Click here to skip navigation
This website uses features which update page content based on user actions. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode"). Additionally, if you are using assistive technology and would like to be notified of items via alert boxes, please follow this link to enable alert boxes for your session profile.
An official website of the United States Government.

Frequently Asked Questions Insurance

How does OPM evaluate HEDIS Corrective Action Plans (CAPs)?

(a)   Please see Attachment 3 of Carrier Letter 2013-22 for the process and information required for OPM review of CAPs.

(b)   We are encouraged by the improvement in HEDIS results and look forward to additional performance gains in the coming year. Please note that progress toward HEDIS goals will be reflected in OPM's overall health plan evaluation. Contract specialists will pay particular attention to any health plan that declines in overall evaluation score, and any health plan remaining below OPM's minimum performance threshold despite two or more Corrective Action Plans for the same metric(s).

Unexpected Error

There was an unexpected error when performing your action.

Your error has been logged and the appropriate people notified. You may close this message and try your command again, perhaps after refreshing the page. If you continue to experience issues, please notify the site administrator.

Working...