Providers

HEDIS measures

Document	Applies to
Avoidance of Antibiotic Treatment for Acute Bronchitis-Bronchiolitis (ABB) 05/05/2025	Medicare Not applicable	FEP	AR Home Not applicable	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Acute Hospital Utilization (AHU) 05/05/2025	Medicare Not applicable	FEP	AR Home Not applicable	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
HEDIS Advanced Illness and Frailty (AI/F)05/05/2025	Medicare	FEP	AR Home Not applicable	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Adult Immunization Status (AIS-E) 05/05/2025	Medicare Not applicable	FEP	AR Home Not applicable	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Antidepressent Medication Management (AMM) 05/05/2025	Medicare Not applicable	FEP Not applicable	AR Home	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Asthma Medication Ratio (AMR) 05/05/2025	Medicare Not applicable	FEP	AR Home	Exchange	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Breast Cancer screening (BCS)05/05/2025	Medicare	FEP	AR Home	Exchange	Blueprint Primary Care	Blueprint Value Collaboratives
CAHPS Annual Survey 05/05/2025	Medicare Not applicable	FEP	AR Home Not applicable	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Controlling Blood Pressure (CBP)05/05/2025	Medicare	FEP	AR Home Not applicable	Exchange	Blueprint Primary Care	Blueprint Value Collaboratives
Contraceptive Care - Postpartum Women (CCP)05/05/2025	Medicare Not applicable	FEP Not applicable	AR Home	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Cervical Cancer Screening (CCS)05/05/2025	Medicare Not applicable	FEP	AR Home	Exchange	Blueprint Primary Care	Blueprint Value Collaboratives
Chlamydia Screening (CHL)05/05/2025	Medicare Not applicable	FEP Not applicable	AR Home	Exchange	Blueprint Primary Care	Blueprint Value Collaboratives Not applicable
Childhood Immunization Status (CIS) 05/05/2025	Medicare Not applicable	FEP	AR Home Not applicable	Exchange	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Opioid Benzodiazepines (COB)05/05/2025	Medicare Not applicable	FEP Not applicable	AR Home	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives
HEDIS Frequently used codes 05/05/2025	Medicare	FEP Not applicable	AR Home Not applicable	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Colorectal cancer screening (COL)05/05/2025	Medicare	FEP	AR Home Not applicable	Exchange	Blueprint Primary Care	Blueprint Value Collaboratives
Appropriate testing for Pharyngitis (CWP) 05/05/2025	Medicare Not applicable	FEP Not applicable	AR Home Not applicable	Exchange	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives
Emergency Department Utilization (EDU) 05/05/2025	Medicare Not applicable	FEP	AR Home Not applicable	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Eye Exam for Patients with Diabetes (EED)05/05/2025	Medicare	FEP Not applicable	AR Home Not applicable	Exchange	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Follow up after emergency department visit for people with multiple high-risk chronic conditions (FMC)05/05/2025	Medicare	FEP Not applicable	AR Home Not applicable	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Follow up after emergency department visit for substance abuse (FUA)05/05/2025	Medicare	FEP	AR Home	Exchange	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Follow up after hospitalization for mental illness (FUH)05/05/2025	Medicare	FEP Not applicable	AR Home	Exchange Not applicable	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Follow up after emergency department visit for mental illness (FUM)05/05/2025	Medicare	FEP	AR Home	Exchange	Blueprint Primary Care Not applicable	Blueprint Value Collaboratives Not applicable
Glycemic status assessment for patients with diabetes (GSD)05/05/2025	Medicare	FEP	AR Home Not applicable	Exchange	Blueprint Primary Care	Blueprint Value Collaboratives
Initiation & engagement of substance abuse disorder treatment (IET)05/05/2025	Medicare	FEP Not Applicable	AR Home	Exchange	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not Applicable
Kidney health evaluation for patients with diabetes (KED) 05/05/2025	Medicare	FEP Not Applicable	AR Home Not Applicable	Exchange	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives
Use of Imaging Studies for Low Back Pain (LBP) 05/05/2025	Medicare	FEP Not Applicable	AR Home Not Applicable	Exchange	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Modifier KX Guidelines for Use of Imaging Studies for Low Back Pain 05/05/2025	Medicare Not Applicable	FEP	AR Home Not Applicable	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Medication reconciliation post discharge (MRP)05/05/2025	Medicare	FEP Not Applicable	AR Home Not Applicable	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Osteoporosis management in women (OMW)05/05/2025	Medicare	FEP Not Applicable	AR Home Not Applicable	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Plan all cause readmissions (PCR)05/05/2025	Medicare	FEP	AR Home	Exchange	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Medication adherence diabetes05/05/2025	Medicare	FEP Not applicable	AR Home Not applicable	Exchange	Blueprint Primary Care	Blueprint Value Collaboratives
Prenatal postpartum care (PPC)05/05/2025	Medicare Not applicable	FEP	AR Home Not Applicable	Exchange	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Asthma in younger adults admission rate (PQI 15)05/05/2025	Medicare Not applicable	FEP Not Applicable	AR Home	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Diabetes short-term complications admission rate (PQI-01)05/05/2025	Medicare Not applicable	FEP Not Applicable	AR Home	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
COPD or Asthma in older adults admission rate (PQI-05)05/05/2025	Medicare Not applicable	FEP Not Applicable	AR Home	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Heart failure admission rate (PQI-08)05/05/2025	Medicare Not applicable	FEP Not Applicable	AR Home	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
HEDIS Measures Quick Tips05/05/2025	Medicare	FEP Not Applicable	AR Home Not applicable	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA)05/05/2025	Medicare Not Applicable	FEP Not Applicable	AR Home	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Statin therapy for patience with cardiovascular disease (SPC)05/05/2025	Medicare	FEP	AR Home Not applicable	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Statin therapy for patience with diabetes (SPD)05/05/2025	Medicare	FEP Not applicable	AR Home Not applicable	Exchange	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives
Diabetes screening for people with Schizophrenia or Bipolar Disorder who are using antipsychotic medications (SSD)05/05/2025	Medicare Not applicable	FEP Not applicable	AR Home	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Transitions of care (TRC)05/05/2025	Medicare	FEP Not applicable	AR Home Not applicable	Exchange Not Applicable	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives Not applicable
Appropriate treatment for upper respiratory infection (URI)05/05/2025	Medicare Not applicable	FEP Not applicable	AR Home Not applicable	Exchange	Blueprint Primary Care Not Applicable	Blueprint Value Collaboratives
Well Child visits in the first 30 months of life (W30)05/05/2025	Medicare Not applicable	FEP Not applicable	AR Home Not applicable	Exchange	Blueprint Primary Care	Blueprint Value Collaboratives Not applicable
Weight assessment and counseling for nutrition and physical activity for children/adolescents (WCC)05/05/2025	Medicare Not applicable	FEP Not applicable	AR Home Not applicable	Exchange	Blueprint Primary Care	Blueprint Value Collaboratives Not Applicable
Child and adolescent well-care visits (WCV)05/05/2025	Medicare Not applicable	FEP Not applicable	AR Home Not applicable	Exchange	Blueprint Primary Care	Blueprint Value Collaboratives

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