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Helping Michiganders manage mental health

Guidance on coding and submitting documentation for exclusion conditions in a virtual visit for the SUPD and SPC measures

To support gap closure in the Statin Use for Persons with Diabetes (SUPD) and the Statin Therapy for Persons with Cardiovascular Disease (SPC) HEDIS measures, we’ve added guidance on coding and submitting documentation for exclusion conditions during a virtual visit to our SUPD and SPC provider tipsheets, along with a complete list of all exclusion codes for these measures.

You can download our provider tipsheets below or find them on the Quality Improvement page in prism. The updates to these documents were also applied to Appendix 6 in our 2025 PCP Incentive Program (PIP) manual.

Why is submitting exclusion criteria important?

Submitting exclusion criteria removes your patient from the SUPD and/or SPC measures due to select conditions or diagnoses. Removing ineligible patients from these measures can improve your performance in HEDIS and in PIP’s medication adherence measures.

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