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Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)

What is the SSD — HEDIS® Measure?

Based on current HEDIS recommendations for best practices, members ages 18 to 64 with schizophrenia, schizoaffective disorder or bipolar disorder, who were dispensed an antipsychotic medication and had a diabetes screening test during the measurement year.

The following will meet compliance:

Glucose Test or HbA1c Test: Documentation in the medical record must include a note indicating a glucose test or HbA1c test was performed during the measurement year.

NCQA HEDIS Population Definition for This Measure:

Population: Members ages 18 to 64 as of December 31 of the measurement year

Line of Business: Medicaid

Reference: Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD), NCQA HEDIS Tech Specifications

Best Practices

  • Order a diabetes screening test every year and build care gap "alerts" in your electronic medical record.
  • Follow up with patients to discuss and educate on lab results.
  • Coordinate care with other providers.
  • Outreach patients who cancel appointments and reschedule them as soon as possible.
  • Encourage shared decision-making by educating patients and caregivers about:
    • Increased risk of diabetes with antipsychotic medications
    • Importance of screening for diabetes
    • Symptoms of new onset diabetes

SSD Antipsychotic Medications

  • Amitriptyline-perphenazine
  • Aripiprazole
  • Aripiprazole lauroxil
  • Asenapine
  • Brexpiprazole
  • Cariprazine
  • Chlorpromazine
  • Clozapine
  • Fluphenazine
  • Fluphenazine decanoate
  • Haloperidol
  • Haloperidol decanoate
  • Iloperidone
  • Loxapine
  • Lurasidone
  • Molindone
  • Olanzapine
  • Paliperidone
  • Paliperidone palmitate
  • Perphenazine
  • Prochlorperazine
  • Quetiapine
  • Risperidone
  • Thioridazine
  • Thiothixene
  • Trifluoperazine
  • Ziprasidone

To learn more about your practice's current HEDIS performance, HEDIS Value sets for this or other measures, or for assistance in compliance with the HEDIS guidelines, please email BH_HEDISTeam@HorizonBlue.com or visit Provider Tips for Optimizing HEDIS Results Booklet.