Quality Measures Track Diabetes Care
AI Summary
Blue Cross Blue Shield of Texas has outlined specific HEDIS quality measures for diabetes care tracking, including glycemic status assessment, eye exams, kidney health evaluation, and statin therapy monitoring for members ages 18-85. The policy provides documentation and coding tips to help close care gaps and improve quality scores.
Action Required
Immediately: Providers should implement documentation practices for diabetes care including exact dates of hemoglobin A1c assessments and results, use CPT Category II codes to document test results, monitor blood pressure at each visit, document medication adherence, encourage annual eye exams, and ensure all test results are documented in medical records. Access the Quality Care 2026 HEDIS booklet in Availity Essentials Payer Spaces Resources section for specific coding and documentation requirements.
Plan Types
All Plans
States
TX
Specialties
family-medicine, internal-medicine, endocrinology, ophthalmology, nephrology