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GAPS in Care Resources

Vital GAPS Buckeye Health Plan image of dr with stethoscope

Welcome to our Vital GAPS website page. This page will provide you with the latest news and information on needed GAPS in Care. This will also house our Vital GAPS Quarterly publication. Closing GAPS in care directly correlates to increased healthcare and quality for your patients. Buckeye thanks you for your efforts to treat and document these important GAPS that significantly impact member outcomes. Bookmark this page to ensure easy future access. 

Quarterly Vital GAPS Publication


Controlling High Blood Pressure (CBP)


  • Changes to current diabetes measures
  • Glycemic Status Assessment for Patients With Diabetes (GSD)
  • Eye Exam for Patients with Diabetes (EED)

Child and Adolescence Well Child Visits and BMI


  • Antidepressant Medication Management (AMM)
  • Opioids from Multiple Providers (UOP )

Q3 2024 Vital GAPS Newsletter (PDF)



Tips and ideas as a reference tool for you when you need assistance in how to close a gap in care. Additions will be made on an ongoing basis, so be sure to check back to see what is new. 

Please be aware that to close gaps and receive reimbursement, you must use the following codes: CPT - 99483, 99495, 99496 and
CPT II - 1111F.


Did You Know?

To mitigate the inclusion of individuals who take diabetes-related medications for reasons other than diabetes, the addition of a diabetes diagnosis requirement was added in the pharmacy method.

  • Glycemic Status Assessment for Patients With Diabetes
  • Blood Pressure Control for Patients With Diabetes
  • Eye Exam for Patients With Diabetes
  • Kidney Health Evaluation for Patients With Diabetes
  • Statin Therapy for Patients With Diabetes
  • Diabetes Monitoring for People With Diabetes and Schizophrenia
  • Emergency Department Visits for Hypoglycemia in Older Adults With Diabetes