September 11th, 2026

Dear Kids Health First (KHF) Providers and Practice Administrators,

We have some important updates about payor updates, new programs, and upcoming events. There's a lot of information, and we want to keep you informed. Please read through this email carefully and let us know if you have any questions.

Important Updates

New AAP Immunization Fact Sheets for Families

The American Academy of Pediatrics (AAP) has developed new Immunization Facts for Families resources while CDC Vaccine Information Statements are not currently being updated. These family-friendly fact sheets provide clear information about vaccine recommendations, disease risks, possible side effects and more.

Practices may download the fact sheets to share with families during immunization discussions or post them on their websites and social media channels. These resources can supplement—but do not replace—any Vaccine Information Statements required when administering vaccines.

Chaperone Policy Reminder: Protect Your Patients and Practice

Sterling Seacrest Pritchard (SSP) continues to see client cases in which a chaperone was not used, offered or documented—creating unnecessary risk for the practice.

As a reminder, the Georgia Composite Medical Board requires a chaperone to be present during examinations of the breast or genitalia unless the patient or the patient’s parent or guardian specifically requests otherwise. Any request not to have a chaperone present must be documented in the patient’s medical record.

Practices should maintain a clear chaperone policy, communicate it to patients and ensure staff consistently document whether a chaperone was present, offered or declined.

Review the SSP chaperone brief on SophistiPrax.

Thinking About Providing a Vaccine or Test to a Parent?

Pediatricians may occasionally consider providing medical care to a parent or caregiver during a child’s visit. A recent article from the AAP Pediatric Coding Newsletter reviews how these services should be documented, coded and billed.

Routine counseling or referrals provided for the benefit of the child may be documented in the child’s medical record. However, when a clinician provides direct care for the parent—such as administering a vaccine, performing a test or establishing a treatment plan—the practice generally should create a separate medical record for the parent and bill the parent’s health plan.

The article is provided for coding-example purposes only. It does not address the clinician’s training in adult care, scope of practice, professional liability, legal considerations or potential health insurance issues.

Read “Connecting Coding and Policy: Providing Medical Care to Parents.”

AAP Reviews “Incident-To” Billing Requirements

A recent article from the AAP Pediatric Coding Newsletter provides a helpful review of Medicare’s “incident-to” billing policy, which allows certain services provided under a physician’s or qualified health care professional’s supervision to be billed as though the supervising clinician personally provided them.

The article reviews seven key requirements involving employment, place of service, scope of practice, the patient’s established plan of care, direct supervision, ongoing management and documentation. Importantly, services addressing a new problem or provided to a new patient generally do not qualify for incident-to billing.

Because commercial payer policies may differ, practices should confirm each payer’s requirements before submitting services under the supervising clinician.

Read “Incident-To Billing: A Brief Review."

Helping Employees Use AI Responsibly

Artificial intelligence can help employees work more efficiently, but its use also introduces risks related to accuracy, confidentiality and accountability. OneDigital recommends establishing a formal policy or written guidelines that clearly identify approved AI tools, permitted uses, prohibited activities and the process for requesting approval.

Employees also should receive training on how to use approved tools safely, protect sensitive information and verify AI-generated content—particularly for high-stakes work. Ultimately, employees remain responsible for ensuring their work is accurate and meets organizational expectations, even when AI assisted in creating it.

Read OneDigital’s guidance on responsible AI use in the workplace.