As previously announced, changes were made to the incentive opportunity for
primary care providers who have face-to-face encounters and submit SOAP
(Subjective, Objective, Assessment, and Plan) Progress Notes for their members.
These included limitations to the incentive payment.
Based on a two-year analysis, we are updating the requirements for
submitting a SOAP (Subjective, Objective, Assessment, and Plan) Progress Note
through ePASS® for Medicare Advantage HMO members, as well as
certain commercial HMO, POS, and PPO members.
During the analysis, it was found that 98 percent of relevant medical
information was collected in two SOAP Progress Notes submissions per year.
Also, there was little evidence to show that care gaps were closed when visits
occurred within a short time frame.
Effective January 1, 2015, AmeriHealth New Jersey
implemented the following changes:
- Providers can submit two SOAP Progress Notes per member, per
calendar year. Previously they could only submit one SOAP Progress Note per
member, per calendar year.
- The submission for the second visit will be valid only if
the visit occurred no more than four months after the first visit for which you
submitted the initial SOAP Progress Note.
If you have any questions regarding SOAP Progress Notes or using
ePASS®, please contact Inovalon at
1-877-448-8125. For questions about this initiative, please
contact Customer Service at 1-888-YOUR-AH1
(1-888-968-7241).