MedicaidDocumentationMedium impact
23-307m Updates Made to Statin Therapy for Patients with Cardiovascular Disease (SPC) HEDIS® Tip Sheets
Health Net·CA · Cardiology, Family Medicine, Internal Medicine·Reimbursement
We identified it
Jun 20, 2026
Summary
HealthNet CalViva Health has updated their HEDIS tip sheet (Material ID 23-303) for Statin Therapy for Patients with Cardiovascular Disease (SPC) measure for 2023. The updated guide provides requirements, exceptions, service codes, and documentation best practices for improving HEDIS rates.
Action Required
Immediately: Billing team and providers should access the updated SPC tip sheet (Material ID 23-303) from the Medi-Cal Provider Library Education section. Review the 2023 requirements, service codes, exclusions, and documentation guidelines for cardiovascular patients on statin therapy. Update documentation practices to align with HEDIS measure requirements to ensure proper reimbursement and quality scores.