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This section contains information you need to help you maintain a high standard of care and promote transparency and informed decision making.

Communications

Qual
2023 Updates
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  Quality Management Program promotes quality care and service Posted: 7/7/2023
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  Complete a free maternal health bias training and receive $100 for your time! Posted: 6/21/2023
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  Member demographics now available on our provider PEAR portal Posted: 5/30/2023
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  Bridging medical and behavioral health care Posted: 5/12/2023
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  Free implicit bias training (with credits) available for maternal health workers Posted: 2/14/2023
Qual
2022 Updates
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  Addressing depression with AmeriHealth members Posted: 11/14/2022
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  AmeriHealth offers language assistance services Posted: 10/26/2022
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  Annual notification regarding utilization review decisions Posted: 10/25/2022
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  Ensure patients know how to access after-hours care Posted: 8/1/2022
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  Medical record keeping standards Posted: 7/26/2022
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  Our Quality Management Program promotes quality care and service Posted: 7/20/2022
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  Bridging medical and behavioral health care Posted: 5/4/2022
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  Supporting shared decision-making Posted: 3/24/2022
Qual
2021 Updates
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  Addressing depression with AmeriHealth members Posted: 11/12/2021
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  Annual notification regarding utilization review decisions Posted: 10/22/2021
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  Our Quality Management Program promotes quality of care and service Posted: 8/6/2021
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  Medical record keeping standards Posted: 8/6/2021
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  Supporting shared decision-making Posted: 3/18/2021
Qual
2020 Updates
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  Annual notification regarding utilization review decisions Posted: 12/21/2020
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  Addressing depression with AmeriHealth members Posted: 11/30/2020
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  The AmeriHealth Quality Management Program promotes quality of care and servicePosted: 7/29/2020
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  Standards for medical record documentation: Medical record reviewPosted: 7/9/2020
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  Accreditation requirement for office-based varicose vein proceduresPosted: 3/4/2020
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  Becoming a credentialed professional providerPosted: 2/4/2020
Qual
2019 Updates
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  Standards for medical record documentation: Medical record reviewPosted: 12/13/2019
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  Addressing depression with AmeriHealth membersPosted: 12/5/2019
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  The AmeriHealth Quality Management Program promotes quality of care and service Posted: 11/26/2019
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  2019 – 2020 Clinical Practice Guidelines Summary now available Posted: 11/18/2019
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  AmeriHealth offers language assistance services to help members and their beneficiaries communicatePosted: 11/4/2019
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  Becoming a credentialed professional providerPosted: 11/1/2019
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  Annual notification regarding utilization review decisions Posted: 10/22/2019
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  Becoming a credentialed professional providerPosted: 6/19/2019
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  Now in effect: Accreditation requirement for office-based varicose vein proceduresPosted: 6/3/2019
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  Bridging medical and behavioral health care Posted: 5/29/2019
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  Deadline extension for accreditation requirement for office-based varicose vein proceduresPosted: 4/1/2019
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  Reminder: New accreditation requirement for office-based varicose vein proceduresPosted: 1/24/2019
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  Suicide: A concern for all health care providers – Part 2Posted: 1/14/2019
Qual
2018 Updates
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  2018-2019 Clinical Practice Guideline Summary now available Posted: 12/14/2018
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  Reminder: New accreditation requirement for office-based varicose vein proceduresPosted: 12/14/2018
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  New accreditation requirement for office-based varicose vein proceduresPosted: 11/19/2018
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  Suicide: A concern for all health care providers – Part 1Posted: 10/31/2018
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  Policy reminder regarding utilization review decisionsPosted: 10/25/2018
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  The AmeriHealth Quality Management Program promotes quality of care and service Posted: 10/16/2018
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  AmeriHealth offers services to help patients communicatePosted: 10/16/2018
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  New accreditation requirement for office-based varicose vein proceduresPosted: 9/7/2018
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  Coordination of care improves member outcomesPosted: 7/24/2018
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  Standards for medical record documentation: Medical record reviewPosted: 6/26/2018
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  New credentialing process and contact information Posted: 6/8/2018
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  AmeriHealth encourages medical and behavioral health providers to work together Posted: 5/23/2018
Qual
2017 Updates
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  Collaboration with behavioral health providers can improve patient outcomes Posted: 12/21/2017
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  Standards for medical record documentation: Medical record reviewPosted: 12/14/2017
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  AmeriHealth offers services to help members communicatePosted: 12/11/2017
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  Updated Member Wellness Guidelines now availablePosted: 12/1/2017
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  Coordination of care improves member outcomesPosted: 11/7/2017
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  Policy reminder regarding utilization review decisionsPosted: 10/25/2017
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  Important information regarding retinal screening codesPosted: 10/11/2017
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  The AmeriHealth Quality Management Program promotes quality of care and servicePosted: 10/5/2017
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  Utilization management process changes for inpatient admissionsPosted: 1/24/2017
Qual
2016 Updates
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  2016-2017 Clinical Practice Guideline Summary now availablePosted: 12/1/2016
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  New Perinatal Guideline Summary now available Posted: 12/1/2016
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  Member Wellness Guidelines availablePosted: 12/1/2016
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  Policy reminder regarding utilization review decisionsPosted: 10/31/2016
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  Standards for medical record documentation: Medical record reviewPosted: 10/31/2016
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  The AmeriHealth Quality Management Program promotes quality of care and servicePosted: 10/31/2016
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  AmeriHealth members rate their physician experiencePosted: 10/3/2016
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  AmeriHealth offers services to help patients communicatePosted: 10/3/2016
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  Positive results in the AmeriHealth 2015 Provider Satisfaction Survey Posted: 6/1/2016
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  AmeriHealth New Jersey utilization remains within national/regional standards of carePosted: 4/29/2016
Qual
2015 Updates
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  Ensure patients know how to access care after office hours Posted: 12/30/2015
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  2015-2016 Clinical Practice Guideline Summary now available Posted: 12/1/2015
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  2015-2016 Member Wellness Guidelines now availablePosted: 12/1/2015
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  Standards for medical record documentation: Medical record review Posted: 12/1/2015
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  Policy reminder regarding utilization review decisions Posted: 10/30/2015
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  The AmeriHealth Quality Management Program promotes quality of care and service Posted: 10/30/2015
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  Standards for medical record documentation: When there is a consultation Posted: 10/30/2015
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  Highlighting HEDIS^®: Breast cancer screening Posted: 10/1/2015
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  AmeriHealth offers services to help patients communicate Posted: 10/1/2015
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  AmeriHealth members rate their physician experience Posted: 10/1/2015
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  Highlighting HEDIS^®: Weight assessment and counseling for nutrition and physical activity for children/adolescents Posted: 7/31/2015
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  Highlighting HEDIS^®: Osteoporosis management in women who had a fracturePosted: 7/2/2015
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  AmeriHealth encourages medical and behavioral health providers to work togetherPosted: 5/1/2015
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  Highlighting HEDIS^®: Well-child visits in the third, fourth, fifth, and sixth years of lifePosted: 5/1/2015
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  Highlighting HEDIS^®: Well-child visits in the first 15 months of lifePosted: 4/1/2015
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  Highlighting HEDIS^®: Appropriate testing for children with pharyngitis Posted: 3/2/2015
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  Highlighting HEDIS^®: Pharmacotherapy management of COPD exacerbationPosted: 1/30/2015
Qual
2014 Updates
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  Highlighting HEDIS^®: Cervical cancer screeningPosted: 12/30/2014
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  Ensure patients know how to access care after office hoursPosted: 12/30/2014
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  Highlighting HEDIS^®: Follow-up care for children prescribed ADHD medicationPosted: 12/1/2014
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  2014-2015 Clinical Practice Guideline Summary now availablePosted: 12/1/2014
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  The AmeriHealth Quality Management Program promotes quality of care and servicePosted: 12/1/2014
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  2014-2015 Member Wellness Guidelines now availablePosted: 12/1/2014
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  Standards for medical record documentationPosted: 12/1/2014
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  Highlighting HEDIS^®: Disease-modifying anti-rheumatic drug therapy for rheumatoid arthritis Posted: 10/31/2014
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  Policy reminder regarding utilization review decisionsPosted: 10/31/2014
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  Changes to the QPM score program for measurement year 2014Posted: 10/1/2014
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  Highlighting HEDIS^®: Use of imaging studies for low back painPosted: 10/1/2014
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  Highlighting HEDIS^®: Persistence of beta-blocker treatment after a heart attack Posted: 8/28/2014
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  Highlighting HEDIS^®: Colorectal cancer screening Posted: 8/28/2014
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  Highlighting HEDIS^®: Controlling high blood pressurePosted: 7/31/2014
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  Highlighting HEDIS^®: Use of spirometry testing in the assessment and diagnosis of COPDPosted: 7/31/2014
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  Highlighting HEDIS^®: Avoidance of antibiotic treatment in adultswith AAB and appropriate treatment forchildren with URIPosted: 7/1/2014
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  Highlighting HEDIS^®: Adult BMI AssessmentPosted: 7/1/2014
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  Introducing Highlighting HEDIS^®Posted: 5/30/2014
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  Coming soon: 2014 PCP satisfaction survey (NJ only)Posted: 5/1/2014
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  PCP satisfaction with information received from organizational providers and specialists (NJ only)Posted: 5/1/2014
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  Cervical cancer screening guidelinesPosted: 1/9/2014
Qual
2013 Updates
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  Standards for medical record documentationPosted: 12/2/2013
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  Upcoming changes to the measures for the QPM score program — measurement year 2014 (NJ and DE only)Posted: 12/2/2013
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  Our Quality Management Program promotes quality of care and servicePosted: 12/2/2013
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  Policy reminder regarding utilization review decisionsPosted: 11/1/2013
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  2013-2014 Clinical Practice Guideline Summary now availablePosted: 11/1/2013
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  2013-2014 Member Wellness Guidelines now availablePosted: 11/1/2013
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  The AmeriHealth New Jersey Perinatal Guideline is available onlinePosted: 10/2/2013
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  PCP satisfaction with information received from organizational providers and specialists (NJ only)Posted: 5/1/2013
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  Clinical Practice Guidelines study results for diabetic and cardiac services (NJ only)Posted: 3/28/2013
Qual
2012 Updates
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  Our Quality Management Program promotes quality of care and servicePosted: 11/30/2012
Qual
2011 Updates
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  2011 PCP satisfaction survey results (NJ only)Posted: 11/1/2011

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