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Approval to use both PRIME and QIP Reporting Manuals and associated code sets

Note: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association and by the Pharmacy Quality Alliance. You are not authorized to download the materials unless you read, agree to and abide by the provisions of the copyright statements. Read the following copyright statements now:

AMA Copyright Statement

The five character codes included in the PRIME DY 13 Year End Reporting Manual and the QIP Reporting Manual for PY 1 Year End Reporting are obtained from Current Procedural Terminology (CPT®), copyright 2017 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures.

The responsibility for the content of PRIME DY 13 Year End Reporting Manual and the QIP Reporting Manual for PY 1 Year End Reporting is with SNI and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in PRIME DY 13 Year End Reporting Manual and the QIP Reporting Manual for PY 1 Year End Reporting. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Any use of CPT outside of PRIME DY 13 Year End Reporting Manual and the QIP Reporting Manual for PY 1 Year End Reporting should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. CPT is a registered trademark of the American Medical Association.

Pharmacy Quality Alliance Copyright Statement

By agreeing to this policy, user accepts the following limitations of the PRIME and QIP use of the Pharmacy Quality Alliance (PQA) Opioid measures and code sets: To accurately calculate the measure rates, the PQA NDC files are required. User acknowledges that the PQA measures and NDC files will only be used for the sole purpose of evaluating and improving opioid use for populations being served by Public Health Care Systems (PHS) and by District and Municipal Hospitals (DMPH) and will not be used for other purposes within user. Except for the purpose indicated above, the measures and NDC file will not be used in any other commercial product, service or value-added benefit. User also acknowledges that the information and lists will not be forwarded or provided to anyone outside of SNI, the California Department of Health Care Services DHCS, the PHS or the DMPH.