MedXM In-Home Health Assessment Program

Date: 06/15/18

California Health & Wellness Plan (CHWP) is contracting with MedXM to conduct in-home health assessments, including diagnostic screenings for CHWP members. The MedXM in-home health assessment program offers a convenient alternative to members who have difficulty accessing needed health care. It provides medical information to the primary care physician (PCP) on a member’s health condition and an indication of adherence to current medication regimens.

MedXM supports PCPs with patients who have chronic diseases and with managing patients’ persistent medication usage by offering one in-home visit.
The visit is performed by a health care professional, such as a medical technician, medical assistant, nurse practitioner, ophthalmologist, or medical doctor that is licensed in the state.  

The MedXM health care specialists will not be involved in care planning and will not prescribe treatments or medications. They will only perform needed screenings at the time of the visit. The health care specialist will encourage members to make an appointment with their PCP for follow-up with the screening results, and for recommendations on treatment and continued care.

HEALTH ASSESSMENTS AND DIAGNOSTIC SCREENINGS

CHWP, in collaboration with MedXM, has developed a protocol for the in-home visit. CHWP’s goal is to work with providers and MedXM to provide comprehensive health services to members. Through the in-home health assessment program, CHWP offers the following diagnostic screenings to its members:

·         Blood pressure control (<140/90 mmHg)

·         Diabetic retinal exam (DRE) for diabetic patients

·         Diabetes urine protein screening for kidney disease

·         Hemoglobin A1c (HbA1c) testing for diabetes monitoring

·         Hemoglobin A1c (HbA1c) testing for poor control of diabetes (>9.0%)

·         Serum creatinine testing for glomerular filtration rate (kidney function)

·         Serum potassium testing for heart function and kidney disease

PROGRAM REFERRALS

Providers can refer an eligible Medi-Cal member who would benefit from an in-home visit to the MedXM in-home health assessment program by completing all fields in the attached MedXM Referral form and faxing it to 1-888-353-6442. Copies of the form can be made for office use, as needed. A sample referral form is also included for reference. Members also have the right to refuse in-home screenings even when referred by their PCP.

If you have questions regarding the information contained in this update, contact your Provider Relations representative or call 1-877-658-0305.