All PlansAdministrativeLow impact
Encourage Our Members to Adhere to Statin Therapy As Prescribed
BCBS Texas·TX · Family Medicine, Internal Medicine, Cardiology +1 more·General
Effective date
Sep 11, 2025
We identified it
Jan 12, 2026
Summary
Blue Cross Blue Shield Texas has issued guidance encouraging providers to help members adhere to statin therapy prescriptions to meet NCQA quality measures. The policy provides recommendations for improving statin adherence rates for patients with cardiovascular disease and diabetes but does not appear to change billing requirements.
Action Required
Review patient care protocols to incorporate statin adherence discussions during visits. Providers should discuss proper dosing, consider 90-day supplies, address side effects, and document any statin intolerances or contraindications in medical records to support quality measure reporting.