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Quality

The Quality Improvement Program includes initiatives to ensure that members are receiving age-appropriate preventive health screenings and interventions to optimize health.

The information on this page provides useful information and tools for managing patient care based on industry-standard clinical practice guidelines.

    Preventive Depression Screening Program

    This program promotes collaboration, continuity and coordination between medical and behavioral health care.

    Million Hearts Action Guide 
    The Hypertension Control: Change Package for Clinicians  is a quality improvement tool for ambulatory clinical settings to improve hypertension control. This guide includes change concepts, change ideas, and evidence or practice based tools and resources.

    New: HEDIS Measurement Year 2020 Toolkit

    2021HEDIS®

    2021HEDIS®

    2021HEDIS®

    Other Resources

    WellCare shall monitor providers against the following standards to ensure members can obtain needed health services within the acceptable appointment time frames, in-office waiting times, and after-hours standards.

    New York Confidential Case Report Form

    Promoting cultural and linguistic competency self-assessment checklist for personnel providing primary health care services

    A form used to order copies of the New York State Health Care Proxy

    The documentation standards listed here applies to all medical records

    The documentation listed here applies to all obstetrical records

    This tool is designed to be a working record for all WellCare members.

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    Last Updated On: 12/17/2020