Home Visit Programs & Vendor Partners
Last Updated: Friday, February 14, 2025
House Call Program
The House Call Program is a supplementary service where CNPs (NPs for NY) go into a member’s home (or via telehealth) to administer an “in-home health assessment” and address open care gaps in support of Risk Adjustment and Stars initiatives. This service is coordinated with vendor partners Matrix Medical Network, Signify Health, and Optum.
Highmark encourages member/provider follow-up to review the outcome of the member’s health assessment, as well as any lab results.
- The member’s in-home health assessment and lab results are shared with the member and member’s PCP.
- Highmark continues to promote Annual Wellness Visits (AWVs) and other healthcare engagements with a PCP early and often.
These in-home health assessments are provided to Highmark Medicare Advantage members residing in AR, AZ, CO, DE, ID, MA, ME, MN, MO, MS, MT, NE, NH, NJ, NM, NV, NY (Northeastern), OH, PA, RI, SC, UT, VT, WA, WV, and WY.
Provider Materials
The following documents provide an explanation of the House Call Program and how House Call visits differ from AWVs:
Member Communication
Provider Communication
- wpa/ nepa
- cpa/ sepa
- de
- wv
Additional Resources:
- cpa/ sepa
For additional information about the House Call Program, the following video* was created for eligible members and can be used as an educational resource:
Annual Wellness Visit or House Call Visit, what’s the difference?
View, print, and share this informational guide with your patients.
- wpa/ nepa
- de
- wv
For additional information about the House Call Program, the following video* was created for eligible members and can be used as an educational resource:
Annual Wellness Visit or House Call Visit, what’s the difference?
View, print, and share this informational guide with your patients.
- wny
- neny
Care at Home
Care at Home is a program offered to certain Highmark Medicare Advantage members in the Western and Northeastern New York markets. The program delivers compassionate care to eligible members with complex needs and multiple chronic conditions with the goal of ensuring better quality of life and positive outcomes. Care at Home is a voluntary program for eligible members.
As of January 1, 2025, ConcertoCare will manage the program, which is designed to collaborate and communicate openly with members’ primary care providers. ConcertoCare is committed to ensuring that individualized care plans are being followed at home between office visits. Care at Home does NOT replace primary care.
Webinars were held on January 14 or January 24, 2025, to introduce our collaboration with ConcertoCare. Click below to view the 30-minute webinar for more information.
CARE AT HOME PROVIDER WEBINAR*
Contact Information:
- ConcertoCare NY phone number: 888-580-0211
- ConcertoCare provider relations: 716-597-1002
- Email: NY@concertocare.com
Video Disclaimer
*By accessing this video, I understand that I am leaving the Highmark PRC website and will be redirected to an external website operated by a third-party platform provider. Any use of the third-party platform provider’s website and any information you provide will be subject to and governed by the terms of the third party, including those relating to confidentiality, data privacy, and security.
