Medicare AdvantageCoverageMedium impact
Annual wellness visits
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician
Effective date
Jul 1, 2024
We identified it
Jun 19, 2026
Summary
BCBSRI updated guidance on Annual Wellness Visits (AWVs) and diabetes screening measures for their quality incentive program. The policy emphasizes that BCBSRI Medicare members receive AWVs at no cost and provides specific parameters for diabetes-related HEDIS measures including glycemic status, kidney health, and eye exams.
Action Required
Review current AWV scheduling processes to identify opportunities for outreach to eligible BCBSRI Medicare members. Billing team should verify AWV claims for BCBSRI Medicare patients have no patient cost-sharing. For practices with diabetic patients, consider implementing EMR order sets or workflows to capture required diabetes screenings (HbA1c/GMI, eGFR, uACR, retinal exams) to improve HEDIS measure performance and quality incentive earnings.