Comprehensive Primary Care Plus Updates
May 6, 2021
Supplemental Data and Category II CPT Codes
Performance on quality measures is based largely on claims data, but supplemental data may be submitted as well. Some examples are:
  • Medical records of a member who had a colonoscopy before enrolling with QualChoice.
  • Removal of a total hysterectomy patient from the cervical cancer screening measure.
To send additional data, complete the Supplemental Data Submission Form available on the My Account portal at QualChoice.com.

Category II CPT Codes may also be submitted for reporting of quality data. Note: Category II codes must be submitted as eCQMs for these measures:
  • Controlling Blood Pressure
  • HbA1c Poor Control
  • Tobacco Use
  • 
The last chance to improve your 2020 quality metrics through supplemental data and Category II CPT codes is June 15, 2021. For questions, email CPC+@qualchoice.com.
Updated Reports
Quality and Utilization reports with data through 2020 have been published to the CPC+ My Account portal at QualChoice.com. An updated Gaps in Care report including data through April 2021 has also been published. Please check the portal and download to review.
Quality and Utilization reports with data through 2020 have been published to the CPC+ My Account portal at QualChoice.com. An updated Gaps in Care report including data through April 2021 has also been published. Please check the portal and download to review.
COVID Waiver Updates
QualChoice will continue to cover COVID testing and vaccinations at no member cost share but effective June 1, 2021, QualChoice will reinstate member cost sharing for telehealth and COVID treatment services. However, we will not reinstate pre-authorization requirements for COVID-related services at this time. For questions about the COVID-19 services QualChoice covers, please contact Provider Services at 501.228.7111, ext. 7004.
QualChoice Health Insurance
 800.235.7111  | CPC+@qualchoice.com  | QualChoice.com
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