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Quality

The Quality Improvement Program includes initiatives to ensure that members are receiving age-appropriate preventive health screenings and interventions to optimize health.

The information on this page provides useful information and tools for managing patient care based on industry-standard clinical practice guidelines.

    Preventive Depression Screening Program

    The Depression Prevention program promotes collaboration, continuity and coordination between medical and behavioral health care.

    Million Hearts Action Guide 
    The Hypertension Control: Change Package for Clinicians  is a quality improvement tool for ambulatory clinical settings to improve hypertension control. This guide includes change concepts, change ideas, and evidence or practice based tools and resources.

    New: HEDIS Measurement Year 2023 Toolkit

    HEDIS® Measurement Year Adult Pocket Guide 2023

    HEDIS® Measurement Year Adult Pocket Guide 2023

    HEDIS® At-a-Glance STARS Measures

    HEDIS Measurement Year 2022 Toolkit

    HEDIS® Measurement Year 2022

    HEDIS® Measurement Year 2022

    HEDIS® Measurement Year 2022

    HEDIS® Measurement Year 2022

    Other Resources

    Social determinants influence health in very direct ways. A patient’s housing, food, and safety needs can create barriers blocking quality care and can contribute to poor health.

    Controlling Blood Pressure Flyer

    OMW – Osteoporosis Management Flyer

    Use this tip sheet for best practices on how to talk to your patients about why they need to maintain adherence and how to track their medications.

    Examples of Centers for Medicare and Medicaid Services Star measures which use statin therapy to evaluate health plans.

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    Last Updated On: 5/4/2023
    Wellcare will be performing maintenance on Saturday, December 9, from 6 P.M. EDT to 8 A.M. EDT the next day. You might not be able to access systems or fax during this time. We are sorry for any issues this may cause. Thank you for your patience. If you need assistance, contact us.
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