General References for HEDIS Compliance
Adult Medical Conditions & Preventive Care
- Adult Access to Preventive/Ambulatory Care (AAP)
- Asthma Medication Ratio (AMR)
- Colorectal Cancer Screening (COL)
- Controlling High Blood Pressure (CBP)
- Follow-Up After Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (FMC)
- Low Back Pain (LBP)
- Statin Therapy for Patients with Cardiovascular Disease (SPC)
- Transitions of Care (TRC)
Behavioral Health Care
- Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA)
- Antidepressant Medication Management (AMM)
- Diabetes Monitoring for People with Diabetes and Schizophrenia (SMD)
- Diabetes Screening for People with Schizophrenia or Bipolar Disorder who are using Antipsychotic Medications (SSD)
- Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA)
- Follow-Up After High-Intensity Care for Substance Use Disorder (FUI)
- Follow-Up After Emergency Department Visit for Mental Illness (FUM)
- Follow-up after Hospitalization for Mental Illness (FUH)
- Follow-Up Care for Children Prescribed ADHD Medication for Attention Deficit Disorder (ADD)
- Metabolic Monitoring for Child and Adolescents on Antipsychotics (APM)
Child and Adolescent Care
- Child and Adolescent Well-Care Visits (WCV)
- Childhood Immunization Status (CIS)
- Follow-Up Care for Children Prescribed ADHD Medication for Attention Deficit Disorder (ADD)
- Immunizations for Adolescents (IMA)
- Metabolic Monitoring for Child and Adolescents on Antipsychotics (APM)
- Asthma Medication Ratio (AMR)
- Weight Assessment and Counseling for Children and Adolescents (WCC)
- Well-Child Visits in the First 30 Months of Life (W30)
HEDIS Measures and Gaps in Care Resources
- Transitions of Care Measure (TRC) (PDF)
- Gaps in Care Timeline (PDF)
- Medical Records Submission Guidelines (PDF)
- Gaps in Care Documentation Guidelines (PDF)
- Accessing Gaps in Care Reports Step-by-Step Guide (PDF)
- MVP Provider Online Account Registration Instructions (PDF)
- Primary Care Provider Change or Patient Reassignment Request (PDF)
- Medical Record Transmission Cover Sheet (PDF)
Women’s Preventive Care
Provider Reference Library
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