All PlansDocumentationMedium impact
Encourage Pediatric Well-Child Visits and Immunizations
BCBS Montana·MT · Pediatrics, Family Medicine, General Practice·General
Effective date
May 27, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield Montana has issued guidance encouraging pediatric well-child visits and immunizations to meet HEDIS quality measures. This policy emphasizes proper documentation requirements for well-child visits and immunization records, specifying that telehealth visits do not count toward HEDIS measures and that generic statements like 'all immunizations are up-to-date' are insufficient.
Action Required
By May 27, 2026: Providers must ensure proper documentation for pediatric well-child visits including date, health history, developmental history, physical exam, height/weight/BMI percentile, and health education in medical records. Document each specific immunization with administration dates - avoid generic statements like 'all immunizations up-to-date'. Front desk staff should identify overdue patients and schedule appointments, noting that telehealth visits do not meet HEDIS requirements.