Provider News: 2019
Certifications for Small Businesses (SBs) and Small Diverse Businesses (SDBs)
May 23, 2019
HPP works with Pennsylvania-certified Small Businesses (SBs) and Small Diverse Businesses (SDBs). We feel so strongly about diverse business partnerships that we have exceeded our original commitment, working with SBs and SDBs at a level of more than…
Memorial Day Holiday — Modified Claim Payment Cycle and Hours of Operation
May 23, 2019
Due to the upcoming Memorial Day holiday, Health Partners Plans (HPP) will be modifying our claim payment cycle and hours of operation. CLAIM PAYMENT CYCLEHPP will temporarily accelerate our normal check cycle by one day. As a result, next week’s pay…
Shift Care Staffing and Reporting – Upcoming Webinars
May 22, 2019
The Pennsylvania Department of Human Services (DHS) requires HPP to provide accurate reporting of missed shifts for all authorized shift care services. To meet the DHS regulatory requirement, HPP requires all agencies authorized for shift care servic…
Tips for Boosting CAHPS Scores... and How It Can Help Your Practice
May 20, 2019
"Getting needed care" and "getting care quickly" are important components of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey—a member survey that occurs annually from March through June. Some of your Health Partners Plans (…
Wellness Rewards: Our Improved Medicare Incentive Program
May 9, 2019
In 2018, Health Partners Medicare introduced a member incentive program, HPP Rewards, for our Health Partners Medicare members. We are excited to announce that we will continue to offer an incentive program to all of our Medicare members in 2019. Thi…
Now Available for Download: Recent HPP Webinars
May 3, 2019
As part of our ongoing effort to ensure that provider offices and staff are knowledgeable and trained on topical issues, we have recently made available copies of our 2018 and 2019 HPP webinars. Webinar presentations are accessible through the Provid…
Provider Webinar: Care Coordination Support and Your Patients, June 6
May 2, 2019
HPP’s clinical programs work with your treatment plan to support your practice and your Health Partners (Medicaid) and KidzPartners (CHIP) patients. These programs help your Quality Care Plus (QCP) reimbursement and overall quality of care you provid…
HEDIS Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents (WCC)
April 23, 2019
The HEDIS WCC measure was developed to address the childhood obesity epidemic for our Health Partners (Medicaid) and KidzPartners (CHIP) members. As the patient’s PCP or OB-GYN, you play a key role in guiding children and adolescents toward healthy b…
Provider Orientation and Training Webinar: Wednesday, May 15, 2019
April 18, 2019
HPP is hosting the second of four 2019 provider orientation and training webinars on May 15, 2019. As a reminder, HPP requires all participating providers to demonstrate that they are knowledgeable and trained on important topics annually. Participat…
Congestive Heart Failure Self-Management for Health Partners Medicare Patients
April 15, 2019
Did you know that Health Partners Plans (HPP) offers home monitoring tools to help members self-manage congestive heart failure (CHF)? CHF is one of the most common causes of Emergency Department visits and death. As a patient’s trusted primary care …
2019 Maternity Quality Care Plus Program
April 10, 2019
Our Maternity Quality Care Plus (MQCP) program is designed to recognize and reward your practice’s performance throughout the year. Based on a recent assessment of the MQCP program to ensure a positive impact on both pregnant members and in-network m…
Webinar Invitation: Continuity of care, provider communication, and optimal reimbursement begin in a patient’s chart
April 10, 2019
Health Partners Plans will be hosting a new webinar intended to help offices streamline operations to help ensure continued high quality care to our members. The adoption of better medical record documentation practices and the avoidance of common cl…
Annual D-SNP Model of Care Training – Required
April 8, 2019
Providers with at least one Health Partners Medicare Special (HMO SNP) member assigned to your panel should receive a letter explaining that one staff member involved in the care of special needs plan members must complete our annual D-SNP Model of C…
Insulin Glargine Formulary Change (Basaglar to replace Lantus)
March 22, 2019
Health Partners Plans is committed to supporting efforts to improve the health of our diabetic members through various treatment regimens, including the efficient management of diabetic medications. To help maintain high quality care while reducing h…
Cut Through the Confusion: Understanding Health Partners Medicare and Community HealthChoices (CHC)
March 13, 2019
Health Partners Plans (HPP) is here to help you understand more about Health Partners Medicare and Community HealthChoices. Learn more about Pennsylvania’s mandatory, managed Medicaid program by attending a provider webinar, "Cut Through the Confusio…
Pay-for-Performance (P4P) Provider Initiatives Webinar Series Begins March 27, 2019
March 11, 2019
Health Partners Plans (HPP) is here to help you navigate the clinical quality measures related to provider performance and better patient health outcomes through a series of provider webinars starting March 27, 2019. The series offers insight from HP…
Changes to Prenatal Billing Requirements
March 8, 2019
As a reminder, the passage of the Bipartisan Budget Act of 2018, signed by President Trump in February of 2018, resulted in an amendment to section 1902(a)(25)(E) of the Act that changes how we must process Health Partners (Medicaid) and KidzPartners…
DHS Enrollment Required by July 1, 2019
February 18, 2019
The Pennsylvania Department of Human Services (DHS) released a Medical Assistance Bulletin (#99-18-11, Service Location Enrollment Deadline) at the end of last year and a CHIP Transmittal early this year that requires all providers who render service…
2019 Quality Care Plus Program
February 14, 2019
Our Quality Care Plus (QCP) program is designed to recognize and reward your practice’s performance in delivering quality services throughout the year. Each year, we assess the program to ensure a positive impact on both our members and our provider…
Provider Orientation and Training Webinar: Wednesday, February 20, 2019
February 11, 2019
HPP is hosting the first of four 2019 provider orientation and training webinars on Wednesday, February 20, 2019. To register, visit our Provider Webinars web page and click "Register" next to the February 20 listing. You will receive an email confir…
Routine Foot Care for Health Partners (Medicaid) Adult Members
February 1, 2019
This is a notification regarding upcoming changes regarding coverage of routine foot care. As a reminder, routine foot care is not a covered benefit for Health Partners (Medicaid) members. Effective April 1, 2019, routine foot care procedures will b…
Reminder: Pennsylvania License Requirements
January 25, 2019
Health Partners Plans credentialing standards require all practitioners to maintain a current and unrestricted Pennsylvania professional license. We urge you to work with the state to ensure that your professional licenses are renewed in a timely ma…
Martin Luther King, Jr. Day: Modified Hours of Operation for HPP
January 18, 2019
Please be aware that in observance of Martin Luther King, Jr. Day, several HPP call centers will have modified hours of operation. See below for details. Provider Services Helpline. The Provider Services Helpline will be closed on Monday, January 2…
Medicaid Specialty Pharmacy Program
January 3, 2019
We recently re-assessed the strength of our specialty pharmacy network and are pleased to announce that the following specialty pharmacies are currently contracted with Health Partners (Medicaid) Specialty Pharmacy network: Accredo Health Group 300…