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Provider News: 2019

Breast Pump Purchases and Rentals

Health Partners Plans is committed to giving our members the support they need to breastfeed successfully. As part of this effort, we want to remind providers that HPP members are eligible to receive an electric breast pump after delivery and without…

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Reminder—2019 HPP Benefits Available

As a reminder, our Health Partners (Medicaid), KidzPartners (CHIP) and Health Partners Medicare member benefits are available online. These documents list the benefits available to HPP members—as well as prior authorization, cost sharing and/or benef…

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HP Connect Provider Portal Enhancements

Starting on July 8, we will begin the rollout of important changes to our HP Connect provider portal. These changes will allow you to efficiently provide all appropriate clinical information to support your authorization requests. These changes are i…

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Hospital Readmissions: Peer-to-Peer Reviews

As a reminder, providers have the opportunity to request a peer-to-peer review to discuss the medical director’s determination related to a combined readmission. For help with initiating the peer-to-peer review process, please contact our Physician H…

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Medicare Diabetes Prevention Program (MDPP) Sites Expanded

Health Partners Plans is excited to announce that we've contracted with the YMCA of Delaware in Wilmington to offer our new Medicare Diabetes Prevention Program (MDPP) benefit. We wanted to be sure that you knew this site is now available to your pat…

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The Opioid Epidemic

Opioid addiction affects millions of Americans and their families across all races and income levels. As our members’ trusted health care partner, we want to help them get support and recovery services in a compassionate environment. We’ve develop…

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Best Practices for Your Youngest Patients

During a busy day caring for patients or your office needs, it’s not always easy to find time to contact families and remind them to schedule their newborn checkups or other screenings. Scheduling these visits can not only help improve health outcome…

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Our Spring 2019 Provider Newsletter is Now Available

The Spring edition of the Health Partners Plans provider newsletter, Providers in Focus, is now available on our website. Learn more about 2019 provider education & training opportunities, our improved Medicare Wellness Rewards program, disease/…

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Medicaid Specialty Pharmacy Update

Effective June 6, 2019, Acro Pharmaceutical Services will close and no longer be available to your Health Partners Plans patients. Acro Pharmaceutical Services has confidentially transmitted its prescription files to CVS Specialty Pharmacy Services, …

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Pennsylvania Perinatal Quality Collaborative (PA PQC)

We would like to bring to your attention the recent launch of the Pennsylvania Perinatal Quality Collaborative (PA PQC) and provide you with information to help you take advantage of this great new resource. Participation of HPP-contracted providers …

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Access, Appointment & Availability Standards

Timely access to quality health care is extremely important for our members. As you should be aware, it is a regulatory requirement that all HPP-participating PCPs, specialists and Ob/Gyns must meet clearly defined access, appointment and availabilit…

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Reportable Conditions – PA-NEDSS

As a reminder, all hospitals, laboratories, providers and public health staff are required by law to report certain conditions to the Commonwealth of Pennsylvania’s Department of Health (PA DOH). This requirement is outlined in Chapter 27 (Communica…

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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. Th…

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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 Provi…

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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 …

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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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