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.

• Pediatrics Grid
• Adult Grid