Healthfirst encourages your practice to actively identify patients younger than two who need vaccinations and to help their parents and/or guardians resolve barriers with scheduling well-child appointments.

• Vaccinations may be rendered at doctor appointments, including sick visits, regardless of the primary intent of the visit.
• When treating a child who needs a well-child visit, you can convert their sick visit to a well-child visit by using the appropriate procedure code.
• For multi-dose vaccination, schedule the child’s next vaccine/dose as soon as the minimum interval will allow.
• See specific best practices and tips in the Healthfirst Provider Guidebook for Quality Measures (pages 34, 36, and 44).

Please advise patients’ parents and/or guardians that they may be eligible to receive Wellness Rewards for completing well-child visits and vaccinations.

• Healthfirst Provider Guidebook for Quality Measures
• HEDIS® Codebook
• Optimizing Telehealth to Achieve HEDIS Measures
• Clinical Support Vendors and Behavioral Health Resources
• Centers for Disease Control and Prevention (CDC): Child and Adolescent Immunization Schedule by Age and Vaccines for Children
• For pediatric providers and office staff/coders who want to learn more about proper billing and coding, view our recorded webinar: Care to Coding: Guiding Pediatric Care Providers to Successful Coding for Billing, Risk and Quality

Patients can contact their plan’s Member Services team for help scheduling or getting to their appointments, or for more information about Wellness Rewards. Member Services contact information can also be found on the back of the member’s ID card; see sample ID cards here.

For more information about recommended health screenings for your patients, please contact your assigned Clinical Quality Manager or Network Account Manager. You can also call Provider Services at 1-888-801-1660, Monday to Friday, 8:30am–5:30pm.

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