HEDIS provider guides
In our efforts to support our providers, Blue Shield of California has developed the Healthcare Effectiveness Data and Information Set (HEDIS®) Provider Guides to assist providers and their office and billing staff in successfully maximizing their quality performance scores.
These guides provide concise information on the National Committee for Quality Assurance (NCQA) HEDIS measures along with resources that will help improve health outcomes
Please note that the HEDIS Provider Guides are based on the most recent HEDIS technical specifications and are subject to change based on guidance from NCQA and the Centers for Medicare & Medicaid Services (CMS). Please refer to the appropriate agency for additional guidance.
Controlling High Blood Pressure (CBP) (PDF, 280 KB)
Glycemic Status Assessment for Patients with Diabetes (GSD) (PDF, 395 KB)
Health management programs
Find out about Blue Shield of California's health management programs available to eligible members with certain chronic conditions.
Learn about our programs for Blue Shield of California members
Health education resources for our members
Find health education materials available to Blue Shield of California and Blue Shield Promise members.
Access Blue Shield of California health library
View health education materials available to Blue Shield Promise members
Live healthy programs and discounts for Blue Shield members
Blue Shield of California members have more than just basic health care. They have access to extensive health information, well-being tools, and more.