Chlamydia Screening (CHL)
Measure Description
The percentage of members 16-24 years of age who were recommended for routine chlamydia screening, were identified as sexually active, and had at least one test for chlamydia during the measurement year.
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.
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.
Best Practices
- Encourage parents to establish care with a PCP and educate parents on the importance of preventive care visits.
- Provide education to patients and their families or caregivers regarding the significance of routine screenings and adherence to prescribed medications.
- Use reminders in the patient's electronic medical record (EMR) to notify staff when screenings are needed.
- Encourage patients to register for the patient portal, such as MyChart, if your facility offers it.
- Remind patients of appointments via phone, text, or portal messages.
- Conduct annual chlamydia screening as a standard lab for all sexually active members ages 16–24 who meet inclusion criteria; utilize urine testing as a screening option.
Coding and Benefits Disclaimer
Providers and organizations must submit accurate and complete data in accordance with all billing, coding, and medical policy requirements. HEDIS guidance does not override official coding standards or guarantee reimbursement, as coverage is subject to applicable medical/coding policy and member-specific benefits.
Questions
Should you have specific coding or other questions related to the measure, please send your questions to BlueAlliance@bcbsnd.com.
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Updated 8/28/2026
