 ................................................................................................................................................ 206 27. C 部分和 D 部分示例测量数据 .......................................................................................................................... 206................................................................................................................................... 204 23. 低绩效合同清单 .......................................................................................................................................... 204 表 S-24：低绩效合同清单 ...................................................................................................................................... 205 24. 高绩效合同清单 ...................................................................................................................................... 205 表 S-25：高绩效合同清单 ...................................................................................................................................... 205 25. 技术说明链接 ...................................................................................................................................................... 205 26. 药物 NDC 清单 ................................................................................................................................................ 206 27. C 部分和 D 部分示例测量数据 ............................................................................................................................. 206................................................................................................................................... 204 23. 低绩效合同清单 .......................................................................................................................................... 204 表 S-24：低绩效合同清单 ...................................................................................................................................... 205 24. 高绩效合同清单 ...................................................................................................................................... 205 表 S-25：高绩效合同清单 ...................................................................................................................................... 205 25. 技术说明链接 ...................................................................................................................................................... 205 26. 药物 NDC 清单 ................................................................................................................................................ 206 27. C 部分和 D 部分示例测量数据 ............................................................................................................................. 206