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Well Child Care Center

Resources for you

Clinical practice guidelines

Our clinical practice guidelines outline important issues that may be relevant to our adolescent members, including childhood obesity, ADHD, HIV, pregnancy and sexually transmitted diseases.

Let Us Know program

If you have a member who is experiencing any barriers to receiving their annual Adolescent Well Care check-up (language barriers, lack of transportation to appointments, sensitive physical or mental health issues, etc.) please Let Us Know. These issues may be reported to us through the Let Us Know program, so that our Case Management department may lend a hand to both your office staff and the member.

HEDIS Requirements

You play a central role in promoting the health of our members. This is reflected in our HEDIS scores. You and your office staff can help facilitate the HEDIS data collection process by:

  • Providing the appropriate care within the designated timeframes.
  • Documenting all care in the member’s medical record.
  • Accurately coding all claims.
  • Responding to our requests for medical records within 5 business days.

Learn more about HEDIS. See the full HEDIS® 101 for Providers (PDF) presentation.

Other Provider Resources:

Well Child Incentives

Keystone First members can earn rewards for making positive choices about their health care. Members should contact Member Services for eligibility and redemption guidelines.

  • $20 gift card for each child every year, when they complete their yearly 'Well-Child' check-ups
  • Applies to enrolled children ages 3 through 20 on the date of the service