Attention Gold Tier Providers:

All outcome assessments information collected from patients in 2024 must be submitted within QConnect by January 31, 2025.

To ensure all outcomes are captured for Quality Rewards incentive payment, utilize the enhanced quality OATs submission process.

To provide feedback on your OATs submission experience please take a few minutes for a short survey: OATs Submission Survey.

With physical medicine providers taking a leading role in managing pain and whole person health, using assessments for behavioral health becomes imperative. Assess your patient’s behavioral health with the following screening tools. 

Generalized Anxiety Disorder 2-item (GAD-2) - Mental Health Screening - National HIV Curriculum (uw.edu)

• PHQ-2 A sum of 3 points is the preferred cut-off for identifying possible cases in which further diagnostic evaluation for an anxiety disorder is warranted.
• PHQ-9 A score by adding all nine items to get a total score from 0-27.
• GAD-2. A sum of 3 points is the preferred cut-off for identifying possible cases and in which further diagnostic evaluation for generalized anxiety disorder is warranted. 
• GAD-7 scores by adding all 7 items, giving a total score from 0 to 21.

Next steps would include referral to primary care or other physician for further assessment. Also, the consideration of self-care strategies such as yoga, meditation and mindfulness, daily movement, journaling, and spending time in nature.

Fulcrum's Provider Services phone line will be closed on Tuesday, December 24, Wednesday, December 25, and Wednesday, January 1 for the holidays.

Fulcrum's claims vendor, EviCore, holiday hours are:

• Day Before Christmas - Tuesday, December 24 will close at 3:00 pm PST
• Christmas Day - Wednesday, December 25 closed
• New Year’s Eve– Tuesday, December 31 will close at 3:00 pm PST
• New Year's Day -Wednesday, January 1 closed

Now is the time to renew your chiropractic license for 2025.

Every year, a few providers miss the deadline and are disappointed to learn that claims will not be reimbursed for the lapsed license period.

Visit your state's chiropractic board for more information.

The federal No Surprises Act (H.R. 133, P.L. 116-260) requires providers and health plans to verify the accuracy of provider contact information every 90 days.

Complete the following steps every 90 days to attest, which fulfills the No Surprises Act requirement: 

Step 1: 

View/Update Demographic Information on Fulcrum's Provider Portal.

• Click on the location that you would like to view/update.
• Enter your updated information along with the effective date and then click the Submit button for your changes to be saved.

Step 2:

Attest

• Click on the NSA Attestation button and check the checkbox after reading the attestation and click Submit button.



If you need to add a location, or are moving locations, please review the instructions on the Demographic Updates tab on the portal for how to complete.