2019 VBP Quality Measure Sets & Technical Specification Manual

Lisa Volk in Clinical & Quality

The 2019 VBP Quality Measure Sets and the 2019 VBP Reporting Requirements Technical Specifications Manual for Measurement Year (MY) 2018 are now available on the Value Based Payment (VBP) Resource Library website.

The 2019 VBP Quality Measure Sets were reviewed and approved by the VBP Workgroup in 2018 as part of the Annual Measure Review Cycle. Measure sets were compiled in collaboration with State agency partners, including the Office of Mental Health and the Office of Alcoholism and Substance Abuse Services. The following 2019 measure sets are now available on the VBP website:

HARP Measure Set (special needs population type arrangement)
HIV /AIDS Measure Set (special needs population type arrangement)
Maternity Measure Set
Total Care for the General Population (TCGP) & Integrated Primary Care (IPC) Measure Sets

The 2019 quality measure sets can be found by clicking on the following link and looking under the VBP Quality Measures subheading tab: https://health.ny.gov/health_care/medicaid/redesign/dsrip/vbp_library/index.htm

For questions regarding the 2019 Quality Measure Sets please contact: vbp@health.ny.gov.

Additionally, the 2019 VBP Reporting Requirements Technical Specifications Manual for MY 2018 has also been posted. The purpose of this document is to make stakeholders aware of the quality measure reporting requirements for Medicaid Managed Care Organizations (MCOs) participating in the New York State Medicaid VBP program. The contents of this document include an overview of the specific reporting requirements for Category 1 measures for each VBP arrangement, a description of the changes to the measure sets from MY 2018 to MY 2019, and detailed instructions regarding additional file specifications required for the VBP program.

The changes added to reporting requirement include a field that identifies the Contractor ‘DBA’ Name and Contractor Type. The document can be found on the VBP Resource Library website here: https://health.ny.gov/health_care/medicaid/redesign/dsrip/vbp_library/2018/tech_spec_manual.htm

For questions regarding the 2019 VBP Reporting Requirements Technical Specifications Manual for MY 2018 please contact: nysqarr@health.ny.gov.

NYSHFA/NYSCAL CONTACT: 

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15