Quality Programs: HEDIS & PQA
Provider Forms
| File Name | Format | Updated |
|---|---|---|
| HEDIS Best Practices Guide for Providers (Measurement Year 2023) | Apr 2023 | |
| Comprehensive HEDIS Documentation & Coding Guide (Measurement Year 2022) | Mar 2022 |
HEDIS Measures Tip Sheet
Healthcare Effectiveness Data and Information Set (HEDIS)
PQA Measures Tip Sheet
Pharmacy Quality Alliance (PQA)
|
Pharmacy Quality Alliance (PQA) Quality Measures Tip Sheets |
Date Published |
Applies to: |
|||
|---|---|---|---|---|---|
|
Florida Blue |
FEP |
Florida Blue |
Florida Blue |
||
| Adherence to Antipsychotic Medications for Schizophrenia (SAA) | Feb 2024 | ✓ |
|
|
|
| Concurrent Use of Opioids and Benzodiazepines (COB) | Mar 2025 | ✓ | ✓ | ||
| International Normalized Ratio Monitoring of Those on Warfarin (INR) | Feb 2024 | ✓ |
|
|
|
| Mar 2024 |
✓ |
|
✓ |
|
|
| Mar 2024 |
✓ |
|
✓ |
|
|
| Mar 2024 |
✓ |
|
✓ |
|
|
| Monitoring of Individuals on Long-Term Opioid Therapy (AMO) | Feb 2024 | ✓ |
|
|
|
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (POLY-ACH) | Mar 2025 | ✓ | |||
| Mar 2024 |
✓ |
|
✓ |
|
|
1 HEDIS (Healthcare Effective Data and Information Set) is a registered trademark of the National Committee for Quality Assurance (NCQA).
2 Federal Employee Program®
3 Health coverage is offered by Truli for Health, an affiliate of Florida Blue. These companies are Independent Licensees of the Blue Cross and Blue Shield Association.
* Truli for Health will not include influenza in CIS measurement.