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Depression is one of the most common behavioral health conditions affecting adolescents and adults, yet many individuals remain undiagnosed and untreated. The Depression Screening and Follow-Up for Adolescents and Adults (DSF-E) measure highlights the importance of screening members for depression and ensuring appropriate follow-up when a screening result is positive. Primary Care Providers are often the first point of contact for members and play a critical role in identifying behavioral health concerns early. Providers are encouraged to incorporate depression screening into every annual wellness visit, particularly for adolescents and young adults, as early identification can lead to timely intervention and improved

Women's preventive screenings are essential for detecting health conditions early, improving outcomes, and supporting lifelong health. Whether discussing breast cancer screening, cervical cancer screening, colorectal cancer screening, or chlamydia screening, every patient encounter provides an opportunity to review preventive care needs and close gaps in care. One area of ongoing concern is chlamydia screening, where screening rates continue to present challenges nationally and across health plans. Because chlamydia is often asymptomatic, many women may not realize they are at risk or understand the importance of routine screening. Providers can help address this gap by normalizing conversations about sexual health and incorporating

Effective for Dates of Service in 2026, Payment Year 2027 Beginning with the mid-year risk score run in PY2027, CMS will exclude DOS 2026 diagnosis submissions on unlinked Chart Review Records (CRRs) from Medicare Advantage risk score calculations. Diagnoses not linked to an eligible encounter may no longer be reflected in member risk scores. Wellcare By Fidelis Care’s Operational Approach In response, Wellcare By Fidelis Care will hold all unlinked ASM/Active DX and retrospective chart review submissions until they can be linked to an eligible encounter. To ensure accurate risk score captures, timely claim submission is now essential so diagnoses can be appropriately

Mental health concerns are increasingly being addressed in primary care settings, making it more important than ever for providers to have access to practical tools, expert guidance, and continuing education. That's where Project TEACH can help. Project TEACH (Training and Education for the Advancement of Children's Health) is a New York State-funded program that supports primary care clinicians caring for children, adolescents, and perinatal patients with behavioral health needs. Through education, psychiatric consultation, and referral resources, Project TEACH helps providers build confidence in identifying, evaluating, and managing common mental health conditions within their practices. This fall, Project TEACH is offering a series

Your practice is already doing the work: screenings, chronic condition management, follow-up care, and documentation. The key is making sure that work is captured accurately, so it reflects the quality of care your team provides. The Fidelis Care Clinical Quality Optimization Team partners with providers and office staff to strengthen documentation, improve workflows, close care gaps, and support performance in HEDIS®, QARR, Medicare Star Ratings, and other quality measures. Why Providers Partner with Us Support is tailored to each practice and may include: Workflow, EHR, documentation, and coding optimization Care gap closure and quality measure strategies Provider and staff education based on practice