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Prior Authorizations for Opioid Prescriptions
October 19, 2017
The Pennsylvania Department of Human Services (DHS) mandates that all Medicaid managed care organizations (MCOs) in Pennsylvania implement prior authorization requirements for opioid prescriptions. These include prior authorization requirements for M…
Implementation of the 2017 InterQual Criteria
October 19, 2017
As a reminder, Health Partners Plans uses McKesson’s InterQual® criteria* as a guideline for making medical necessity determinations. This week we successfully resolved a technical issue that had delayed the implementation of the 2017 criteria past o…
Reminder: Antidepressant medication management resources available
October 17, 2017
Clinical depression is a very common condition that may significantly affect your patients’ lives and there are many complex issues and barriers to overcome. Antidepressant medication is often a key component of the therapeutic treatment plan and med…
The September 2017 Provider Newsletter is Now Available!
September 29, 2017
The September edition of the Health Partners Plans provider newsletter, Providers in Focus, is now available on our Provider Newsletters web page. In this September edition, we provide information regarding DHS enrollment requirement for ordering, re…
ONAFs Now Online
September 8, 2017
To help you transition to the online submission process for ONAFs, we’re offering a one-time incentive for ONAFs submitted via the Optum cloud (obcare.optum.com) between September 1, 2017, and December 31, 2017. Learn more below: ELIGIBILITY PERIOD: …