Inclusa Provider Partners – March 2018 2 877-622-6700 | inclusa.org ●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●● Clinical Practice Guidelines Now Online Disease-specific resources are now available for providers in the Providers/Resources section of our website at www.inclusa.org. We will also be introducing various topics by spotlighting them in future issues of Provider Partners. Inclusa refers to these disease-specific resources as “Clinical Practice Guidelines” (CPG), and the Prevention and Wellness program required by our contract with the Wisconsin Department of Health Services outlines how they are used. CPGs assist staff in ongoing efforts to support positive outcomes for members through teaching, identification of health risks, and monitoring related to chronic health conditions, all while applying evidence-based practice. Inclusa’s Prevention and Wellness Program utilizes an inter-professional collaborative practice to assist in maintaining and improving quality of life for members. Our goal in sharing these resources with you is to ensure that you have access to the same tools we do when planning the care of individual members. CPGs include the following beneficial elements: Overview of condition/disease Information related to anticipating, recognizing, and responding to condition/disease related symptoms Information related to best-practice standards for prevention and management of condition/disease Information regarding negotiating the incorporation of a condition or disease prevention and management plan with the member into their plan of care We are pleased to share the CPGs with you and hope you are excited to begin using these additional resources! Inclusa recently implemented an updated incident reporting policy as required by the 2018 Wisconsin Department of Health Services Managed Care Contract for all MCOs. Both Inclusa and contracted providers must comply with all state regulations and rules as outlined in this policy, which is documented in the Provider Incident Reporting Policy and Training, available on our website at www.inclusa.org/providers/resources. Please note that there is no standard form for reporting incidents to Inclusa. Incidents should be reported via the methods outlined in the training. In order to verify that they have reviewed and will adhere to the information in the training , all providers contracted with Inclusa are required to sign and return the Incident Reporting Attestation Form at the time of initial contracting or contract renewal. This form is included as Appendix G with the Provider Subcontract Agreement. For questions regarding incident reporting, contact Provider Relations at ProviderRelations@inclusa.org or 608-785-3623, and you will be directed to the appropriate Community Resources/Provider Relations representative. Provider Incident Reporting Policy Updated Provider Attestation Required