Healthcare Effectiveness Data Information Set (HEDIS) Regarding Chlamydia Screening in Women (CHL) Reminder

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Date: December 15, 2023
To: Health Plan of San Joaquin (HPSJ) Contracted Primary Care Providers & OB/GYN Offices
Type: Informational
Subject: Healthcare Effectiveness Data Information Set (HEDIS) Regarding Chlamydia Screening in Women (CHL) Reminder
Business: Medi-Cal Managed Care

Healthcare Effectiveness Data Information Set (HEDIS) for Measurement Year 2023

The following is reminder regarding Chlamydia Screening in Women (CHL):

Women 16 – 24 years of age identified as sexually active must have at least one test for chlamydia before the end of the calendar year.

Claims data for prescriptions of birth control, testing for pregnancy, or diagnosis codes are used to identify sexual activity.

Recommended Best Practices:

  1. Make testing part of your offices annual visit routine – Include chlamydia testing as part of a routine clinical preventative care visit for women 15 – 24 years of age.
  2. Educate patients on importance of annual testing – Clearly explain the
    significance of chlamydia testing in preventing and managing health issues.
    Provide information on the asymptomatic nature of chlamydia and the
    importance of early detection.
  3. Emphasize Confidentiality – Reassure patients that all testing and results are kept confidential.
  4. Normalize the conversation – Use non‐stigmatized language to discuss sexual health. Normalize the conversation around Sexually Transmitted Disease (STD) testing, emphasizing that it is a routine part of comprehensive healthcare.
  5. Address Common Concerns – Anticipate and address potential concerns or misconceptions patients may have about chlamydia testing.

Virtual Look and LearnIf 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 of San Joaquin and our services is always available on our website https://www.hpsj.com/

Posted on December 15th, 2023

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