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Reinforce Prenatal and Postpartum Care to Support Whole Health
BCBS Texas·TX · OB-GYN, Family Medicine, Internal Medicine·General
We identified it
Jan 12, 2026
Summary
Blue Cross Blue Shield of Texas is reinforcing HEDIS quality measures for prenatal and postpartum care, emphasizing the importance of timely visits, depression screening, and proper follow-up. This is guidance to improve quality scores rather than a policy change affecting billing or coverage.
Action Required
Review current prenatal and postpartum care workflows to ensure compliance with HEDIS measures. Ensure initial prenatal visits are scheduled within 14 weeks gestation, postpartum visits occur between 7-84 days after delivery, and depression screening using PHQ-9, PHQ-2, or Edinburgh Postnatal Depression Scale is performed with appropriate follow-up within 30 days if positive. Update staff on what counts as qualifying visits for quality measures.