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Healthcare Quality Patient Assessment Form (HQPAF) and Patient Assessment Form (PAF)

Introduction to the 2018 HQPAF/PAF Program Year

Thank you for participating in the Healthcare Quality Patient Assessment Form/Patient Assessment Form (HQPAF/PAF) program. In our ongoing effort to improve program efficacy and ease of use, we are excited to inform you of our 2018 program enhancements. The 2018 program builds on the foundation that was put in place in 2017 and includes additional features and refinements.

Changes for the 2018 program year include:

A Comprehensive Gap Assessment Program (CGAP)
An update to the Colorectal Cancer Screening measure in the Preventative Medicine section
Updates to some measures in the Managing Chronic Illnesses section

For a complete review of updates, as well as other resources for the 2018 program, please visit the Optum® HQPAF provider website: optum.com/hqpaf

The 2018 HQPAFs/PAFs will be available on February 9, 2018. Please do not submit 2018 patient encounters until the 2018 forms are available. The 2017 HQPAFs/PAFs can no longer be submitted unless it was previously submitted, rejected and a corrected document is being submitted. Rejected 2017 HQPAFs/PAFs can be submitted through March 30, 2018.

If your provider group is not receiving administrative reimbursement for the 2017 program year, it could be that Optum has not received an Account Set-up Form (ASF) and W-9 from the group. Please be sure to submit the ASF and W-9 via PAF Uploader or Secure Fax: 1-877-889-5747 by March 30, 2018 or the 2017 program year administrative reimbursement will be forfeited. If any provider group would like to know if they have pending payments, they should contact their Healthcare Advocate or call the Optum Provider Support Center at 1-877-751-9207.

Did you know …

Your Optum Healthcare Advocate or the Provider Support Center can provide access to a number of tools to assist you in tracking your participation in the program. Please contact your Healthcare Advocate or Optum’s Provider Support Center at 877‑751‑9207 or via email at providersupport@optum.com with any questions.

To minimize errors, or to correct previously rejected forms, please refer to the HQPAF Checklist and FAQ for Providers.

Remember …

PAF/HQPAF must be
submitted via:

•	Traceable carrier (any commercial carrier with traceable delivery) to the following address:

	Optum – Prospective Programs Processing 15458 North 28th Avenue, Suite G Phoenix, AZ 85053

•	PAF Uploader: please visit optumupload.com

•	Secure Fax: 1‑877‑889‑5747

Should you have any questions, please don’t hesitate to contact your Optum Healthcare Advocate. To receive a faxed copy of the PAF/HQPAF changes, please contact the Optum Provider Support Center at 1-877-751-9207.

If you have any questions about the PAF or HQPAF programs, please contact your local Optum Healthcare Advocate or the Optum Provider Support Center between 6:30 a.m. – 4:30 p.m. PST, Monday – Friday, at 1‑877‑751‑9207 or email us here.

Thank you again for your participation in the Optum Patient Assessment Form (PAF) and the Healthcare Quality Patient Assessment Form (HQPAF) programs.

For additional information as well as publications and products available for HEDIS^®, please visit the National Committee for Quality Assurance (NCQA) website at ncqa.org.

For additional information about the Medicare Advantage Five‑Star Quality Rating System, please refer to: http://go.cms.gov/partcanddstarratings.

Optum^® is a registered trademark of Optum, Inc. in the U.S. and other jurisdictions. Because we are continuously improving our products and services, Optum reserves the right to change specifications without prior notice. Optum is an equal opportunity employer.

© 2018 Optum, Inc. All rights reserved.

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