HEDIS® Guidelines and P4P
The Quality Improvement Program (QIP) is designed to give you quality health care and great customer service. Our QIP team sets goals and ensures they are met each year. We send members and providers a survey every year to help us improve care and customer service.
Pay for Performance Program
We reward our contracted partners in care for delivering quality preventive healthcare services.
HEDIS® Pocket Guides
Download our adult and pediatric pocket guides as quick reference tools for the HEDIS services and codes most frequently used. You can also find additional preventative care schedules in the Preventative Care (HEDIS®) accordion on our Manuals, Forms and Resources web page. Bookmark both web pages for fast access to the tools you need to support your practice.
HEDIS® Quick Reference Guide
You may request a complete copy of our Quality Improvement Program by contacting the Quality Department at 866-606-3700 (TTY 711)
Please call 866-606-3700 (TTY 711) if you would like more info on the program or would like to request a copy of the QIP description.