The Pennsylvania Children’s Health Insurance Program (CHIP) requires well child visits, lead blood tests, and developmental screenings for CHIP patients of certain ages. To help provider offices identify Highmark CHIP members and outstanding services, Highmark produces a monthly “Highmark CHIP Gap Report.” This practice-level report is intended for practices who, according to Highmark claims records, are attributed to a Highmark CHIP member.

The report will assist in addressing potential gaps in care for your Highmark CHIP patients and can be found under the Quality Blue section in NaviNet^®. These reports run monthly starting in March of each year and will provide you with service statuses of lead, well child visits (w15), developmental screenings, and (beginning March 2021) childhood and adolescent immunizations.

In the report, providers can find service statuses of lead, well child visits (w15), childhood and adolescent immunizations, and developmental screenings for their Highmark CHIP patients based on Highmark claims.