Healthcare effectiveness data and information set (HEDIS) tip sheets

In our efforts to support our providers, Blue Shield of California Promise has developed the 2024 Healthcare Effectiveness Data and Information Set (HEDIS®) tip sheets to assist providers and their office and billing staff in successfully maximizing their quality performance scores.

These tip sheets provide concise information on the National Committee for Quality Assurance (NCQA) HEDIS measures along with resources that will help improve health outcomes.

We also offer provider offices with tailored HEDIS education through our Medi-Cal Quality Improvement Education. Please email qimedical@blueshieldca.com for more information.

Please note that the HEDIS tip sheets are based on the most recent HEDIS technical specifications and are subject to change based on guidance from the NCQA and the Centers for Medicare and Medicaid Services (CMS). Please refer to the appropriate agency for additional guidance.

Asthma medication ration (PDF, 438 KB)

Breast cancer screening mammogram (PDF, 296 KB)

Cervical cancer screening (PDF, 337 KB)

Child and adolescent well child visits, ages 3-21 (PDF, 248 KB)

Chlamydia screening in women (PDF, 206 KB)

Childhood immunizations (PDF, 324 KB)

Controlling high blood pressure (PDF, 325 KB)

Depression remission or response for adolescents (PDF, 410 KB)

Depression screening and follow-up for adolescents (PDF, 657 KB)

Developmental screening first three years of life (PDF, 259 KB)

Follow-up after emergency department visit for mental illness (PDF, 433 KB)

Follow-up after emergency department visit for substance use (PDF, 463 KB)