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HEDIS® Tip Sheet

Chlamydia Screening in Women (CHL)

Line of business: Commercial and Medicaid Expansion

Measure Description

Members 16-24 who were identified as sexually active and had at least one test for chlamydia during the measurement year.

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Notes

  • This measure applies to members ages 16-24 years as of December 31st of the measurement year.
  • Sexually active members are identified using two methods pharmacy claims and claim encounters.

Measure Compliance (numerator):

  • Members who had at least one chlamydia test during the measurement year.
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Best Practices

  • Encourage parents to establish care with a PCP and educate parents on the importance of preventive care visits.
  • Educate patients and their families or caregivers about the importance of routine screenings and medication compliance.
  • Utilize reminders in the patient’s EMR to alert staff of when patients’ screenings are due.
  • Promote signing up for patient portal if your facility provides it (i.e., MyChart).
  • Remind patients of upcoming appointments by making phone calls, sending text messages or utilizing patient portal messaging.
  • Perform chlamydia screening every year on every 16–24-year-old female identified as sexually active.
  • Add chlamydia screening as a standard lab for women 16-24 years old.
  • Utilize urine test for screening as an option for patients.
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Exclusions

  • Members in hospice during the measurement year.
  • Members who die during the measurement year.
  • Sex assigned male at birth.
  • Members who had a pregnancy test during the measurement year and a prescription for isotretinoin OR an x-ray on the date of the pregnancy test through six days after the pregnancy test.

Coding Disclaimer

The analysis of any medical coding question related to a measure is dependent on the measure’s technical specifications including the factual situations present related to the member, the practice, the professionals, and the medical services provided.

Questions  

Should you have specific coding or other questions related to the measure, please send your questions to BlueAlliance@bcbsnd.com.

NCQA Copyright Notice and Disclaimer
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HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Updated 7/16/2025