LDH Updates to 2026 Quality Measures
Date: 01/14/26
As part of our ongoing commitment to improving patient outcomes and supporting high‑quality, evidence‑based care, we are sharing updates and reminders regarding Quality measures for the upcoming measurement year. Louisiana is actively working to improve performance on these measures, which reflect updates to HEDIS®, state requirements, value‑based program expectations, and broader organizational priorities.
Your partnership is essential in ensuring that our members receive timely, comprehensive, and equitable care. Please review the updated Quality measures below.
Access & Prevention
• Well‑Child Visits (Ages 0–15 months / 15–30 months) (HEDIS)
• Reduction in ED Visits for Low‑Acuity Conditions
Chronic Conditions & Adult Preventive Care
• Follow‑Up After Abnormal Mammogram Assessment
• Cervical Cancer Screening (HEDIS)
• Colorectal Cancer Screening (HEDIS)
• Controlling Blood Pressure (HEDIS)
• HIV Viral Load Suppression
• Plan All‑Cause Readmissions (HEDIS)
• Tobacco Use Screening and Cessation Intervention (TSC‑E) (HEDIS)
• LDH – Tobacco Quit Rate
Behavioral Health
• Follow‑Up After Hospitalization for Mental Illness – 7 Days (HEDIS)
• Follow‑Up After ED Visit for Mental Illness – 7 Days (HEDIS)
• Follow‑Up After ED Visit for Substance Use Disorder – 7 Days (HEDIS)
• Pharmacotherapy for Opioid Use Disorder (HEDIS)
Maternity Care
• Prenatal and Postpartum Care (HEDIS): Timeliness of Prenatal Care; Postpartum Care
• Percentage of Low‑Birthweight Births
• Inpatient Mental Health and Substance Use Disorder Rate at Delivery (MHI 04)
• Tobacco Screening & Referral for Pregnant Patients
• Severe Maternal Morbidity Rate (MHI 01)
Provider Action Steps
• Ensure accurate, complete, and timely documentation.
• Use preventive screening reminders.
• Support same‑day or urgent visit availability.
• Facilitate required post‑discharge and behavioral health follow‑up.
• Refer members to cessation, maternity, behavioral health, and care management programs.