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Provider News: 2021

COVID-19 Vaccine Updates - March 18

Philadelphia Independence Blue Cross (Independence) and Vybe Urgent Care (vybe) announce the opening of a COVID-19 vaccination site at Independence LIVE (1919 Market Street in Philadelphia), on the Independence Blue Cross campus. The site is open to …

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The Spring Issue of Provider Check Up is Now Available!

The Spring edition of the Health Partners Plans provider newsletter, Provider Check Up, is now available on our website. Learn more about provider services and support, member benefits, upcoming education and training opportunities, disease/condition…

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Medicaid Check Cycle Delay

Thank you for being a Health Partners Plans participating provider. Due to an isolated technical issue, we are an expecting a 1-day delay in the Medicaid check cycle. We will keep you informed of any additional changes that may affect you during this…

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Complete the Annual D-SNP Model of Care Training

If your practice has at least one Health Partners Medicare Special (D-SNP) member assigned to its panel, then at least one person on your staff who is involved in the care of our dual-eligible special needs plan (D-SNP) members must complete our annu…

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You're Invited to RISE PA Webinars

As you may be aware, the Commonwealth recently announced the selection of a vendor for the Resource Information and Services Enterprise – or RISE PA – the upcoming statewide resource and referral tool. When fully implemented, anyone in Pennsylvania w…

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Participating Laboratory COVID-19 Testing Update

Health Partners Plans (HPP) recently identified a discrepancy in the reimbursement for COVID‐19 testing to participating laboratories. HPP corrected the discrepancy, retroactive to April 1, 2020, to reflect a payment equal to 100% of the Pennsylvania…

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Non-Participating Laboratory COVID-19 Testing Update

Health Partners Plans (HPP) recently identified a discrepancy in the reimbursement for COVID-19 testing to non‐participating laboratories. HPP corrected the discrepancy, retroactive to April 1, 2020, to reflect a payment equal to 100% of the Pennsylv…

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340B Hospital Billing Reminder

Health Partners Plans (HPP) would like to remind you that all billing requirements must be adhered to in order to ensure that required data is captured. To be accepted as a valid claim, the submission must contain correct current coding, including bu…

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2021 Medicaid/CHIP Member Rewards

HPP is excited to announce the continuation of HPP Rewards, our popular incentive program for Health Partners (Medicaid) and KidzPartners (CHIP) members. All Medicaid and CHIP members will receive rewards points for completing specific health activit…

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COVID-19 Vaccine Administration by Pharmacies

Health Partners Plans (HPP) will follow policies related to coding and reimbursement issued by the Centers for Medicaid & Medicare Services (CMS) and the Pennsylvania Department of Human Services (DHS). CVS/caremark, HPP’s contracted PBM, has imp…

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COVID-19 Antibody Therapy Administration

Please see the table below for the appropriate procedure codes to be used when billing Health Partners Plans (HPP) for COVID-19 antibody therapy administration to HPP members and the reimbursements applicable to those codes. HPP will follow both the …

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