Medicare AdvantageAdministrativeLow impact
MAPAP504 - HEDIS® Audit - Removed COVID restrictions and broadened timing of records requests
Blue Cross of Idaho·ID·Medical Policy
Effective date
Mar 1, 2024
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho revised their HEDIS audit policy to remove COVID-19 restrictions and expand the timing for medical record requests. The policy now allows record requests from January through May for annual audits, plus additional requests throughout the year for quality improvement initiatives.
Action Required
No immediate action required. Be prepared to respond to medical record requests from Blue Cross of Idaho throughout the year (not just January-May) for HEDIS quality measures. Consider contacting HEDIS@bcidaho.com to discuss remote EHR access options to reduce administrative burden on practice staff.