Well Care Center
Resources for you
Clinical Practice Guidelines
Our Clinical Practice Guidelines outline important issues that may be relevant to our adolescent members, including childhood obesity, ADHD, HIV, pregnancy and sexually transmitted diseases.
Let Us Know program
If you have a member/patient who is experiencing any barriers to receiving their annual Adolescent Well Care check-up (language barriers, lack of transportation to appointments, sensitive physical or mental health issues, etc.) please Let Us Know. These issues may be reported to us through the Let Us Know program, so that our Case Management department may lend a hand to both your office staff and the member.
You play a central role in promoting the health of our members. You and your office staff can help facilitate the HEDIS process improvement by:
- Providing the appropriate care within the designated timeframes.
- Documenting all care in the patient’s medical record.
- Accurately coding all claims.
- Responding to our requests for medical records within 5 business days.
Learn more about HEDIS. See the full HEDIS® 101 for Providers presentation.
Other Provider Resources:
- Paving the Road to Good Health; Strategies for Increasing Medicaid Adolescent Well-Care Visit: A comprehensive US Department of Health and Human Services publication that highlights strategies for adolescent preventive health care.
- NCQA’s State of Health Care Quality for Child and Adolescent Well-Care Visits: Learn why NCQA sees a need for improvement in child and adolescent well-care visits, and see the HEDIS measures designed to enhance care.
- American Academy of Pediatrics’ adolescent health: Get information and resources designed to enhance care for teenagers.
- The U.S. Department of Health and Human Services, Office of Adolescent Health: A great resource for our young members, the Office of Adolescent Health website offers information to help adolescents become healthy, proactive adults.