Well Care Center

Resources for you

Clinical practice guidelines

Our clinical practice guidelines (PDF) outline important issues that may be relevant to our adolescent members, including childhood obesity, ADHD, HIV, pregnancy and sexually transmitted diseases.

Let Us Know program

If you have a member who is experiencing any barriers to receiving their annual Adolescent Well Care check-up (language barriers, lack of transportation to appointments, sensitive physical or mental health issues, etc.) please Let Us Know. These issues may be reported to us through the Let Us Know program, so that our Case Management department may lend a hand to both your office staff and the member.

HEDIS Requirements

You play a central role in promoting the health of our members. This is reflected in our HEDIS scores. You and your office staff can help facilitate the HEDIS data collection process by:

• Providing the appropriate care within the designated timeframes.
• Documenting all care in the member’s medical record.
• Accurately coding all claims.
• Responding to our requests for medical records within 5 business days.

Other provider resources:

• Paving the Road to Good Health; Strategies for Increasing Medicaid Adolescent Well-Care Visit (PDF): A comprehensive US Department of Health and Human Services publication that highlights strategies for adolescent preventive health care.
• NCQA’s State of Health Care Quality for Child and Adolescent Well-Care Visits: Learn why NCQA sees a need for improvement in child and adolescent well-care visits, and see the HEDIS measures designed to enhance care.
• American Academy of Pediatrics’ adolescent health: Get information and resources designed to enhance care for teenagers.
• The U.S. Department of Health and Human Services, Office of Adolescent Health: A great resource for our young members, the Office of Adolescent Health website offers information to help adolescents become healthy, proactive adults.

Well child incentives

AmeriHealth Caritas Louisiana members can earn rewards for making positive choices about their health care. Members should contact Member Services for eligibility and redemption guidelines.

• $20 on CARE Card for completing six well-child visits from birth to 15 months
• $15 on CARE Card for each annual well visit from ages 2 to 20