Your practice is in the final stretch of the measurement year. Every gap still open on December 31 represents a patient who did not receive care they were due, and closing it requires outreach, scheduling, documentation and follow-through from your team.
This page consolidates the published resources for the measures receiving the most attention across the network between now and year-end — what each measure counts, which markets it applies in, and every member resource and related article we have published for them. Bookmark this page; additional materials will be added through December.
Equality Health works alongside your practice to engage members and drive year-end gap closure. For additional resources and support, contact your Practice Performance Advisor or PAM.
Well-Child Visits
W15 · W30 · WCV — Medicaid · the first 15 months, 15 to 30 months, and ages 3 through 21, counted inside the measurement year ending December 31
Well-child visits are where developmental delays get caught early, immunizations stay on schedule, and families build a relationship with their care team before something goes wrong. For many of the children in our network it’s the only preventive touchpoint they’ll have all year.
Remember, the highest-yield move on this measure is usually a visit already on your schedule: an acute or walk-in visit converted with modifier 25.
For patients and families
- Well Child Visit Member Guide (PDF, EN/ES) — what a well-child visit covers, the screenings that happen at it, and how to be a partner in your child’s care
Read More
- Flu Season Is Pediatric Quality Season | Equality Health
- Back-to-School Season Is Your Biggest Well-Child Visit Lever (equalityhealth.com)
- Five Screenings Hiding Inside Every Sports Physical (equalityhealth.com)
- Sick to Well Visit Conversion in Pediatric Primary Care | Equality Health
- The High Costs Associated with Missed Well-Child Visits (equalityhealth.com)
Childhood Immunizations
CIS · Medicaid · children who turn two during the measurement year
Ten vaccine families must land before a child’s second birthday to close an open gap, and that deadline does not move. A dose given after it still protects the child, but it no longer counts toward the measure — and neither does a chart note saying the child is up to date with all immunizations.
Like well-child visits, a practice can easily convert a sick visit into a CIS or IMA opportunity – use CareEmpower® to evaluate a patient’s open gaps at the time of scheduling.
For patients and families
- Childhood Vaccinations Member Guide (PDF, EN/ES) — every childhood illness and the vaccine that prevents it, with the dose schedule
Read More
- One Immunization Workflow, Three Measures (equalityhealth.com)
- CIS-10 Childhood Immunization Compliance Guide | Equality Health
- The Adolescent Immunization Measure Nobody Coaches (IMA) (equalityhealth.com)
Well-Woman Care
CCS · BCS · CHL · PPC1 & PPC2 — CCS applies in every market; BCS in Arizona, Tennessee and Texas; PPC2 in Arizona, Texas, Louisiana and Virginia
Proactive screening has reduced cervical cancer mortality by more than 50% over the last 30 years, and it works because it finds changes before they become cancer. Remember that CCS counts a specimen collected and a result returned. A referral to OB/GYN does not meet it, and a biopsy is a diagnostic test rather than a screening one.
These measures sit together because one well-woman visit can close several of them at once:
- Cervical screening for members 21 to 64
- A mammogram order for members 40 to 74
- A chlamydia screen for members 16 to 24
- The postpartum visit that falls 7 to 84 days after delivery
Two things are worth knowing when you review the CareEmpower worklist:
- In-office HPV self-collection is supported for members 30 and over, and cervical screening is a payable activity in every market.
- Chlamydia screening billed under prenatal or postpartum billing may not be captured on the claim — make sure the screening code appears separately.
For patients and families
- Cervical Cancer Screening Member Guide (PDF, EN/ES) — what a Pap test is, why HPV matters, and how to ask about your screening schedule
- Women’s Health Screenings and Exams Member Guide (PDF, EN/ES) — the full screening schedule for women 18 to 39
Read More
- The Referral Is Not the Measure: Closing the Loop on Cervical Cancer Screening (equalityhealth.com)
- Cervical Cancer Screening: Closing Gaps, Saving Lives (equalityhealth.com)
- Women’s Health: Planning Care Before and After Pregnancy (equalityhealth.com)
Diabetes and Glycemic Status
GSD8 & GSD9
Glycemic status is not one measure, and it does not run the same way in every market:
- GSD8 counts members whose most recent A1c or GMI is under 8.0%.
- GSD9 counts members above 9.0% and is scored in reverse, so a lower rate is the better result.
A practice in Arizona is measured on both; a practice in Louisiana is measured only on the second. Check which target your market is scored against before you build the worklist, because the two point in opposite directions.
Understanding your market’s GSD nuances is an important step in setting up your year-end gap playbook. Your PPA can help you create a glycemic worklist and walk the market-specific target with you.
For patients and families
- Preventing Diabetes Member Guide (PDF, EN/ES) — the lifestyle changes that lower diabetes risk, and what to tell your care team
- Diabetic Eye Exam and A1C Screening Member Guide (PDF, EN/ES) — why the yearly dilated eye exam matters and what an A1c result means
- Statins and Diabetes Member Guide (PDF, EN/ES) — cholesterol, cardiovascular risk, and why statins are prescribed alongside diabetes
For your team
- Kidney Health Evaluation (KED) Quality Guide (PDF, EN) — the two tests that close KED together, an eGFR blood test and a quantitative uACR urine test, with the CPT pair 82403 + 82570 and eight workflow best practices
Read More
- Why Your EHR Is Fighting Your Value-Based Care Workflow (equalityhealth.com)
- Chronic Care, Made Simpler: What’s Changing in ECIP for 2026 (equalityhealth.com)
- CareEmpower Chart Prep: The Pre-Visit Planning Checklist | Equality Health
Blood Pressure Control
CBP — every market · ages 18 to 85 with a hypertension diagnosis · a most recent reading under 140/90
CBP is the most uniform measure in this push — one threshold, one age band, every market. It also has a shape that makes December the month it is most winnable: the measure looks at the most recent documented reading in the measurement year, so a controlled reading taken and recorded before December 31st replaces an earlier uncontrolled one.
A member who looked open in October can close in December on a single well-documented visit. The tracking best practice is CPT II coding on every encounter where a pressure is taken: 3074F–3080F for systolic and diastolic values.
For patients and families
- Blood Pressure Member Guide (PDF, EN/ES) — what the two numbers mean and the heart-healthy habits that move them
- Importance of an Exercise Routine Member Guide (PDF, EN) — building up to 150 minutes of activity a week, and making it stick
Read More
- Chronic Care, Made Simpler: What’s Changing in ECIP for 2026 (equalityhealth.com)
- CareEmpower Chart Prep: The Pre-Visit Planning Checklist | Equality Health
- The ECIP Earnings Ceiling: Where Practices Leave Money on the Table (equalityhealth.com)
Need training on any of these? Your Practice Performance Advisor can walk your team through workflows, gap lists and documentation — and a lot of what’s on this page started as a request from a practice. If your team needs something that isn’t here yet, tell your PPA.
