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Kidney Evaluation for Patients with Diabetes and why it matters
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, Endocrinology +1 more·Physician
Effective date
May 1, 2026
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island issued new quality measure requirements for kidney evaluation in diabetic patients aged 18-85. Providers must ensure both eGFR and uACR tests are completed annually, with urine albumin and creatinine tests done within a 4-day window when ordered separately.
Action Required
By May 1, 2026: Providers must implement annual kidney screening protocols for diabetic patients 18-85 years old. Ensure both eGFR and uACR tests are ordered and completed each measurement year. When ordering separate urine albumin and creatinine tests, schedule within 4 days of each other. Update patient education materials and establish tracking system to identify patients missing annual labs. Billing team should verify lab completion before year-end to meet quality measures.