Texas Health Care Information Collection
Center for Health Statistics
Who needs to report
Commercial Product Basic Service HMOs (PDF, 127 KB) are required to report Texas’ subset of HEDIS® 2016 (2015 data) by service area. The requirement for reporting is based on enrollment numbers as of December 31, 2014.
What measures to report
THCIC expects the Texas Subset of HEDIS® 2016 (PDF, 24 KB) to be reported for the 2015 data year and HEDIS® 2016 letter to physicians (PDF, 99 KB).
When, where and how to report
THCIC has contract with NCQA to collect and process the required Texas subset of HEDIS® 2016 Data for the state and the submission guidelines.
On or before June 15 HMOs must also provide copies of the completed NCQA Interactive Data Submission System (IDSS), the Audit Designation (Review) Table and the Final Audit Statement directly to THCIC. Electronic copies are preferred. Email to firstname.lastname@example.org. Paper copies can be mailed to:
Bruce M. Burns
Manager, Texas Health Care Information Collection
DSHS - Center for Health Statistics, Mail Code -1898
PO Box 149347
Austin, TX 78714-9909
THCIC will not collect any data from Medicaid HMOs for HEDIS® 2016.
THCIC will not collect any data from CHIP HMOs for HEDIS®2016.
THCIC will not collect any data from Medicare HMOs for HEDIS® 2016.
Exemption from HEDIS® Reporting
Criteria (PDF, 70 KB) for consideration of exemption from reporting
Download Adobe Reader to view PDF files.
Viewers for reading and printing Word files, Excel spreadsheets and PowerPoint files are available from Microsoft's Download Center.
If you have suggestions or comments, please submit them to THCIC.
External links to other sites are intended to be informational and do not have the endorsement of the Texas Department of State Health Services. These sites may also not be accessible to people with disabilities.