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Optum
Patient Assessment Form (PAF) and Healthcare Quality Patient Assessment Form (HQPAF)
Wrapping up 2017 & Preparing for 2018

As you continue to prospectively complete your 2017 HQPAF program, it is important to note that the 2017 HQPAFs/PAFs will be available via OPAF and InSite until the transition to the 2018 Program year which is anticipated on or about 2/9/18. You can continue to use the 2017 HQPAFs/PAFs to submit 2017 end of year patient encounters. Do not use the 2017 HQPAFs/PAFs to submit 2018 Date of Service (DOS) as 2017 HQPAFs/PAFs submitted with a 2018 DOS will be rejected. Please hold 2018 encounter submissions until the 2018 forms are available in early February.

Other important dates to remember:
  • 2017 HQPAFs/PAFs can be submitted through 1/31/2018 with a 2017 DOS
  • Rejected 2017 HQPAFs/PAFs can be submitted through 3/30/2018 with corrections and a 2017 DOS
  • ASF, W-9 and direct deposit forms must be submitted by 3/30/2018 or the administrative reimbursement for the 2017 program year will be forfeited.
    Note: submission of the ASF, W9, and direct deposit enrollment forms is not required for any groups that are already receiving HQPAF/PAF reimbursement. This message only pertains to those who have HQPAFs/PAFs pending payment.
    • If any provider groups 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.
2018 Planning, Deployment & Best Practices

To ensure a successful kick-off to your 2018 program, contact your local Healthcare Advocate to discuss best practices and begin planning for the 2018 deployment. Best Practices include
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
beginning to schedule annual wellness visits (AWVs) for your patients early in the year. AWVs, along with yearly physicals, deliver a more comprehensive evaluation for your patients and identify those who may be at risk for chronic conditions. Utilizing the HQPAF/PAF form during this visit will guide you in closing out gaps in care and open quality measures. Ask your Healthcare Advocate for a template of what is required and for any suggestions on workflow processes for prospective use.

Another best practice is an annual review of your physician roster. Did you have providers who left your practice this year? Did you have providers who joined your practice this year? It is important to keep an accurate roster of all new and deleted physicians and mid-level providers in your practice and the patients associated with those providers. This is a great time of the year to stop and review the accuracy of your roster prior to Optum’s deployment season. Now is the time to make any necessary adjustments prior to sending to your Healthcare Advocate. This will ensure the accurate distribution of HQPAFs/PAFs and avoid duplication or inaccurate provider attribution. If you have any questions about the roster, please reach out to your Healthcare Advocate.

For summary of 2018 HQPAF/PAF changes, please visit optum.com/hqpaf for the 2018 Notification of Changes Letter.

Thank you for your cooperation and participation!
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 (excluding weekends and holidays), 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.

Effective immediately, we encourage you to use our new HQPAF/PAF Uploader; an easier and faster submission method. The HQPAF/PAF Uploader requires less time and effort than preparing and submitting documentation via mail or fax.

The HQPAF/PAF Uploader was developed to provide an interface that allows multiple users to securely submit HQPAFs/PAFs without issue of failed delivery or suspended access. The HQPAF/PAF Uploader:
  • Does not require any user credentials
  • Complies with all HIPAA guidelines to protect your practice and your patient’s personal data
  • Allows anyone in your office to access the site and upload documentation
  • Securely transmits directly to Optum
To get started, please visit: optumupload.com.

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.

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