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Plan Info


November Issue

PIF_July 2017_Cover  


  • Specialist Referral Requirement for Medicare
  • 2018 HEDIS Reporting Season
  • Colorectal Cancer Screenings
  • Diabetes Prevention Program in 2018
  • Care Coordination Programs

September Issue

 PIF_July 2017_Cover  
  • DHS Enrollment Requirement for ORP (Ordering, Referring, Prescribing) Providers
  • Specialist Referral Requirement (Medicare)
  • DHS Requirement Regarding CHIP Enrollees
  • PA Access Cards
  • Non-Discrimination Policy
  • Nonadherence to Antipsychotic Medication among Individuals with Schizophrenia 
  • Coding for Asthmatic Severity Levels
  • Reminder on Access and Appointment Standards
  • New Policy Bulletin: Whole Exome Sequencing (WES) and Whole Genome Sequencing (WGS)
  • New Policy Bulletin: LINX™ Reflux Management System
  • Quality Management Program Resources Available Online
  • Quality Management’s Health Central Provider Reporting Hotline
  • Changes to Medicaid Formulary – Effective October 1, 2017
  • Prior Authorizations for Opioid Prescriptions
  • Tools for a successful flu vaccine season
  • Change the conversation: A type 2 diabetes diagnosis and local DSME centers
  • Help With SSI from Human Arc
  • Reducing Low-Risk Cesarean Section Rates
  • QCP Program Updates for 2018
  • Fall Training & Education Opportunities
  • A Call Away: Psychiatric Consultations for Pediatric Members through TiPS
  • Help improve medication adherence with Centennial Pharmacy
  • Help Teens Smile Bright
  • The ONAF online submission requirement is coming. We’re here to help.
  • An updated Provider Manual! 

July Issue

 PIF_July 2017_Cover  


  • CAHPS and HOS Spotlight: HPP Resources to Improve Patient Care
  • Clinical Review Process: Implementation of the 2017 InterQual Criteria
  • Affirmative Statement about Incentives
  • Prior Authorization Requirement for Non-Obstetric Ultrasounds Eliminated
  • Clarification Regarding Office Hearing Exams and Spirometry for CHIP Members
  • Services for Members with Limited English Proficiency (LEP)
  • Recent Updates to Prescription Medication Formularies
  • Medication Therapy Management (MTM) Program
  • Shift Care Billing Reminder
  • Clarification Regarding DME Rentals for New HPP members
  • Upcoming Provider Webinars
  • Handling Issues Related to HIPAA, Compliance, and Fraud, Waste and Abuse
  • Continuing Webinar Series: Topical Fluoride Varnish Certification Course
  • Provider Helpline: Have Questions about Claims Reconsiderations?
  • Formulary Information on our Website
  • Our Members' Rights and Responsibilities
  • Coming Soon: An updated Provider Manual!


May Issue

May 2017 Cover Issue  


  • Provider Survey Now Available: Improving the Way We Communicate
  • Medicare Provider Compliance Attestation
  • Key Health Disparities Faced by the Lesbian, Gay, Bisexual, and Transgender (LGBT) Populations
  • Health Promotion Council’s Diabetes Education Program
  • Provider Orientation and Training Webinar Series — New Requirement for 2017
  • EPSDT (Early, Periodic, Screening, Diagnostic and Treatment)
  • Model of Care Training Required
  • Update Regarding PT, OT, ST Prior Authorization
  • Recent Updates to Health Partners (Medicaid) and KidzPartners (CHIP) Prescription Medication Formularies
  • Plan-Directed Care Rules (Medicare)
  • Exercise Class/Counseling Coding (S9451) for Medicaid and CHIP
  • HPP’s Special Investigations Unit: Reminders and Helpful Tips
  • CDC Guideline for Opioid Prescribing
  • Upcoming Provider Webinars
  • Reminder regarding the Pennsylvania Prescription Drug Monitoring Program (PA PDMP)

March Issue

 Kidz Strong Springsummer 2016  


  • Provider Survey Now Available: Improving the Way We Communicate
  • Psychiatric Consultations for Pediatric Medicaid Members through TiPS
  • Complete Your Required Medicare Compliance Attestation
  • Provider Orientation and Training Webinar Series — New Requirement for 2017
  • 2017 Medicare Part D Benefit Snapshot
  • Panel Rosters Now Available through NaviNet
  • Formulary Changes 2017
  • Did You Know? (HOS and CAHPS Surveys now available)
  • New Webinar Series: Topical Fluoride Varnish Certification Course