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Home > Providers > Resources > Quality Resources

Quality Resources

Adult Body Mass Index (BMI) Assessment Claims Coding Chart PDF
Care for Older Adults (COA) Form PDF
Consumer Assessment of Healthcare Providers and Systems (CAHPS®) and Health Outcomes Survey (HOS) Information PDF
Care for Older Adults (COA) Claims Coding Chart PDF
Controlling Blood Pressure Claims Coding Chart PDF
CBP, HbA1c, and Med Rec Claims Coding Charts PDF
Diabetes Coding for HEDIS PDF
HEDIS Incentive Program PDF
Medicare Risk Adjustment Overview and Documentation Guidance PDF
PerformPlus® Gaps in Care Closure Program PDF
Urinary Incontinence Notice PDF

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Non-discrimination notice (PDF)

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The South Carolina Department of Health and Human Services must make sure that everyone who is receiving Medical Assistance is still eligible by reviewing each person's information.

Here's what you need to do now

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This site contains links to other Internet sites. First Choice VIP Care (HMO-SNP) is not responsible for the content of these sites. Please see Terms of Use, Privacy Notice, Third-Party Data Privacy and Educational Materials, and Potential for Contract Termination.

First Choice VIP Care is an HMO-SNP plan with a Medicare contract and a contract with the South Carolina Healthy Connections Medicaid program. Enrollment in First Choice VIP Care depends on contract renewal. This information is not a complete description of benefits. Call 1-888-996-0499 (TTY 711), Monday through Friday, 8 a.m. – 8 p.m., from April 1 to September 30; or seven days a week, 8 a.m. – 8 p.m., from October 1 to March 31, for more information. Out-of-network/non-contracted providers are under no obligation to treat First Choice VIP Care members, except in emergency situations.

Please call our Member Services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B premiums, unless otherwise covered by your South Carolina Medicaid benefits.

Every year, Medicare evaluates plans based on a 5-star rating system.