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

Thank you for your participation in the Healthcare Quality Patient Assessment Form/Patient Assessment Form (HQPAF/PAF) program. Due to an unexpected technical error, you may receive two sets of HQPAFs/PAFs for the same members in 2018. The first set would have been received in February or March and a second set received after April 23rd. The second set of HQPAFs/PAFs will provide the most comprehensive view of all open gaps in care for which your members should be assessed. Please prioritize the forms that were deployed to you after April 23rd. We regret any unnecessary confusion, and value your participation in the HQPAF/PAF program. For more information, please read the Provider Instructions letter located at optum.com/hqpaf. If you have additional questions, please contact your Healthcare Advocate or the Optum Provider Support Center at 877-751-9207.

Did you know…

For program year 2018, the Medicare Quality Measures with the most eligible members with open gaps participating in the HQPAF program are:

23% of members with open quality gaps are eligible for an Adult BMI Assessment
19% of members with open quality gaps are eligible for an annual Blood Pressure reading
15% of members with open quality gaps are eligible for a Colonoscopy Screening
11% of members with open quality gaps are eligible for an annual Blood Sugar Level (HbA1c) Screening
11% of members with open quality gaps are eligible for a Diabetic Eye Exam
11% of members with open quality gaps are eligible for a Diabetic Nephropathy Screening
5% of members with open quality gaps are eligible for a Breast Cancer Screening
Out of a total of 67,319 open quality gaps for all quality measures, as of May 02, 2018.

Please continue to provide the utmost care to our patients by ensuring their preventive health screenings are completed and are up to date.

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

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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