Tuesday, January 10, 2012

Spotlight: HFS annual incentive program for well-child visits

The Illinois Department of Healthcare and Family Services (HFS) has since 2007 offered an annual incentive payment to providers who render all recommended well-child visits during each year of a child's life.

Due to the timing of the payment, this HFS incentive payment is sometimes confused with the Illinois Health Connect Bonus Payment for High Performance, which is also paid during the summer months. The IHC bonus has pediatric bonuses -- immunization combo-3 prior to 24 months, lead screening prior to 24 months, asthma management for ages 5-11 as well as objective developmental screenings prior to 12, 24 and 36 months. However, the IHC bonus does not offer an incentive payment for well-child visits.

The HFS well-child incentive payment is $30 per patient and the payment is sent without an explanation of benefits from HFS. The voucher that comes with the bonus check will have "MEMI" listed to help identify the source of the funds. The bonus requirements are divided into three agre groups and the bonuses are determined through HFS claims data.

For more information, read topic 202.4.1 in the HFS Healthy Kids Handbook. Providers who have further questions about this bonus should contact HFS at 217-524-7465.