Wellness & Prevention Form

As part of our commitment to quality, AgeWell New York monitors selected quality and effectiveness measures to assess members’ access to appropriate care.

To support our efforts in reducing gaps in care, we ask that you review and complete the Wellness and Prevention Form for all AgeWell New York members in your panel.

If your patients are missing any preventative services, contact them and schedule an appointment to complete those services and complete the Wellness and Prevention Form and fax it back to:

AgeWell New York
Quality Assurance Department
Fax #: 855-895-0778

We realize this can be a cumbersome process and we continually seek ways to improve it. We would appreciate any feedback on the process to help improve in future years.

Thank you for your continued support,

If you have any questions please contact:
AgeWell New York | Quality Assurance Department
Phone #: 866-586-8044