HEDIS Comprehensive Care for Diabetes (CCD) continues to be a core measure of health plan performance, as well as provider effectiveness of care. This measures the percentage of members 18–75 years of age with diabetes (type 1 and type 2) who have had each of the following:
Welcome to the CarePartners of Connecticut provider network. CarePartners of Connecticut is a new Medicare Advantage health plan dedicated to serving the Medicare-eligible population in Connecticut.* Our company is a not-for-profit joint venture in which Tufts Health Plan has partnered with Hartford Healthcare.
Provider Update is CarePartners of Connecticut’s quarterly newsletter for providers, hospital administrators and ancillary providers in the CarePartners of Connecticut network. Provider Update is CarePartners of Connecticut’s primary vehicle for providing 60-day notifications and other critical business-related information to providers.
As a routine business practice, claims are subject to payment edits that are updated at regular intervals and generally based on CMS (including the National Correct Coding Initiative [NCCI]), specialty society guidelines and drug manufacturers’ package label inserts.
Opioid-naïve members’ prescriptions
As a reminder, and in accordance with CMS requirements, per the Comprehensive Addiction and Recovery Act (CARA), CarePartners of Connecticut denies opioid-naïve members’ prescriptions exceeding seven days for acute pain.