All PlansDocumentationMedium impact
Quality Measures Track Diabetes Care
BCBS New Mexico·NM · Family Medicine, Internal Medicine, Endocrinology +2 more·General
Effective date
May 14, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield of New Mexico has released guidance on quality measures they track for diabetes care, including HEDIS measures for glycemic status, eye exams, kidney health evaluation, and statin therapy. This is informational guidance to help providers improve diabetes care documentation and close care gaps.
Action Required
Providers should review diabetes care documentation practices to ensure proper recording of hemoglobin A1c test dates and results, use CPT Category II codes for test results, document blood pressure monitoring at each visit, and ensure proper documentation of eye exams and kidney health evaluations for diabetic patients. Access the Quality Care 2026 booklet in Availity Essentials for specific documentation and coding requirements.