Line of business: BlueAlliance (Commercial) & BlueAlliance Care+ (Medicaid)
Percentage of members who were screened, using prespecified instruments, at least once during the measurement period for unmet food housing and transportation needs, and received a corresponding intervention if they screened positive.
Food Screening: The percentage of members who were screened for food insecurity.
Food Intervention: The percentage of members who received a corresponding intervention within 30 days (1 month) of screening positive for food insecurity.
Housing Screening: The percentage of members who were screened for housing instability, homelessness or housing inadequacy.
Housing Intervention: The percentage of members who received a corresponding intervention within 30 days (1 month) for housing instability, homelessness or housing inadequacy.
Transportation Screening: The percentage of members who were screened for transportation insecurity.
Transportation Intervention: The percentage of members who received a corresponding intervention within 30 days (1 month) of screening positive for transportation insecurity.
Food Screening: Members with a documented result for food insecurity screening performed between January 1 and December 1 of the measurement period.
Food Intervention: Members who received a corresponding intervention within 30 days (1 month) of screening positive for food insecurity.
Housing Screening: Members with a documented results for housing instability, homelessness or housing inadequacy screening performed between January 1 and December 1 of the measurement period.
Housing Intervention: Members who received a corresponding intervention within 30 days (1 month) for housing instability, homelessness or housing inadequacy.
Transportation Screening: Members with a documented result for transportation insecurity performed between January 1 and December 1 of the measurement period.
Transportation Intervention: Members who received a corresponding intervention within 30 days (1 month) of screening positive for transportation insecurity.
Members any age enrolled at the start of the measurement period who meet criteria for participation.
January 1 – December 31
Food insecurity: Uncertain, limited or unstable access to food that is adequate in quantity and in nutritional quality; culturally acceptable; safe; and acquired in socially acceptable ways.
Housing instability: Currently consistently housed but experiencing any of the following circumstances in the past 365 days: being behind on rent or mortgage, multiple moves, cost burden or risk of eviction.
Homelessness: Currently living in an environment that is not meant for permanent human habitation (e.g., car, park, sidewalk, abandoned building, on the street); not having a consistent place to sleep at night; or because of economic difficulties, currently living in a shelter, motel, temporary or transitional living situation.
Housing inadequacy: Housing does not meet habitability standards.
Transportation insecurity: Uncertain, limited or no access to safe, reliable, accessible, affordable and socially acceptable transportation infrastructure and modalities necessary for maintaining one’s health, well-being or livelihood.
Food Insecurity Instruments |
Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Screening Tool |
American Academy of Family Physicians (AAFP) Social Needs Screening Tool |
American Academy of Family Physicians (AAFP) Social Needs Screening Tool—short form |
Health Leads Screening Panel®1 |
Hunger Vital Sign™1 (HVS) |
Protocol for Responding to and Assessing Patients' Assets, Risks and Experiences [PRAPARE]®1 |
Safe Environment for Every Kid (SEEK)®1 |
U.S. Household Food Security Survey [U.S. FSS] |
U.S. Adult Food Security Survey [U.S. FSS] |
U.S. Child Food Security Survey [U.S. FSS] |
U.S. Household Food Security Survey–Six-Item Short Form [U.S. FSS] |
We Care Survey |
WellRx Questionnaire |
1Proprietary; may be cost or licensing requirement associated with use.
Housing Instability and Homelessness Instruments |
Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Screening Tool |
American Academy of Family Physicians (AAFP) Social Needs Screening Tool |
American Academy of Family Physicians (AAFP) Social Needs Screening Tool—short form |
Children’s Health Watch Housing Stability Vital Signs™1 |
Health Leads Screening Panel®1 |
Protocol for Responding to and Assessing Patients' Assets, Risks and Experiences [PRAPARE]®1 |
We Care Survey |
WellRx Questionnaire |
1Proprietary; may be cost or licensing requirement associated with use.
Housing Inadequacy Instruments |
Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Screening Tool |
American Academy of Family Physicians (AAFP) Social Needs Screening Tool |
American Academy of Family Physicians (AAFP) Social Needs Screening Tool—short form |
Norwalk Community Health Center Screening Tool [NCHC] |
1Proprietary; may be cost or licensing requirement associated with use.
Transportation Insecurity Instruments |
Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Screening Tool |
American Academy of Family Physicians (AAFP) Social Needs Screening Tool |
American Academy of Family Physicians (AAFP) Social Needs Screening Tool—short form |
Comprehensive Universal Behavior Screen (CUBS) |
Health Leads Screening Panel®1 |
Inpatient Rehabilitation Facility—Patient Assessment Instrument (IRF-PAI)—version 4.0 [CMS Assessment] |
Outcome and assessment information set (OASIS) form—version E—Discharge from Agency [CMS Assessment] |
Outcome and assessment information set (OASIS) form—version E—Resumption of Care [CMS Assessment] |
Outcome and assessment information set (OASIS) form—version E—Start of Care [CMS Assessment] |
Protocol for Responding to and Assessing Patients' Assets, Risks and Experiences [PRAPARE]®1 |
PROMIS®1 |
WellRx Questionnaire |
1Proprietary; may be cost or licensing requirement associated with use.
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.
Should you have specific coding or other questions related to the measure, please send your questions to BlueAlliance@bcbsnd.com.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).