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2021 Adult Preventive MedRXweblines: Ages 19 through 64 …

Weba. 2021 Adult Preventive MedRXweblines: Ages 19 through 64 Years. The Patient Protection and Affordable Care Act (PPACA, P.L. 111-148, March 23, 2010, as …

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URL: https://content.highmarkprc.com/Files/Region/hdebcbs/EducationManuals/ClinicalGuidelines/guideline-19-64.pdf

2021 Preventive MedRXweblines for Members 65 Years of …

Web2021 Preventive MedRXweblines for Members 65 Years of Age and Older. The Patient Protection and Affordable Care Act (PPACA, P.L. 111-148, March 23, 2010, as …

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2021 Adult Preventive MedRXweblines: Ages 19 through 64 …

WebA physical should be performed every one to two years for adults ages 19-49, and every year for adults ages 50 and older. Female PE: -Discuss preconception guidelines as …

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2021 Pediatric and Adolescent Preventive MedRXweblines: …

WebThe USPSTF recommends counseling young adults, adolescents, children, and parents of young children about minimizing exposure to ultraviolet (UV) radiation for …

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2024 Adult Preventive MedRXweblines: Ages 19 through 64 …

WebA physical should be performed every one to two years for adults ages 19-49, and every year for adults ages 50 and older. Female PE: -Discuss preconception guidelines as …

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Social Determinants of Health (SDoH) Toolkit

WebSocial Determinants of Health (SDoH) are economic and social conditions that influence the health of people and communities. These conditions are shaped by the amount of …

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2023 Quality Improvement Program Executive Summary for …

WebBACKGROUND AND HISTORY. Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association serves as a …

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Appropriate Prescribing For Obesity

WebWhile lifestyle interventions such as diet, exercise, and behavioral modifications are first-line approaches to weight loss, The Obesity Society, the Endocrine …

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2024 Pediatric Preventive MedRXweblines: Ages 0 through 6 …

Web2024 Pediatric Preventive MedRXweblines Page 1 of 8 2024 Pediatric Preventive MedRXweblines: Ages 0 through 6 Years The Patient Protection and Affordable Care Act …

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Transitions in Care: Supporting Patients and Physician Partners

WebHighmark supports our provider partners by promoting the coordination of care for our members and assisting the physician’s office in transformation that seeks to involve the …

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Important information regarding Community HealthChoices …

WebCHC is Pennsylvania’s mandatory Medicaid managed care program for individuals eligible for both Medicaid and Medicare. Highmark Wholecare Medicare AssuredSM D-SNP …

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Model of Care Overview

WebThis information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association.

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Follow Up After ED Visit for Mental Illness (FUM)*

WebFUM assesses the percentage of emergency department (ED) visits for individuals 6 years of age and older with a principal diagnosis of mental illness or intentional self-harm and …

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WholeHealth Living Clinical Criteria To Determine Medical …

WebThe purpose of this document is to provide the basic framework for clinical reviewers to use to identify the clinical appropriateness and medical necessity of physical medicine …

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HIGHMARK AND HEALTHNOW NEW YORK ANNOUNCE …

WebHighmark Inc. and HealthNow New York Inc. today announced an agreement to affiliate, marking a key milestone in plans to bring together the two not-for-profit Blue Cross Blue …

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Highmark's Enhanced Community Care Management

WebHOW TO REFER A MEMBER TO ECCM. If you have a patient who you believe could benefit from ECCM, please refer them through any of these channels: Epic: Ambulatory …

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CLAIMS FILING ADDRESSES – PA CENTRAL, EASTERN, AND …

WebHighmark Blue Shield P.O. Box 898845 Camp Hill, PA 17089-8845. Children’s Health Insurance Plan (CHIP) PPO Plus. Highmark Blue Shield P.O. Box 890173 Camp Hill, PA …

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Prescription Drug Medication Request Form

WebINSTRUCTIONS FOR COMPLETING THE FORM. Submit a separate form for each medication. Complete ALL information on the form. NOTE: The prescribing physician …

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2024 Highmark Wholecare Benefits

WebHighmark Wholecare is pleased to announce several exciting benefit enhancements for Medicare plan members beginning January 2024. 2024 Highmark

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