Multi-page newsletters are out, and shorter news bulletins are in, which is why MHR is changing its communications!

• Blogs on important NCQA topics will continue
• News bulletins will be brief but informative
• Emails will alert you to events and new products and services

CMS Model of Care Review (MOC)

Are you starting to update your MOC for your Special Needs Plan?  MHR will review your MOC before it is submitted to assess your completion of requirements. Contact us to schedule a consultation, and be sure to read more about MOC in our blog from April 2024.  

Wrap-Up

At MHR’s Complimentary webinar on Challenges with NCQA Health Equity Accreditation (HEA), MHR Consultant Sonia Frazier offered these critical insights to 114 participants. Contact us to take a deeper dive and learn how MHR’s consulting tools, templates, and training can help you achieve this important accreditation. To listen again, visit our Events page.

• Make HEA meaningful and not simply a check-box approach
• Create a culture where health equity is a corporate-wide goal
• Educate staff on how to ask questions on gender & sexual orientation
• Inform members on why the organization requests data on sexual orientation
• Allow 12-18 months lead time before submitting for NCQA HEA
• Assess your current programs and leverage what is already in place
• Assess all data available - internally collected and ingested. Evaluate if there is data that overwrites any systems.
• When collecting data for health equity, specify the following in a documented process and determine if delegation of data collection is in scope*:
  • What data is collected
  • Who collects the data from the individual
  • Who and what entity sends the data to the organization
  • How often data is sent to the organization
  • Where the organization stores the data
  • Individual at the organization responsible for oversight of the process
  • Who can access private data
• Data on sexual orientation, gender identity, and gender expression collected from a provider or practitioner’s electronic medical records generally is not considered delegation *
• Data collected by another entity on behalf of the organization is delegation *

* MHR recommends a detailed assessment to determine delegation status

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