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Provider News: 2019

Changes to Prenatal Billing Requirements

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…

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DHS Enrollment Required by July 1, 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…

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2019 Quality Care Plus Program

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…

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Reminder: Pennsylvania License Requirements

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…

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Medicaid Specialty Pharmacy Program

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 3…

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