December 20, 2024
Submit your data on time to make an impact on MY 2024 reporting
Wellcare is committed to ensuring accurate and timely reporting for HEDIS®1 Measurement Year (MY) 2024. Providers play a pivotal role in closing care gaps and improving patient outcomes. To make sure your supplemental data is included in MY 2024 reporting, it is vital to submit all new data by the deadlines listed below.
Data received after the submission deadlines will be applied to MY 2025 reporting.
Key Deadlines for Submission
To guarantee your supplemental data is included in MY 2024 reporting, please submit your files no later than the dates outlined below.
| Date | Type | Descriptions |
| January 31, 2025 | Non-standard data via Cozeva® | Chart review completed [deadline to ensure data is entered into the user interface]. |
| March 13, 2025 | Supplemental standard data | Final submission (for established sources): a file needs to be received on March 13, 2025, by the end of business day for final submission impact. Data files received after this date will not be utilized for the MY 2024 final run. |
| March 31, 2025 | Encounters | Final deadline for encounters submission. |
Why timely submission matters
Submitting your supplemental data on time is crucial for achieving the following outcomes:
- Addressing Care Gaps: Ensure gaps in patient care are identified and closed for MY 2024.
- Reflecting Patient Care Improvements: Your data directly supports quality measures that highlight care improvements.
- Maximizing Your Contributions: Ensure your efforts are accurately recognized in the current reporting year.
- Timely submission is not just about meeting a deadline—it is about impacting patient care and quality performance.
Supplemental data categories and submission
Supplemental data sources fall into two categories for HEDIS, nonstandard and standard:
- Nonstandard is data from manual chart collection and abstraction of the clinical medial record or from continuity of care document data.
- Standard data is data extracted from billing systems, standardized back end electronic health record (EHR) data extractions, immunization registry and lab data.
Supplemental data must be submitted separately for the following sources:
- Nonstandard supplemental data source for Align. Measure. Perform. (AMP)
- Standard supplemental data sources (laboratory, EHR, immunizations).
- Risk adjustment factor (RAF) alternative submission method (ASM) extract.
Additional information
If you have questions about supplemental data submissions, please contact your assigned Plan representative or our HEDIS supplemental data team via email at HEDIS_QIPM@healthnet.com. Please do not include protected health information or personally identifiable information in your email.
If you have questions regarding the information contained in this update, contact 1-866-999-3945.
1HEDIS – Healthcare Effectiveness Data and Information Set.
