Prenatal and Postpartum Provider Incentives
| To: | Health Plan of San Joaquin (HPSJ) Providers |
| From: | Provider Services Department |
| Subject: | Prenatal and Postpartum Provider Incentives |
| Business: | Medi-Cal, AIM (now known as Medi-Cal Access Program) |
HPSJ is pleased to announce 2016 Provider incentives for prenatal and postpartum care. This provider incentive is valid from January 1, 2016 through December 31, 2016.
The $25 incentive is to be paid for each occurrence that meets the following timeliness requirements –
- The first prenatal care visit must occur in the first trimester, or within 42 days of enrollment as a member of HPSJ.
- The postpartum visit must be done between 21 and 56 days after delivery.
The provider incentive is paid quarterly.
HPSJ will use the NCQA HEDIS® defined measure for prenatal and postpartum care. This also supports HPSJ’s NCQA accreditation. Part of maintaining this accreditation is continuous improvement with the outcomes of our HEDIS measures.
Please direct any questions to our Provider Services Department at (209) 942-6340.
HPSJ is committed to partnering with our network providers to improve the care received by our members. We look forward to working with you on this process for improved care and outcomes of HPSJ members who are your patients, as well as promoting healthier newborns.