US · guidance
CMS Pub. 100-16, ch. 5, § 30
Standard MAO Reporting Requirements for HEDIS®, HOS, and
CAHPS®
(Rev. 117, Issued: 08-08-14, Effective: 08-08-14, Implementation: 08-08-14)
42 CFR §417.106(a)(3)
42 CFR §417.418
42 CFR §422.152(b)(5)
42 CFR §422.152(e)(i)
42 CFR §422.516
General
This section provides information regarding the annual Medicare HEDIS®, HOS, and
CAHPS® reporting requirements. Performance measures that are derived largely from MA plan
and beneficiary information form the basis of the CMS Star Ratings used to assess the
quality of MA plans. Additional information regarding the Star Ratings may be found at
http://www.cms.gov/Medicare/Prescription-Drug-
Coverage/PrescriptionDrugCovGenIn/PerformanceData.html. In addition, CMS makes
summary, contract-level performance measures available to the public through media that
are beneficiary-oriented including the Medicare Plan Finder tool at
http://www.medicare.gov.
History
(Rev. 117, Issued: 08-08-14, Effective: 08-08-14, Implementation: 08-08-14)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
53a3bfc5fa684666b369ab96eb47bc48d814cf89608e281d1f808d0c8969921c
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