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SHPBN-2016-046 Important information regarding well child visits, diabetic care and prenatal care

Date: 06/23/16

Sunflower’s focus is to help our members to achieve a Healthier Today, Better Tomorrow, and here’s how you can help!

Quality Care Objectives

It is important that Sunflower and its participating providers work together to ensure our members are seen regularly for well child visits, diabetic care and prenatal care.

Not sure how you can help? Begin by asking yourself the following questions regarding these targeted member groups:

  • Members under 2 Years – When was their last well child visit? Are they up to date on immunizations? Please assist in providing and educating on these services and their importance related to proper development and to prevent disease.
  • Pre-Teen – Has this [11, 12 or 13] year-old had a checkup in the past 12 months? Do they need immunizations to keep them healthy and in school? Help getting them scheduled for these services to help ensure their development is on track and for prevention of disease.
  • Diabetes – When was the member’s last doctor’s appointment to assess their diabetes? How about their last retinal eye exam? A1C testing? Diabetic foot exam? Nephropathy testing? Blood pressure check? Please help ensure these members are getting all the necessary exams and labs to assess their diabetes and progression of disease and ensure effectiveness of treatment.
  • Pregnancy – What an exciting time! We want to ensure our pregnant members get the proper prenatal care, high-risk services and any additional care they may need. Please help us identify Sunflower members who have these needs so we may communicate all available benefits to them.

Does your patient need transportation to appointments? If your Sunflower patient doesn’t have transportation, Sunflower Customer Service can help coordinate transportation to and from appointments.

Quality Care Pointers for Providers (PDF reference resource) - Helping your Sunflower patients achieve a Healthier Today, Better Tomorrow.

Immunization Registry

Are you a part of the State’s Immunization Registry? Sign up to use WebIZ, Kansas’ statewide immunization information system. It’s a secure, web-based quality-assurance tracking tool used by public and private sites in efforts to communicate the immunization status of members. Learn more about WebIZ at https://kanphix.kdhe.state.ks.us/.

If you have questions about this bulletin or other provider resources, please contact our Customer Service Center at toll free 1-877-644-4623.