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Blue Cross Blue Shield of Rhode Island·RI · Pediatrics, Family Medicine·Physician
Effective date
Jul 1, 2021
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island updated HEDIS quality measure guidelines for pediatric developmental and lead screening. The policy emphasizes developmental screening using standardized tools (CPT 96110) at 9, 18, 24, and 30 months, and lead screening by age 2 to improve quality scores.
Action Required
Pediatric providers should ensure developmental screening using CPT 96110 is documented and billed at appropriate well-child visits (9, 18, 24, and 30 months) and lead screening is completed by age 2. Update EMR templates to include HEDIS quality measure reminders for these screenings to improve quality scores.