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House Call Program Vendor Partners

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The House Call Program is a supplementary service where CNPs (NPs for NY) go into a member’s home (or via telehealth) to administer an “in-home health assessment” and address open care gaps in support of Risk Adjustment and Stars initiatives. This service is coordinated with vendor partners Matrix Medical Network, Signify Health, and Optum.

Highmark encourages member/provider follow-up to review the outcome of the member’s health assessment, as well as any lab results.

  • The member’s in-home health assessment and lab results are shared with the member and member’s PCP.
  • Highmark continues to promote Annual Wellness Visits (AWVs) and other healthcare engagements with a PCP early and often.

These in-home health assessments are provided to Highmark Medicare Advantage members residing in AR, AZ, CO, DE, ID, MA, ME, MN, MO, MS, MT, NE, NH, NJ, NM, NV, NY (Northeastern), OH, PA, RI, SC, UT, VT, WA, WV, and WY.

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Last updated on 6/9/2023 2:50:47 PM

 

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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.