Health Partners Plans has two distinct member rewards programs: HPP Rewards (for Medicaid and CHIP members) and Wellness Rewards (for Medicare members).

HPP Rewards (Medicaid & CHIP)

The HPP Rewards and Benefits program encourages Health Partners (Medicaid) and KidzPartners (CHIP) members to complete targeted condition management and preventive health activities.

Many of these health activities are tied to current measures included in our Provider Quality Care Plus (QCP) and Maternity Quality Care Plus (MQCP) programs. If you participate in these programs, you may see a positive impact on your scores as a result of members seeking needed services.

Overview of HPP Rewards

All Health Partners (Medicaid) and KidzPartners members are automatically enrolled in HPP Rewards. Members earn rewards as they complete health activities throughout the year. Most of the activities require claims to be submitted in order for members to earn rewards.

We encourage providers to explain the benefits of annual checkups, preventive screenings and disease management activities, many of which can earn rewards for members. Members can only get reward for health activities completed in 2023. Members can visit HPPRewards.net to view the full list and redeem eligible rewards.

KidzPartners (CHIP) Activities and Rewards for 2023

Health Activity	Reward	Age	QCP/MQCP Impact
Well-Baby Visit Complete a well-child visit within 30 days after birth	$25 prepaid debit card	0-30 days	Yes
Well-Adolescent Checkup Complete an annual checkup (once per year)	$25 prepaid debit card	12-18 years	Yes
Lead Screening Complete capillary or venous lead blood test	$20 prepaid debit card	0-24 months	Yes
Dental Exam Complete a dental exam	$20 prepaid debit card	0-14	Yes
Pregnancy Complete prenatal care visit in the first trimester or within 42 days of KidzPartners enrollment Complete postpartum care visit 7-84 days after delivery	$25 reward for each activity (rewards provided via prepaid debit card)	All ages for prenatal and postpartum visits	Yes

 

Health Partners (Medicaid) Activities and Rewards for 2023

Health Activity	Reward	Age	QCP/MQCP Impact
Diabetes Management* Complete HbA1c test Complete diabetic retinal exam Complete annual PCP visit (once per year)	$20 reward for each activity (rewards provided via prepaid debit card)	18-75 and diagnosed with diabetes	Yes (HbA1c and retinal exam) No (annual PCP visit)
Hypertension Management* Complete an annual PCP visit (once per year)	$20 prepaid debit card	18-85 and diagnosed with hypertension	No
Dental Exam Complete a dental exam	$20 prepaid debit card	Pregnant members 21 and older Members ages 0-14 years	Yes (members ages 0-14)   No (pregnant members 21+)
Wellness Complete an initial health assessment at one of the Greater Philadelphia YMCA branches	$20 prepaid debit card	ages 21 and older	No
Wellness Complete the second health assessment at one of the Greater Philadelphia YMCA branches	$25 prepaid debit card	ages 21 and older	No
Wellness Complete four qualifying diabetes prevention program (DPP) classes	One month Weight Watchers program membership	ages 18 and older	No
Baby Bundle Benefit Program
Well-Care Complete prenatal care visit in the first trimester or within 42 days of Health Partners enrollment Complete postpartum care visit 7-84 days after delivery Complete a well-child visit within 30 days after birth	$25 reward for each activity (rewards provided via prepaid debit card)	All ages for prenatal and postpartum visits First month of life for well-child visit	Yes
Lead Screening Complete capillary or venous lead blood test	$25 prepaid debit card	9-12 months	Yes
TRIP Benefit Program
Case Management Program Actively participate in the Case Management for at least 60 days	$50 Uber card	ages 21 and older and pregnant members	No
Well-Child Visit Complete a well-child visit with the doctor	$20 Uber card	ages 15-20 years	Yes
Dental Exam Complete a dental exam	$20 Uber card	ages 15-20 years	Yes

* Must have diabetes or hypertension diagnosis. A PCP visit for diabetes and hypertension on same date of service will receive reward points for only one PCP visit.

Note: Rewards cannot be redeemed for cash or used to purchase alcohol, lottery, tobacco or firearms.

Wellness Rewards (Medicare)

The Wellness Rewards Program incentivizes Medicare members to complete specific health-related activities in 2023 to earn money on a reloadable card. Please note that our Medicare rewards program is different from our Medicaid/CHIP rewards program.

Please refer to the below list for all eligible health activities. The medication adherence activities and the preventive health activities included in the program are tied to current measures included in our Quality Care Plus (QCP) program. Leveraging the rewards program and encouraging your patients to complete these activities can help you improve your performance on these QCP measures. Please refer to the 2023 Medicare Wellness Rewards Program Letter in the provider portal for additional details and eligibility requirement on all rewards (2023 program letters are scheduled for distribution soon). If you have any questions about the Wellness Rewards Program, please contact your Provider Relations Representatives.

Below are the 2023 Wellness Rewards Program activities. Members should call Member Relations to check their rewards eligibility status. All eligible activities must be completed between 1/1/2023-12/31/2023 and rewards must be redeemed by 12/31/2023. Rewards earned in 2023 will expire and cannot be redeemed after 12/31/2023. Members may be eligible for more than one activity but will only be rewarded once for each eligible activity completed.

2023 Activity

Wellness Visit

Flu Shot

Medicare Health Assessment

Diabetes Eye Exam*

Diabetes Kidney Tests

Breast Cancer Screening*

Bone Mineral Density Test

Colon Cancer Screening*

Comprehensive Medication Review (CMR)

Medication Adherence for Cholesterol Medication*

Medication Adherence for Diabetes Medication*

Medication Adherence for Hypertension Medication*

*Reward/Activity with QCP Impact

If you have any questions about HPP Rewards or Wellness Rewards, please contact the Provider Services Helpline at 1-888-991-9023 (Monday–Friday, 9 a.m.–5:30 p.m.) or your NAM (Network Account Manager).