R428-1-4. Incorporation by Reference

  The following documents are adopted and incorporated by reference:

  (1) "Utah Healthcare Facility Data Submission Guide" means:

  (a) Utah Healthcare Facility Data Submission Guide, Version 2 for data submissions required on or after February 16, 2018;

  (b) Utah Healthcare Facility Data Submission Guide, Version 2.1 for data submissions required on or after May 16, 2019;

  (2) "NCQA Survey Specifications" means:

  (a) HEDIS 2017, Volume 3: Specifications for Survey Measures, published by NCQA for data submissions required before January 1, 2018, and

  (b) HEDIS 2018, Volume 3: Specifications for Survey Measures, published by NCQA for data submissions required on or after January 1, 2018;

  (3) "NCQA HEDIS Specifications" means:

  (a) HEDIS 2017, Volume 5: HEDIS Compliance Audit: Standards, Policies, and Procedures, published by NCQA for data submissions required before January 1, 2018, and

  (b) HEDIS 2018, Volume 5: HEDIS Compliance Audit: Standards, Policies, and Procedures, published by NCQA for data submissions required on or after January 1, 2018;

  (4) "Data Submission Guide for Claims Data" means:

  (a) Utah All-Payer Claims Database Data Submission Guide Version 3.0 for data submissions required before March 1, 2018, and

  (b) Utah All-Payer Claims Database Data Submission Guide Version 3.1 (as corrected on March 15, 2018) for data submissions required on or after March 1, 2018.