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Home > Providers > Resources > Quality Resources

Quality Resources

  • Adult Body Mass Index (BMI) Assessment Claims Coding Chart PDF
  • Care for Older Adults (COA) Form PDF
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS®) and Health Outcomes Survey (HOS) Information PDF
  • Care for Older Adults (COA) Claims Coding Chart PDF
  • Controlling Blood Pressure Claims Coding Chart PDF
  • CBP, HbA1c, and Med Rec Claims Coding Charts PDF
  • Diabetes Coding for HEDIS PDF
  • HEDIS Incentive Program PDF
  • Medicare Risk Adjustment Overview and Documentation Guidance PDF
  • PerformPlus® Gaps in Care Closure Program PDF
  • Urinary Incontinence Notice PDF
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This site contains links to other Internet sites. First Choice VIP Care (HMO-SNP) is not responsible for the content of these sites. Please see Terms of Use and Privacy Notice.

First Choice VIP Care is an HMO-SNP plan with a Medicare contract and a contract with the South Carolina Healthy Connections Medicaid program. Enrollment in First Choice VIP Care depends on contract renewal. This information is not a complete description of benefits. Call 1-888-996-0499 (TTY 711), Monday through Friday, 8 a.m. – 8 p.m., from April 1 to September 30; or seven days a week, 8 a.m. – 8 p.m., from October 1 to March 31, for more information. Out-of-network/non-contracted providers are under no obligation to treat First Choice VIP Care members, except in emergency situations.

Please call our Member Services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B premiums, unless otherwise covered by your South Carolina Medicaid benefits.

Every year, Medicare evaluates plans based on a 5-star rating system.

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