February 26, 2025

Thank you for being a valued provider for members in one or more of our health plans: Health Partners Plans Medicaid, Health Partners Plans CHIP, Jefferson Health Plans Medicare Advantage, and/or Jefferson Health Plans Individual and Family Plans.

We continue to partner with our vendor Healthy Measures to provide in-home screenings for noncompliant members for the following HEDIS measures: HbA1c Control, Kidney Function Evaluation, Diabetes Eye Exam, Controlling Blood Pressure, Lead Screening, and Osteoporosis Screening.

As you know, these services are often critical in helping to improve our members’ health outcomes, which helps your office improve quality performance and potentially increases your Quality Care Plus (QCP) revenue.

Once your office has identified the patients that are due for one of the above screenings, our Quality Improvement and Performance outreach team will coordinate the in-home appointment with your patient, typically within 30 days from the referral. Our outreach team will also complete reminder calls the day before for all appointments.

After an in-home appointment has been completed, your office will receive the results of the visit via fax from Healthy Measures. Results are sent approximately 2-3 weeks after the appointment was completed.

If you would like to refer a member and they agree to the in-home screening, please send an email to QIPReferrals@jeffersonhealthplans.com or contact Valerie Van Buren (vmcevoy@jeffersonhealthplans.com). Please include the following information: patient name, member ID, phone number, and test(s)/screening(s) needed.

If you have any questions, please contact the Provider Services Helpline at 1-888-991-9023(Monday – Friday, 9 a.m. – 5:30 p.m.).