Programs & Benefits
- Bright Start, our healthy pregnancy program
- Complementary and Alternative Medicine (CAM) and “In Lieu Of” Benefits
- Case Management
- Disease Management
- Health@Home, our home based primary care program
- Pyx Health App – 24/7 access to physical and mental well-being resources and support for Medicaid and Commercial members (pdf flyer in English and Spanish)
Quality Improvement
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- Care for Older Adults (COA) – Updated March 14, 2023
- NEW! 2024 Provider Clinical Quality Measure Guide– Updated February 6, 2024
- HEDIS Plan All-Cause Readmissions (PCR) Measure Guide – Updated July 10, 2023
- NEW! ADHD Initial Appointment Reminder Form – Updated June 12, 2024
Coding Best Practices
Errors and mistakes in coding can cause many issues including the inability to properly track and classify members in your patient panel. Correctly coding to the highest level of specificity is important in helping you document and tracking your patients’ conditions. See the following measure best practices to assist you in coding to the highest level of specificity.
Neighborhood Clinical Practice Guidelines
Listed is a complete set of Neighborhood’s Clinical Practice Guidelines, based upon the most current available medical information and developed with the assistance of physicians affiliated with Neighborhood. The Guidelines are not intended to replace a clinician’s judgment or to determine benefits administration; rather, they are designed to assist you in the diagnosis and treatment of some of the more common problems of your patients.
Since guidelines are dynamic tools it is important to note that, over time, Neighborhood may periodically revise them. Neighborhood will inform you of the Clinical Practice Guidelines that have been updated in each quarterly edition of Neighborhood News. Hard copies of the Clinical Practice Guidelines below are available upon request. Please call 1-401-459-6005 to request a copy.
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- ACCF/AHA Guideline for the Management of Heart Failure – Updated September 26, 2024
- Adolescent Routine Preventive Services – Updated February 22, 2024
- Adult Diabetes Care – Updated February 22, 2024
- Adult Routine Preventive Care – Updated March 23, 2023
- Diagnosis and Management of Adult Coronary Artery Disease (CAD) – Updated February 23, 2023
- Diagnosis and Management of Asthma – Updated Janurary 25, 2024
- Diagnosis and Management of Attention Deficit Hyperactivity Disorder (ADHD) in Primary Care for School Age Children and Adolescents – Updated May 23, 2024
- Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) – Updated September 26, 2024
- Diagnosis and Management of Depressive Disorders in Adult Primary Care Patients – Updated November 21, 2024
- Pediatric Routine Preventive Care – Updated June 27, 2024
- Prenatal Care – Updated June 27, 2024
- Tobacco Cessation in Pregnancy – Updated March 28, 2024
- Tobacco Cessation for Adults – Updated March 28, 2024
- Use of Antibiotics for Pediatric Upper Respiratory Infections – Updated September 28, 2023