BCBS TexasLow ImpactAdministrative

Encourage Pediatric Well-Child Visits and Immunizations

Published January 12, 2026Effective July 7, 2025

AI 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.

Plan Types

All Plans

States

TX

Specialties

pediatrics, family-medicine