2022 FQHC & RHC Incentives
| Date: | December 29, 2021 |
| To: | All HPSJ Federal Qualified Health Center (FQHC) and Rural Health Clinics (RHC) |
| Provider Alert Type: | Informational/Educational and Procedural Update |
| From: | Health Plan of San Joaquin |
| Subject: | 2022 FQHC & RHC Incentives |
| Business: | Medi-Cal |
Health Plan of San Joaquin (HPSJ) is pleased to announce the 2022 Provider Incentive Program promoting Quality Care to our members. The requirements for participation include the following qualifiers:
2022 Qualifiers to Participate
- Maintain a minimum of 500 HPSJ members per assigned provider
- Clinic(s) must remain open to new members the entire calendar year
The Quality Measures include Healthcare Effectiveness Data and Information Set (HEDIS) and the Managed Care Accountability Sets (MCAS) – performance measures that the Department of Health Care Services (DHCS) selects for annual reporting by Medi-Cal managed care health plans.
2022 Quality Measures for FQHC/RHC
- AMM Acute – Antidepressant Medication Management)
- AMM Continuation – Antidepressant Medication Management
- BCS – Breast Cancer Screening
- CCS – Cervical Cancer Screening
- CIS – Childhood Immunization Status Combination 10
- CBP – Controlling High Blood Pressure
- CDC-HbA1c Test – Comprehensive Diabetic Care
- IMA – Immunizations for Adolescents Combination 2
- PPC Pre – First Routine Prenatal Care Visit (within the timeframe)
- PPC Post – Post Partum Visit (1-84 days after delivery)
- IHA – Initial Health Assessment – within 120 days of new member enrollment
The funding pool for each participating clinic will be allocated based proportionally to the membership served and distributed equally for each measure achieved. 10% of the funding pool is reserved for clinics that can demonstrate year over year improvement with the percentage of members seen from the previous year. Each participating clinic organization has a customized “Membership Seen” goal. 90% of the funding pool is to be paid for successful measures met.
HPSJ looks forward to our continued partnership in providing high quality care to our members. Your engagement as a provider not only helps HPSJ members receive care, but it also helps us improve the health status of the overall community.
We appreciate your work and continued partnership. If you have questions, please contact Provider Services at 209.942.6320 or Customer Services at 888.936.7526 .