Comprehensive Diabetes Care — HEDIS® Tip Sheets

Oct. 2, 2019

Monitoring comprehensive diabetes care (CDC) is essential to reducing risk from diabetic complications. The National Committee for Quality Assurance (NCQA) requires annual assessment and documentation of key measures for type 1 and 2 diabetics between 18 and 75 years old. The assessments are part of NCQA's Healthcare Effectiveness Data and Information Set (HEDIS) measurements. Help Blue Cross and Blue Shield of Texas (BCBSTX) collect HEDIS data and care for our members by annual testing of HgbA1c, retinal eye exams, medical attention for nephropathy and controlling blood pressure.

HEDIS measures are specific but not always intuitive, so we've created tip sheets that capture HEDIS requirements and many of the associated codes. The following CDC HEDIS Tip Sheets are located on the Clinical Resources page of our provider website in the right–hand bar under Related Resources:

  • Comprehensive Diabetes Care — General overview of CDC showing the necessary requirements
  • Diabetic Eye Exam — Retinal or dilated
  • Comprehensive Diabetes Care — Nephropathy — Required documentation for medical attention

We appreciate your assistance in helping improve care by gathering the required HEDIS data measurements for our BCBSTX members.


HEDIS® is a registered trademark of NCQA