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Encourage Pediatric Well-Child Visits and Immunizations
BCBS Texas·TX · Pediatrics, Family Medicine·General
Effective date
Jul 7, 2025
We identified it
Jan 12, 2026
Summary
Blue Cross Blue Shield of Texas is encouraging providers to prioritize pediatric well-child visits and immunizations to improve HEDIS quality measures. This is guidance for better patient care and quality reporting, not a billing requirement change.
Action Required
No immediate billing changes required. Consider reviewing pediatric patient schedules to identify children who may have missed well-child visits or immunizations and encourage families to schedule appointments. Ensure proper documentation of well-child visits includes PCP designation, visit date, health history, physical exam, and growth measurements.