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Now Available: 2025 Quality Coding Guides for PCPs

NOTICE | AUGUST 5, 2025

As we continue working together to improve outcomes for Medicare Advantage and Medicaid populations, we are pleased to announce that our 2025 Quality (HEDIS) Coding Guides are now available. These resources will help providers close patient care gaps, meet key performance targets, and stay informed on the latest updates to clinical quality benchmarks.

What’s New in 2025?

The 2025 HEDIS guides include important updates aligned with NCQA and CMS specifications, including:

  • Revised measure descriptions and documentation tips
  • Age and service criteria for key measures like colorectal cancer screening, diabetes care, and hypertension management
  • Insights into high-impact measures tied to quality incentive programs

Why It Matters

Understanding and addressing HEDIS quality measures supports better health outcomes, enhances patient engagement, and contributes to overall value-based performance. These guides are a practical tool for integrating quality metrics into everyday workflows, including Annual Wellness Visits, preventive screenings, or chronic condition management.

Access the Guides

Providers can download the 2025 Quality Measure Guides directly through the Quality Tools webpage or contact their Provider Relations Specialist for printed copies or training support.