• Care coordination requirements
• Medicare Advantage National Care Coordination Program

• Learn more about CAHPS patient experience surveys
• Get familiar with the questions in CAHPS patient experience surveys 

• See the HEDIS overview and FAQs at NCQA.org/HEDIS
• Visit the Health Outcomes Survey (HOS) website

CAHPS and HOS

• Access to Care
• CAHPS Survey Overview
• Care Coordination
• Fall Prevention
• Health Outcomes Survey (HOS) Overview (Medicare)
• Patient Experience
• Waiting Room Worksheet (Medicare)

HEDIS and CMS

• Annual Wellness Visit and Annual Physical Exam: Learn the Difference
• Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB)
• Breast Cancer Screening (BCS-E)
• Cervical Cancer Screening (CCS-E)
• Childhood Immunization Status (CIS-E)
• Colorectal Cancer Screening (COL-E)
• Comprehensive Diabetes Management (CDM)
• Controlling High Blood Pressure (CBP)
• CPT^® Category II Codes
• Depression Screening and Follow-up for Adolescents and Adults (DSF-E)
• Eye Exam for Patients with Diabetes (EED)
• Glycemic Status Assessment for Patients with Diabetes (GSD)
• HEDIS Exclusion Codes
• Kidney Health Evaluation for Patients with Diabetes (KED)
• Maternal Health: Timeliness of Prenatal and Postpartum Care (PPC)
• Statin Therapy for Patients with Cardiovascular Disease (SPC-E)
• Transitions of Care (TRC)
• Use of Imaging Studies for Low Back Pain (LBP)

RISK

• Post Cerebral Vascular Accident (CVA) Risk Adjustment Tip Sheet
• Risk Adjustment - Helpful Hints

PHARMACY

• Medication Adherence
• Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)

• See our four quality coding standards to capture quality care data in claims
• Get tips on coding according to the CMS Hierarchical Condition Categories for risk adjustment reporting
• Get tips on coding for Post Cerebral Vascular Accident (CVA) for risk adjustment reporting

U.S. Preventive Services Task Force (USPSTF) evidence-based recommendations for clinical preventive services

• USPSTF – A and B Recommendations

Centers for Disease Control and Prevention immunizations schedules

• Recommended Immunization Schedule for Adults Aged 19 Years or Older
• Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger

Health Resources and Services Administrations (HRSA)

• Recommended Uniform Screening Panel 
• Women’s Preventive Services Guidelines

American Academy of Pediatrics 

• Recommendations for Preventive Pediatric Health Care

Medicare Advantage Health Roadmap guide

Medicare Advantage free education opportunities

AZ Blue wellness engagement programs

AZ Blue health library and blog posts

• What you need to know about our preferred biosimilar medications.
• Access our Biosimilar Therapy Criteria