Ambetter Annual Preventative Visit Flyer

Date: 06/12/24

Ambetter Preventative Care

Preventative care with regular health checkups is benefcial to your patients.

Consider developing a personalized prevention plan to help them on their healthcare journey.

Ambetter members can be seen at least once per calendar year for preventative care exams.

Note: Healthy infants should be seen by their doctor often during the frst year of life.

Age	Exam Components	Some topics to cover during the exam
Age 0-2 (preventive care at: 2-3 days after coming home and then:1 month old, 2 months old, 4 months old, 6 months old, 9 months old )	Measure head circumference Length/height, weight, BMI Age-appropriate exam	Development progress Newborn screenings Hearing issues Vision Problems Labs/tests and screenings as applicable Immunizations as applicable
Age 3-10	Annual Exam Height, weight, BMI Blood pressure Age-appropriate exam and history Dental, vision and hearing screenings Medication Reconciliation	Dental Care Obesity Development/Behavioral screening Labs/tests and screenings as applicable Immunizations as applicable
Age 11-19	Annual Exam Height, weight, BMI Blood pressure Age-appropriate exam and history Dental, vision and hearing screenings Obesity Screening Medication Reconciliation	Diet and physical activity Domestic violence/abuse screening Anxiety/Depression screening Alcohol, Tobacco and drug use Sexual Health (contraception and STDs Labs/tests and screenings as applicable Immunizations as applicable
Age 20-49	Annual Exam Height, weight, BMI, Blood pressure /Hypertension Screening Cardiovascular screening Cancer Screenings (skin, colon,breast, cervical etc.) Diabetes Screening Obesity Screening Medication Reconciliation	Diet and physical activity Domestic violence/abuse screening Anxiety/Depression screening Alcohol, Tobacco and drug use Gynecological health referral Sexual Health (contraception and STDs Labs/tests and screenings as applicable Immunizations as applicable
50 and older	Annual Exam Height, weight, BMI, Blood pressure /Hypertension Screening Cardiovascular screening Cancer Screenings (skin, colon,breast, etc.) Diabetes Screening Lung Cancer Screening Obesity Screening Urinary incontinence Medication Reconciliation	Advanced Care Planning Anxiety/Cognitive/Depression screening Alcohol, Tobacco and drug use Diet and physical activity Domestic violence/abuse screening Fall/Balance/Activities of daily living risks Sexual Health (contraception and STDs Refer/order preventive Labs/tests and screenings as applicable Immunizations as applicable Gynecological health referral

When evaluating members and establishing the presence of a diagnosis, remember to put the M.E.A.T. (Monitoring, Evaluating, Assessing/Addressing, & Treating) in your documentation.

Monitoring	Evaluating	Assessing/Addressing	Treating
Signs	Test Results	Ordering Tests	Medications
Symptoms	Medication Effectieness	Discussion	Therapies
Disease Progression	Response to Treatment	Review Records	Other Modalities
Disease Regression		Counseling	Referrals to Specialists
		Planning	Disease Management Program
			Testing

 

Tips to ensure healthy outcomes:

• Always share tests and screenings results with membersand how they can assess them via a patient portal
• Be sure to submit all applicable conditions via IDC10 codes Leverage CPT Category II codes to ensureoutcomes to reduce chart collection events

Consumer Assessment of Healthcare Providers andSystems CAHPS®

Your Success is Our Success: CMS or NCQA may ask yourpatients how you rate in the annual Consumer Assessment of Healthcare Providers and Systems CAHPS® survey.Our goal is to partner with our providers to serve yourpatients with the best healthcare possible. Improvingyour patient’s experience during their office visit has be proven to improve healthcare outcomes and increasepatient compliance with treatment plans.

Ensure your patient’s satisfaction:

• See patient within 15 minutes;
• write prescriptions for medications on formulary;
• share test results as soon as you get them;
• help coordinate and manage careto other health services;
• and refer patients to network specialists.