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Telehealth Clarification for HEDIS Well-Child Visit Measure
EmblemHealth·Pediatrics, Family Medicine·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth has clarified that telehealth visits cannot be counted toward HEDIS Well-Child visit quality measures, though telehealth visits may still be submitted for other medical record review purposes. This affects how pediatric practices document and report well-child visits for quality measurement.
Action Required
Immediately: Billing and clinical staff must ensure HEDIS Well-Child visit reporting excludes telehealth encounters. Update quality reporting procedures to use only in-person well-child visits for HEDIS measures. Review current year submissions to ensure compliance with this clarification.