Read Article
February 18, 2025
2024 Annual Perinatal Chart Review
The perinatal study is conducted annually by the Capital District Physicians’ Health Plan, Inc. (CDPHP®) quality improvement nurse specialists (QINS). The criterion for this study is based on the standards set forth by the 2009 New York State Medicaid Prenatal Care Standards that replaced the Prenatal Care Assistance Program (PCAP) model. The updated New York…
#Network in the Know
Read Article
January 21, 2025
Unparalleled Support for Providers: The pivotal CDPHP response to the 2024 Change Healthcare service outage
2024 will be remembered by health care professionals for the unprecedented challenges caused by the cyber-attack on Change Healthcare and the resulting total shutdown of their platforms and services. Beginning in February, and for months that followed, providers and facilities across the country lost their usual claims clearinghouse, were delayed in receiving claims payments, and…
#Network in the Know
Read Article
December 04, 2024
New Genetic Testing Authorization Process with HealthHelp
Effective January 1, 2025, CDPHP is proud to team up with HealthHelp as our new genetic testing management vendor. This new collaboration will enhance the provider experience, streamline the prior authorization (PA) process, and help deliver high-quality, personalized care to our members. Transition Details: What Providers Need to Know To ensure a smooth transition, here’s…
#Network in the Know
Read Article
February 19, 2024
Four New or Expanded Benefits for 2024
CDPHP is more than just your average health plan. In addition to coverage you can count on when you’re sick, you also have access to programs and services designed to help you and your family live your healthiest lives. New for 2024, CDPHP members on most fully-insured commercial plans (those who have fully-insured coverage through…
#Healthy Living
Read Article
November 27, 2023
How providers and CDPHP work together for patients in foster care
High-quality care is critical CDPHP® reminds providers that access to comprehensive, high-quality health care is especially critical for foster children and youth. Your role and responsibility As a CDPHP network provider, you may find yourself in a position to provide trauma-informed care to Medicaid Managed Care (MMC) enrolled children or youth in direct placement foster…
#Network in the Know
Read Article
July 03, 2023
How in-house retinal exams can increase access to care for your patients
“Some patients don’t even know that they’re supposed to have an annual retinal exam,” says family practitioner Rachel Siffring, DNP, FNP (seen above). “I’ll say, ‘Do you have an extra ten minutes? We’ll do that now.’” Siffring is part of the dedicated medical staff at Koinonia Primary Care on Clinton Avenue in Albany, where easy…
#Network in the Know
The Daily Dose