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01/26/2024: SCAN IHA Requirements:

Dear Valued Primary Care Providers, we kindly remind you of the following critical requirements for IHA and AWVs:
  1. IHA must be performed within 90 days of enrollment or within the past 12-months for annual assessments
  2. PCP office shall make reasonable attempts to contact a member and schedule an IHA. All attempts shall be documented.
  3. The IHA, at a minimum, must include a physical and mental health history.
  4. The Physical exam including review of all organ systems including but not limited to:
    - Height and Weight
    - BMI
    - Clinical breast examination
    - Tuberculosis Screening: All Members will receive TB testing upon enrollment and annual screening will be part of the annual history and physical
Additionally, we have listed the Preventative services per the USPSTF A and B Guidelines for ages 65-year and older, where clinically indicated:
  1. Breast Cancer Screening (Mammograms)
  2. Cardiovascular Disease Testing/Risk Reduction Visit (therapy for cardiovascular disease)
  3. Colorectal Cancer Screening
  4. Depression Screening
  5. HIV Screening
  6. Immunizations (per CDC guidelines)
  7. Obesity Screening and Counseling/Therapy to Promote Sustained Weight Loss
  8. Screening and Counseling to reduce alcohol misuse
  9. Hepatitis B screening
  10. Hepatitis C screening
  11. BRCA risk assessment and genetic counseling/testing
  12. Falls prevention: older adults
  13. Mental health and status evaluation
  14. Social history
  15. Sexual history
  16. Use of alcohol, tobacco and drugs
For any questions on any of these updates, please contact the HealthSmart MSO Provider Services team at (714) 947-8600. Thank you for you continued support.
On Behalf of Korean American Medical Group

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