Assessment #1:

Diabetic Retinopathy: Assess members with diabetes for diabetic retinopathy with a non-mydriatic fundus camera. Provide members with diabetes the annual retinal assessment to meet HEDIS quality improvement measures. Provide both technical and professional interpretation and recommendation to the member's primary care provider (PCP) for any follow-up care.

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Assessment #2:

Diabetic Peripheral Neuropathy: Assess members with diabetes for peripheral diabetic neuropathy through a non-invasive rapid sural nerve conduction device (DPNCheck). Refer members at high risk for foot ulcers for follow-up care with either their primary care physician or podiatrist for preventive early interventions.

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Assessment #3:

Diabetic Nephropathy: Assess members with diabetes for diabetic nephropathy via a microalbuminuria test, albumin-to-creatinine ratio test (also known as the ACR test), or the urine albumin test. In addition, an estimated Glomerular Filtration Rate (eGFR) to assess renal function will also be obtained. Identify members with CKD to preserve filtration, monitor CKD progression, and to facilitate patient-clinician communication.

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Assessment #4:

Peripheral Arterial Disease (PAD): Research shows that patients with Peripheral Arterial Disease (PAD) are four times more likely than the general population for risk of a heart attack. Assess members to determine Ankle Brachial Index (ABI) and Pulse Volume Recording (PVR) with a non-invasive FDA-cleared device. Identify members with cardiovascular disease with evidence of peripheral arterial disease for follow-up care.