Earn Incentives by Participating in the 2023 In-Office Assessment Program

Date: 05/30/23

The Optum® In-Office Assessment (IOA) provider incentive program promotes early detection and ongoing assessments of chronic conditions for Ambetter and Wellcare by Allwell members. As a valued provider, you can earn an incentive payment of $100 for assessing and addressing all of a member’s conditions. The information on these assessments can be used to assist you in addressing care opportunities during patient encounters.

The IOA program is a pre-visit and point-of-care program that helps improve patient outcomes. It supports early detection and ongoing annual assessment of chronic conditions for our members, as well as additional outreach to improve the quality of care your patients receive. Optum works directly with providers to administer the IOA program to allow for early recognition of remaining care opportunities.

Completed in-office assessments must be submitted with documentation in compliance with the Centers for Medicare & Medicaid Services (CMS), the Department of Health & Human Services (HHS), and state requirements. After a patient visit, compile all medical records showing that care omissions have been addressed. You can use medical records from all 2023 dates of service. If screening documentation falls outside the eligible date range, you must make sure at least one of the medical records included is from a 2023 encounter.

Assessments can be submitted through our Secure Provider Portal. To ensure timely submission, you must attach the medical record and all supporting documentation to the completed assessment and submit within 60 days of the most recent date of service. You can maximize your earning potential by working with an Optum healthcare advocate.

The IOA program is available to providers through December 31, 2023, for our Ambetter and Wellcare by Allwell lines of business. For more information about this program, contact the risk adjustment team at RiskAdjustment@ARHealthWellness.com or visit Optum’s website.