Winter Issue

Fall Issue

Highlights:

• Your Guide to Community HealthChoices
• Medicare 2019 Changes
• Changes to Medicare Opioid Guidelines 2019
• Avoid Postponing or Denying Flu Vaccines Due to VFC Shortages
• Help with SSI from Human Arc
• Top 3 Provider Education Sessions for 2019
• Another Excellent Year! NCQA "Excellent" Status
• Utilization Management Criteria
• Affirmative Statement about Incentives
• Our Members' Rights and Responsibilities
• Case Management Programs
• Reminder: Prior Authorizations Not Required for Post Stabilization
• 2019 HEDIS Chart Reviews
• Formulary Information on our Website
• DHS Enrollment Requirement:
• PROMISe ID at the Service Location Level
• ECHO Autism: Serving Patients with Autism and Developmental Concerns

Highlights:

• Opioid Awareness
• Pharmacy Formulary Changes
• Medicaid Specialty Pharmacy Program
• Vaccinate Against the Flu, Shingles and RSV
• Notification Regarding VFC Flu Vaccination Supplies
• Clarification Regarding October 1 Changes to
• Newborn Eligibility
• Improve Health Outcomes with Health Screenings
• Clarification Regarding Preventive Medicine Counseling (99401) for Medicaid and CHIP
• Lead Screenings
• New Medication Adherence Member Level Reports for Medicare
• Weight Watchers to be Discontinued January 1, 2019
• Reminder: Home Health Prescribing
• Implementation of the 2018 InterQual Criteria
• Our HPP Provider Webinars
• Ambulance Payment Reduction for Non
• Emergency Basic Life Support (BLS) Transports (to and from Renal Dialysis Facilities)
• Interpreting Services
• Pennsylvania License Requirements
• Our Policy Bulletin Library
• Reminder on Access and Appointment Standards

June Issue

April Issue

Highlights:

• Specialist Referral Requirement—HP Connect Provider Portal
• Special Needs Unit for All Ages
• Services for Members with Limited English Proficiency (LEP)
• Substance Use Disorder and Pregnancy
• Changes to Medicare Opioid Guidelines Coming in 2019
• Recent Formulary Updates
• Summer Provider Education & Training Opportunities
• The Health Outcomes Survey (HOS) and Your Practice
• HPP Wellness Partners Events Offer Fun Ways to Stay Healthy
• Diabetes Programs in Prevention and Management
• Reminder: Provider Data Collection Form Submissions
• Authorization Requirements for Birth Events

Highlights:

• Top 5 Tips for Boosting Member Satisfaction Scores
• Diabetes Prevention Program for Medicaid Members
• Notification of an Identified Access and Availability Deficiency
• Recent Formulary Updates
• Spring Provider Education & Training Opportunities
• Healthy First Birthday Smile Program (Care Coordination Incentive)
• SCOUTStrong Boy Scouts Troop Sponsored by Health Partners Plans
• Policy Bulletin Library Updates
• Medicare Specialist Referrals Reminder
• Baby Partners and the Maternity Care Coalition
• Top 5 Questions about New Medicare Cards
• New HPP Rewards Program for Members
• Preventive Care Guidelines Updates
• DHS Enrollment Requirement: PROMISe ID at the Service Location Level

February Issue

Highlights:

• February is National Children’s Dental Health Month
• DHS Retrospective Reviews
• PDPH Advisory (Zika Testing)
• Recent Formulary Updates
• 2018 Provider Educations & Training Opportunities
• Clinical and Preventive Care Guidelines
• Non-Discrimination Policy
• PA Access Cards
• Maintaining Updated Credentialing Information
• Care Management Services for Your Youngest Patients
• (CPA) and CPT II Code Incentives