All PlansAdministrativeLow impact
Encourage Annual Eye Exams for Members with Diabetes
BCBS Texas·TX · Family Medicine, Internal Medicine, Endocrinology +2 more·General
Effective date
Oct 3, 2024
We identified it
Jan 12, 2026
Summary
Blue Cross Blue Shield of Texas is encouraging annual dilated retinal eye exams for members with diabetes to improve HEDIS quality scores and reduce vision complications. This is an informational policy promoting preventive care coordination rather than mandating billing changes.
Action Required
Providers should discuss annual eye exam importance with diabetic patients, build care gap alerts in EMRs for diabetic eye exams, and ensure eye care specialists communicate results to primary care providers. Access the Quality Care 2025 resource in Availity Essentials for HEDIS coding guidance.