Reminder – Controlling High Blood Pressure (CBP)
| Date: | October 27, 2023 |
| To: | Health Plan of San Joaquin (HPSJ) CONTRACTED Primary Care Providers (PCPs) and Specialty Care Providers (SCPs) |
| Type: | Educational/informal |
| Subject: | Reminder – Controlling High Blood Pressure (CBP) |
| Business: | Medi-Cal Managed Care |
Healthcare Effectiveness Data Information Set (HEDIS)
Measurement Year 2023
The following is a reminder of Controlling High Blood Pressure (CBP). Patients 18 – 85 years of age with a diagnosis of hypertension (HTN) who have blood pressure (BP) monitoring throughout the year and have a controlled blood pressure indicated by a reading of less than 140/90 mm Hg.
Recommended Best Practices
- Perform 2 BP checks at every HTN patient visit.
- If BP reading is high during visit retake at the end of the visit.
- Blood Pressure Monitors to HTN patients who meet criteria (authorization may be required for certain monitors and cuffs).
- Document member reported BP taken from an electronic cuff during telehealth visits.
- Monitor and follow up with members who are not adequately controlled during the year.
- Offer drop in BP checks at your office to patients with HTN – record BP results from all drop ins in patients’ medical record.
For more information regarding blood pressure cuff benefit criteria visit:
https://medi-calrx.dhcs.ca.gov/cms/medicalrx/static-assets/documents/provider/forms-and-information/manuals/Medi-Cal_Rx_Provider_Manual.pdf
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 of San Joaquin and our services is always available on our website https://www.hpsj.com/