Get Opm Plan Performance Assessment Procedure Manual 2019-2025

The OPM Plan Performance Assessment Procedure Manual serves as a vital resource for FEHB Carriers to adequately report clinical quality, customer service, and resource utilization measures. This guide provides detailed steps for filling out the form online, ensuring that users can navigate the process effectively.

Follow the steps to accurately fill out the OPM Plan Performance Assessment Procedure Manual.

1. Click ‘Get Form’ button to obtain the manual and access the document in the editing interface.
2. Read through the introduction section carefully to understand the manual’s purpose and the importance of accurate data reporting.
3. Navigate to Section 1, which discusses reporting HEDIS and CAHPS data. Ensure to familiarize yourself with the OPM general requirements for HEDIS collection and reporting.
4. In Subsection A, provide necessary details regarding the collection and reporting of HEDIS data, including the HEDIS timeline and costs associated.
5. Continue to Subsection B, focusing on the CAHPS requirements, and ensure compliance with survey administration protocols as mentioned.
6. Report HEDIS and CAHPS results in Subsection C. Make sure to follow NCQA's guidelines for data submission, including the Healthcare Organization Questionnaire.
7. In Section 2, review the QCR scoring procedures and gather any required data for scoring and calculation.
8. Complete the sections regarding contract oversight and subsequent actions detailed in Sections 3 and 4 for clarity in reporting obligations.
9. Finish with Section 5, ensuring all reference materials and resources are accounted for, filling the necessary forms accurately as indicated.
10. Upon completion, save your changes. You can then download, print, or share the form as needed.

Complete your documents online to ensure compliance with the OPM reporting requirements.