Provider News: 2019
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 confi…
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 3…