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Medical Record Documentation to Close HEDIS Care Gaps

Date: 08/20/20

Records Deadline: December 11, 2020, by Noon

Sunflower Health Plan completes many activities to support HEDIS, including using vendors to collect data. In addition to submitting records to a vendor, providers are invited to upload medical records to the Sunflower provider portal to close HEDIS care gaps. Please note that vendors include Change HealthCare, OPTUM, CIOX and USMM, among others.

If you would like to provide supporting medical record documentation of completed exams and laboratory results, please submit no later than December 11 by noon for HEDIS calendar year 2020.

Sunflower will accept medical records, either by faxing to Quality Improvement Department at 1-855-475-4399 or by uploading on the Provider Portal.

Provider Portal medical record upload instructions:

  1. Login to the Sunflower provider portal.
  2. Select the product: Sunflower Health (Medicaid), Ambetter (Marketplace), Allwell (Medicare), or Behavioral Health KS Medicaid
  3. Click “Eligibility”
  4. Enter a Member ID and DOB
  5. Click “Check Eligibility.” The member will load.
  6. Click on Member Name
  7. Click on “Document Resource Center” on the left-hand side.
  8. Choose Document Upload.
  9. Choose Document Category: Quality Management
  10. Choose Document Type: HEDIS
  11. Choose Submission Reason: HEDIS measure (i.e. Well Child 3-6 Yr (W34) or Cervical Cancer (CCS))
  12. Attach file (5 MG size limit per file). Please do not add a password to the file.
  13. Click “Submit”