2022 Quality Assurance Reporting Requirements (QARR)

November 17, 2022

RE: Clarification #8 for Measurement Year (MY) 2022 Updates

Dear Colleague,

This letter contains information about edits incorporated into the 2022 Quality Assurance Reporting Requirements (QARR) Technical Specifications for Measurement Year (MY) 2022 reporting. The information contained in this clarification has been incorporated into a revised version of the MY2022 PLD File Specifications. The updated files are posted on our Managed Care Information for Health Plans page. The revised specifications should be used in plans' processing for MY2022 QARR.

The scope of the changes include:

  • Increasing the column width for IET and PND-E to allow for member appearances in the numerator and denominator that are greater than 9.
  • Removing the request for indirect race and ethnicity estimates as a probability as this is no longer required for QARR reporting. There is now a field to indicate how a member’s race and/or ethnicity has been determined (e.g., direct or indirect).

This clarification includes the following changes made to the 2022 QARR Technical Specifications Manual:

Change Version Version Date Section(s) Changed Change Summary
8 11.15.2022 QARR Technical Specifications No Changes were made to the 2022 QARR Technical Specifications Manual
    Patient-Level Detail File (PLD) Commercial PLD:
Measure IET
  • Created two spaces for the numerator and denominator from columns 277 to 312 and 534 to 551. This impacts every column start after column 278.
General Info
  • Removed the indirect race and ethnicity estimates from columns 394 to 409 and 565 to 582.
  • Added source of race data to columns 394 to 395.
    Added source of ethnicity data to 396 to 397.
    Reduced the column field size (length) from 3 to 2 for columns 394 to 397.
Measure PND-E:
  • Created 2 spaces for the numerator and denominator. This impacts columns 554 to 564.
    Patient-Level Detail File (PLD) Medicaid PLD:
Measure IET
  • Created two spaces for the numerator and denominator from columns 297 to 332 and 521 to 538. This impacts every column start after column 298.
Measure PND-E:
  • Created 2 spaces for the numerator and denominator. This impacts columns 549 to 556.
General Info
  • Removed the indirect race and ethnicity estimates from columns 559 to 592.
  • Added source of race data to columns 559 to 560.
    Added source of ethnicity data to 561 to 562.
    Reduced the column field size (length) from 3 to 2 for columns 559 to 562.
    Patient-Level Detail File (PLD) Exchange PLD:
Measure IET
  • Created two spaces for the numerator and denominator from columns 200 to 235 and 321 to 338. This impacts every column start after column 201.
General Info
  • Removed the indirect race and ethnicity estimates from columns 262 to 277 and 339 to 356.
  • Added source of race data to columns 262 to 263.
    Added source of ethnicity data to 264 to 265.
    Reduced the column field size (length) from 3 to 2 for columns 262 to 265.

If there are any questions about the above edits, or if you find issues or have concerns with the 2022 Technical Specifications manual or other documents, please email nysqarr@health.ny.gov.

Sincerely,

Paloma Luisi, MPH
Director, Bureau of Quality Measurement & Evaluation
Center for Applied Research and Evaluation
Office of Quality and Patient Safety