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VII-D Primary Care Provider Behavioral Health Screening Tool | VII-F Healthfirst Wellness Reward Card - Medicare

Appendix VII-E Healthfirst Wellness Reward Card - PHSP


The Healthfirst Wellness Reward Card Program is a way for Healthfirst members to earn rewards for taking care of themselves.  The program is available to Healthfirst Medicaid and Child Health Plus members.  Members can qualify for reward cards by completing selected preventive screenings and health initiatives, such as well child visits, health risk assessments, mammograms, medication adherence and colorectal screenings.  Members can fill out a form and mail or fax the form back to Healthfirst.  Providers must submit the correct claims in order for the members to be approved for a reward card.


Please click these links to download the Reward Card form -

2015 PHSP Reward Card Form_English.pdf2015 PHSP Reward Card Form_English.pdf

2015 PHSP Reward Card Form_Spanish.pdf2015 PHSP Reward Card Form_Spanish.pdf

2015 PHSP Reward Card Form_Chinese.pdf2015 PHSP Reward Card Form_Chinese.pdf