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2018

December Issue

Fall Issue

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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

PIF_July 2017_Cover PIF_July 2017_Cover

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

 
PIF_July 2017_Cover  

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