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Provider Rewards Program recognizes iCare contracted providers who have offered our members superior service.

2021 Provider
Add-On Payment Program

 

Enroll Now

Main Content

If you're an MD, PA, NP or other practitioner who performs primary care, you're aware that many patients continue to avoid medical care – even needed exams – due to concerns over COVID-19.

To help re-engage patients, iCare is offering a program to reimburse providers up to $100 in add-on payments for each iCare Medicare Plan (HMO D-SNP) member.

Earning Add-On Payments is Easy

  • Earn a $50 add-on payment in addition to the Medicare fee-for-service rates for for each qualifying Medicare Annual Wellness Visit (AWV) billed under codes 99396, G0402, G0438 or G0439 completed between January 1, 2021 through the end of the federal public health emergency.  

  • Earn an additional $50 for submitting medical records directly to iCare within 30 days of the Medicare Annual Wellness Visit, documenting the following components :   

    • Patient Name & Date of Birth 

    • Date of Service  

    • MD Signature  

    • Medication Review 

      • Must be conducted by a MD, NP, PA, or clinical pharmacist and include the signature of practitioner who conducted the medication review 

      • A list of the patient’s medications in the medical record 

      • A review of all of the patient’s medications including prescription medications, OTC medications, and herbal or supplemental therapies 

    • Functional Status 

      • A standardized functional assessment conducted on the patient (Complete assessment of activities of daily living (“ADLs”) and/or instrumental activities of daily living (“IADLs”))

    • Pain Assessment 

      • A pain assessment conducted on the patient 

    • Advanced Care Planning 

      • A discussion or documentation about patient’s preferences for resuscitation, life-sustaining treatment, power of attorney for health care, and end of life care  

    • Blood Pressure Reading 

    • BMI  

    • A1C Results (if applicable) 

Documentation must be sent via fax or e-mail to iCare as follows within thirty (30) days of the date of the Medicare Annual Wellness Visit to:  

Independent Care Health Plan 

Attn: Quality Improvement Department 

Annual Wellness Visit Documentation 

Fax: 414-918-7592 

E-mail: QI@icarehealthplan.org  

Payments of the additional $50 related to medical records will be issued quarterly. 

Each iCare Medicare Plan enrollee is eligible for one Medicare Annual Wellness Visit per calendar year. More information about the Medicare Annual Wellness Visit can be found here.  

 

Not contracted with iCare yet?

No problem. Non-contracted providers can contact the iCare Network Development Department at netdev@icarehealthplan.org to receive a Participation Agreement for the program to sign and return. 

What's Next?

A contract addendum will be sent to iCare network providers who have historically submitted claims for Medicare Annual Wellness Visits. Please watch for follow up communication and the addendum, and if you wish to participate in the add-on payment program, sign and return it to iCare promptly. 

 To enroll or ask questions, Click Here. 

 

Help your patients take control of their health

iCare strongly encourages you to reach out to your patients insured by us to schedule their Medicare Annual Wellness Visit.

 iCare Medicare Plan members have an incentive to complete their AWV. To increase patient interest and reduce no-show rates, they can earn a $25 credit on their iCare Benefit Card for a face-to-face appointment and a $10 credit for a telehealth visit.

Need assistance with your outreach efforts?

Contact Us

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