IHRA
What does IHRA stand for?
In Home Risk Adjustment
What do you do when a member is trying to refuse NPIHA?
Rebuttal
What is the proper communication note to use when scheduling NPIHA?
NPIHA Scheduling Comm Note
Which chat would you reach out to if member needs in home appt?
WellCare AZ Support Group
Do our NPs prescribe medications and provide vaccines?
NO
Can Home Safety Assessment be scheduled with NP?
NO
How much Drive Time is needed between member's in-home appointments?
Varies depending on the NP
if member only has "Centene HRA" under Eligibilities, can we schedule NPIHA?
NO, member is only eligible to complete Health Risk Assessment
What comm note would you use if you schedule A1c and/or Eye Exam?
Preventative Screening Call Note
Who are our Full Time NPs?
Amber Sibley, Tayler Lewis, Melissa Lesar, Paul Schrickel
Can NPs complete some preventatives if they are in the member's home?
No, they only check vitals.
What contract completes Home Safety Assessment when a care navigator goes into the member's home?
Wellcare by Allwell
Where on the members chart can you find if member has completed NPIHA for the current year?
IHRA section/Consents section
Which type of comm notes do we use if member agrees to schedule NPIHA/A1c and/or Eye Exam
NPIHA & Preventative Screening Call note
Where do you input a compliant BP Capture?
Assessment and Care Plans
What are the different ways to schedule NPIHA?
In-Home
Hybrid
Telehealth
Audio/Telephonic (ONLY Ambetter)
What contracts do we schedule IHRAs for?
WellCare AZ/NV
BCBS
P3
Ambetter
What is the process to schedule a NPIHA via doximity?
Ask member if they own a smart phone with a working camera, texting ability, and reliable internet connection.
Would you fill out a consent for every call?
No, only when member has CHBP GAP open and they give verbal consent
Member agrees to schedule NPIHA but refuses A1c and/or Eye Exam. Do we create a preventative comm note as well?
No, only when member agrees to schedule Eye Exam/A1c
How much time does an NP need to complete an NPIHA?
Varies depending on NP
What to do if assessment for the current year is closed and you verify NPIHA has not been completed?
Go through the r/s process
What is the process if an assessment is in Chart Prep status? (2-part answer)
email "chartprep@adobepophealth.com"
ONLY if it is the day of appointment.
If member only has computer/tablet, can they still complete Telehealth NPIHA? If so, what are the steps to ensure it is a successful appt?
Add *Read Notes* to title of event and "member requests link to be sent to their email: _______"
What is the difference between the HRA and NPIHA?
NPIHA can provide a plan of care when the HRA does not.