Reminder – Colorectal Cancer Screening (COL)
| Date: | October 27, 2023 |
| To: | Health Plan of San Joaquin (HPSJ) CONTRACTED Primary Care Providers (PCPs) and Specialty Care Providers (SCPs) |
| Type: | Educational/informal |
| Subject: | Reminder – Colorectal Cancer Screening (COL) |
| Business: | Medi-Cal Managed Care |
Health Effectiveness Data and Information Set (HEDIS)
Measurement Year 2023
The following is a reminder regarding Colorectal Cancer Screening.
Description:
Patients 50-75 years of age should have at least one of the following screenings for colorectal cancer (some screening may require prior authorization):
- Fecal Occult Blood Test (FOBT) annually
- Stool DNA (sDNA) with fecal immunochemical test (FIT) every 2 years.
- Flexible sigmoidoscopy every 5 years
- CT colonography every 4 years
- Colonoscopy every 10 years
Best Practices:
Outreach
- Assign a point person to assist patients with referrals and scheduling Colorectal Cancer (CRC) Screenings– CRC screenings require prior authorization.
- Actively perform outreach to your CRC eligible patients
Follow Up
- Perform reminder calls for scheduled screenings.
- Reschedule patients when CRC appointments are missed.
- Follow up on patients CRC refusals.
- Follow up on positive stool-based testing results.
Patient Education
- Discuss CRC screening pros during pre-visit planning.
- Provide patient education on CRC screenings.
- Offer stool-based testing as an option.
If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan of San Joaquin and our services is always available on our website https://www.hpsj.com/