Quality Measures

Quality Measures

The attached Quality Measures Grids (Adult and Pediatrics) were developed in conjunction with HEDIS and our clinical guidelines

They are provided for you to:

  • Utilize as a guide to provide the HEDIS and quality measure services our members
  • Assist you with coding for the services that you render
  • Help you in reaching your Quality Measure and Pay for Performance goals


If you have a patient registry/disease registry, these grids can help you program your tool to prompt you at the point of care.

The ICD-10 codes have been provided for your use, beginning 10/01/2015
If you have any questions, please call 844-THC-DOCS (844-842-3627)