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Quality Measures Track Diabetes Care
BCBS Illinois·IL · Family Medicine, Internal Medicine, Endocrinology +2 more·General
Effective date
May 14, 2026
We identified it
Jun 16, 2026
Summary
BCBS Illinois has updated their HEDIS quality measures tracking for diabetes care, emphasizing specific documentation and coding requirements for glycemic status, eye exams, kidney health evaluations, and statin therapy for diabetic patients ages 18-85.
Action Required
Immediately: Providers must enhance diabetes care documentation by recording exact dates of hemoglobin A1c tests and results, using CPT Category II codes for test results, documenting blood pressure and medication adherence at each visit, and ensuring annual eye exams are scheduled. Billing team should update encounter forms to include diabetes quality measure checklists and verify all test dates are properly documented in medical records.