Provider Alerts

Healthcare Effectiveness Data Information Set (HEDIS)
Update Measurement Year 2025
Cancer Screening for Women Measures

Update-BCS-E-Breast Cancer Screening
The National Committee for Quality Assurance (NCQA) has updated the BCS measure specifications to expand the age range to include members 40-49 years of age.  The updated measure is as follows:

• Patients assigned female at birth ages 40-74 who have not undergone chest reconstruction or breast reduction should have at least one mammogram every 2

CCS-E-Cervical Cancer Screening
Patients assigned female at birth 21-64 years of age who were screened for cervical cancer using any of the following:

• Patients assigned female at birth 21-64 years of age who had cervical cytology performed within the last 3 years.
• 30-64 years of age who had cervical high-risk human papillomavirus (hrHPV) testing or cervical cytology/high-risk human papillomavirus co-testing within the last 5 years who were 30 years or older on the date of the

Recommended Best Practice:

• Educate members about the importance of early detection and encourage screening.
• Complete cervical cancer testing during well OBGYN visits, sick visits, urine pregnancy tests, UTI and screening for
• Document dates and results, including patients, provided information on screening and testing.
• Review and document patients’ surgical history with dates and results.
• Establish a standing order to obtain annual mammograms.
• Document month and year of mastectomy bilateral or unilateral status.
• Engage patients to discuss their fears.

If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan and our services is always available on our website www.hpsj-mvhp.org