May an organization limit CHT access to members who complete an HRA?
Resolution: No. The organization may provide CHT information upon completion of an HRA, but it must provide CHT access to members who have not completed an HRA. HIP3 Pharmacy Benefits-Mail Order Prescriptions Question: Does NCQA consider it delegation if an organization contracts with a single pharmacy company for mail-order prescriptions and provides a link to the pharmacy’s Web site for members to order refills for existing unexpired mail-order prescriptions? Resolution: If an organization contracts with a single pharmacy company for mail-order prescriptions and provides a link to the pharmacy’s Web site for members to order refills of existing unexpired mail-order prescriptions, NCQA does not consider this to be delegation. HIP4 Health Information Line Question: Element A requires an organization that uses a live answering service for after-hours calls to inform callers that the organization will return the call within a specified time frame after a message is left with the service.
