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Provider News

Provider News: 2019

Shift Care Staffing and Reporting – Upcoming Webinars

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…

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Wellness Rewards: Our Improved Medicare Incentive Program

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…

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Now Available for Download: Recent HPP Webinars

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…

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2019 Maternity Quality Care Plus Program

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…

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Annual D-SNP Model of Care Training – Required

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…

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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 300…

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