November is Diabetes Awareness Month
Published November 2026
November is Diabetes Awareness Month
Published November 2026
Act Now to Close Diabetes Care Gaps Before Year-End
With the measurement year quickly coming to a close, MVP urges Providers to review and act on open diabetes care gaps identified in Member-level opportunity reports from their Provider Partnership Liaison (PPL) representative.
Since these reports identify specific MVP Members who need action, they give Provider offices a targeted opportunity to close gaps now, improve quality performance, and support better Member health outcomes before year-end.
Diabetic Measure Eligibility and Compliance
|
Measure |
Focus |
Members to Review |
Documentation Requirements |
|---|---|---|---|
|
Kidney Health Evaluation |
Members with outstanding UACR testing |
eGFR blood test and either quantitative urine albumin and urine creatinine tests with service dates four days or less apart, or a single UACR lab test |
|
|
Glycemic Status Assessment |
Members with missing laboratory results or no diabetes-related visit completed this year |
Test and result must be reported, including A1C results; CPT II code with A1C result is required |
|
|
Eye Exam |
Members who have not completed a diabetic retinal eye exam |
Annual screening when retinopathy is present; every two years when retinopathy is not present; CPT II code indicating presence or absence of diabetic retinopathy is required |
Review the HEDIS Coding Reference Guide for Adult Measures for coding, documentation, and claim guidance. This guide summarizes adult HEDIS measure requirements to support accurate reporting and gap closure. For diabetes measures, submit applicable ICD-10 codes E10, E11, or E13 with measure-specific CPT II and lab codes for eye exams, HbA1c/glycemic status, blood pressure readings, and kidney health evaluation, including eGFR and uACR testing.
Actions Providers Can Take Now
To help close gaps before the measurement year ends, Providers should take the following actions as soon as possible:
- Reach out to Members who are overdue for diabetes-related visits
- Complete and document UACR testing
- Retrieve and submit outstanding laboratory results
- Schedule and complete diabetic retinal eye exams
- Submit documentation for services already completed but not yet reflected in reporting
MVP Support and Resources
MVP supports Diabetes care gap closure through Member outreach programs and vendor partnerships, including Let’s Get Checked and at-home retinal eye exam services. These resources can help, but timely Provider engagement remains critical to closing gaps, improving quality outcomes, and ensuring Members receive needed care before the year ends.
If you have not received your Member-level opportunity reports, or if your practice needs an updated list, please contact your PPL representative right away.