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- Antidepressant Medication
- Baby Partners
- CAHPS Resources
- Care Guidelines
- Developmental Screenings and Surveillance
- Diabetes Prevention Programs
- Disease and Medication Management
- EPSDT / Bright Futures
- ICD-10 Coding and Risk Adjustment
- Lead Screening
- Medication Management and Adherence
- Oral Health Resources
- Quality and Population Health
- Patient Management
- Patient Safety Reporting
- Member Rewards
- Smoking Cessation
- TiPS: Telephonic Psychiatric Consultation Service Program
November 25, 2024
Thank you for being a valued provider for members in one or more of our health plans: Health Partners Plans Medicaid, Health Partners Plans CHIP, Jefferson Health Plans Medicare Advantage, and/or Jefferson Health Plans Individual and Family Plans.
We have successfully completed another year of the Maternity Quality Care Plus (MQCP) and the Obstetrical Needs Assessment Form (ONAF) Reimbursement programs, which are designed to recognize and reward your practice’s performance throughout the year.
Below is an overview of these programs, effective for the January 1 through December 31, 2025, measurement period.
MQCP Program
- To qualify for any incentive payment in MQCP, maternity care practices must have at least 20 deliveries in the reporting period.
- Providers are eligible to receive incentive payments for high performance on the Timeliness of Prenatal Care and Postpartum Care measures.
- An improvement incentive will continue to be offered to practices that achieve a 5% improvement compared to their own baseline rate (MY2024 rate) for Timeliness of Prenatal Care and Postpartum Care measures. Practices must have qualified for MQCP during the previous measurement period (MY2024) to be eligible for the improvement incentive.
- We will also continue to offer a bonus payment for meeting Tiers 1 and 2 on both the Timeliness of Prenatal Care and Postpartum Care disparity measures for African American members. Bonus payments are in addition to the payments received for measures covering the entire population.
ONAF Reimbursement Program
- ONAF submission is now incentivized to all OB providers as a standalone program, separate from the MQCP program.
- Providers are eligible to receive up to $200 for submitting one prenatal and/or one postpartum ONAF form for each member.
- ONAFs must be submitted and accepted electronically via Optum. Payments are issued quarterly.
Additional Information
Visit HPPlans.com/MQCP to view the most recent MQCP Manual, Pregnancy Hot Topics and Resources guide, and additional information about the ONAF Reimbursement program.
If you have any questions, please contact the Provider Services Helpline at 1-888-991-9023 (Monday to Friday, 9 a.m. to 5:30 p.m.).
As always, thank you for your hard work and dedication to improving the health of our members.