2022
Medicare Sequestration Update
June 27, 2022
Effective July 1, 2022 and where applicable according to your contract with Health Partners Plans (HPP), HPP will resume sequestration reductions to our Medicare payments consistent with the Centers for Medicare and Medicaid (CMS) recent notice, whic…
HPP is Investigating Claims Payment Issue
June 22, 2022
Health Partners Plans is aware of an issue which caused claims processed on June 6, 2022 to incorrectly deny as not medically necessary. All claims with this adjudication date are being examined and, if required, will be re-adjudicated for accurate r…
COVID-19 Update: Retrospective Reviews
June 17, 2022
Thank you for being a Health Partners Plans (HPP) participating provider. We are providing updates to prior authorization requirements since our last communication dated January 27, 2022 (PC-420-NM-2022-0012 – COVID-19 Authorization Process Changes).…
COVID-19 Update: Authorization Process Changes – Update June 13, 2022
June 13, 2022
Thank you for being a Health Partners Plans (HPP) participating provider. We are providing updates to prior authorization requirements since our last communication dated June 1, 2021. The following requirements apply to Medicaid and CHIP lines of bus…
Provider Orientation and Training Webinar - June 22
June 8, 2022
Health Partners Plans (HPP) is hosting our 2nd quarter provider orientation and training webinar on June 22, 2022. HPP requires all participating providers to demonstrate that they are knowledgeable and trained on important topics and participate in …
Medicaid Expansion is Coming
June 2, 2022
As previously communicated, open enrollment of the HealthChoices program across the Commonwealth of Pennsylvania is coming soon. Since our last communication, the dates have changed and open enrollment will now occur from June 22 to August 16. All e…
Notification of New Professional Telehealth Services Policy
June 1, 2022
We are contacting you today to inform you of a new policy available in our HPP Policy Bulletin Library. Effective 8/1/2022, HPP will be implementing a new claim payment policy: RB.024 Professional Telehealth Services (Medicaid and CHIP). You can acce…
Important Update to the Prior Authorization Process for Specialized Musculoskeletal Therapies
May 31, 2022
Effective July 1, 2022, Health Partners Plans (HPP) requires therapy providers to use the prescribing physician NPI as the requesting provider when submitting prior authorization (initial and continued care) requests to eviCore healthcare for the fol…
Inovalon ePass Update
May 31, 2022
Health Partners Plans (HPP) appreciates your participation in our network and we strive to make improvements to the delivery of services to our members/your patients at all times. We write you today with an important request. While updating your memb…
The Summer Issue of Provider Check Up is Now Available!
May 20, 2022
The Summer 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…
HealthTrio Portal Implementation
April 29, 2022
Health Partners Plans (HPP) is getting closer to our single provider portal platform transition. We are on track to implement a soft launch of HealthTrio in the weeks ahead with a small portion of our network to perform testing. We expect to go live …
Available Now: HPP's 2022 Provider Access, Appointment and Telephone Availability Standards Survey
March 30, 2022
The 2022 Provider Access, Appointment and Telephone Availability Standards Survey is now available. Each year, HPP surveys our network to determine if PCPs are meeting the Access, Appointment and Telephone Availability Standards, as set by the Depart…
Crozer Health Update
March 24, 2022
Crozer Health has announced it will temporarily suspend services at the Delaware County Memorial Hospital in the Intensive Care Unit (ICU) and surgery departments beginning Tuesday, May 31, 2022, due to staffing issues that have challenged the health…
Medicaid Diabetes Prevention Program (DPP) Reminder and New Incentive
March 17, 2022
Starting in 2022, Health Partners Medicaid members who attend at least four Diabetic Prevention Program (DPP) core sessions are eligible to receive a free one-month membership to Weight Watchers of Philadelphia. This is an added incentive to encourag…
Join HPP for Q1's Provider Orientation and Training Webinar
March 15, 2022
HPP is hosting our first provider orientation and training webinar of the year on March 23, 2022 at 12:30 p.m. HPP requires all participating providers to demonstrate that they are knowledgeable and trained on important topics and participate in at l…
Getting Ready for HealthChoices Expansion
March 11, 2022
With the announcement from the Pennsylvania Department of Human Services (DHS) that the re-procurement of the HealthChoices program is set to go live on July 1, 2022, Health Partners Plans (HPP) has been working hard to get ready. We are excited to e…
You're Invited to HPP's Home Care Authorizations Webinar
March 7, 2022
You’re invited to participate in a webinar on home care authorizations on March 24, 2022 at 12:30 p.m. We hope this webinar will provide you with a better understanding of the criteria and documentation required to process a home care authorization…
Policy Bulletin Update: CMS and CMS and (DHS Payment Systems Update and Maintenance Payment Policy
March 7, 2022
A new policy is now available in our HPP Policy Bulletin Library. Effective March 1, 2022, HPP will be implementing a new claim payment policy: RB.028.A Centers for Medicare & Medicaid Services (CMS) and Department of Human Services (DHS) Payment…
New Provider Portal Announcement
March 2, 2022
Health Partners Plans is continuously working to improve our provider experience. Our goal is to ensure administrative ease and allow maximum time to care for their patients. With that in mind, we are excited to announce a new provider portal launchi…
Professional Claims and Referring Provider Documentation Requirements
March 2, 2022
Health Partners Plans (HPP) would like to remind billing staff that all billing requirements must be adhered to in order to ensure timely and accurate reimbursement. To be accepted as a valid claim, the submission must contain correct current coding,…
Register Now for HPP's Staff Engagement and Customer Service Webinar
February 28, 2022
Health Partners Plans (HPP) is hosting the final part of a series of webinars in collaboration with practice transformation consultant, Primary Care Development Corporation (PCDC). We invite you and your team to participate in the staff engagement an…
COVID-19 Update: Authorization Process Changes – UPDATE TO PRIOR COMMUNICATION, Extended to March 15, 2022
February 25, 2022
We are providing an update to the effective timeframe since our last communication dated January 27, 2022. The below applies to all lines of business managed by HPP and will remain in effect until March 15, 2022. Effective December 17, 2021: Post-di…
The Spring Issue of Provider Check Up is Now Available!
February 25, 2022
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…
Improve Communication, Interactions by Using HPP's Quality Improvement Checklist
February 22, 2022
Health Partners Plans (HPP) is committed to helping our members maintain and improve health outcomes. The Health Outcomes Survey (HOS) is an annual survey that asks Medicare Advantage members to detail their interactions with their physicians and oth…
No Surprises Act - Provider Directory Update
February 15, 2022
On January 1, 2022, Section 116 of the Federal Consolidation Appropriations Act, which addresses provider directory accuracy, became effective. The Act regulates the responsibility of both payers and providers regarding provider information that appe…
Check Cycle Posting Update
February 14, 2022
Health Partners Plans had a processing issue with last week’s check cycle run that will cause a one-day delay in funding. You should see your electronic funds transfer on Wednesday, February 16. For any questions or issues, please reach out to Provid…
What is CAHPS? Webinar Announcement
February 11, 2022
Member satisfaction is a leading indicator in measuring overall quality of care and patient engagement. Starting in March, patients in your practice will receive the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, which asks p…
Diabetic Retinopathy Screening and Fundus Photography (Clarification)
February 11, 2022
This is a follow-up to the communication we released on January 14, 2022. Health Partners Plans (HPP) communicated a newly implemented claim payment policy: RB.023.A Diabetic Retinopathy Screening and Fundus Photography. We are writing to advise that…
COVID-19 Update
January 28, 2022
Together, we are facing one of the most significant and wide-ranging health crises in recent memory. Health Partners Plans (HPP) is always looking for ways to partner with you to support the care of our members. We are providing an update to the effe…
HPP Upcoming Upgrade and Scheduled Portal Maintenance
January 28, 2022
HPP will be upgrading our backend systems HealthRules Payor and HealthRules Care Manager beginning on Friday, January 28, 2022 at 5 p.m. EST and will complete by Monday, January 31, 2022. This upgrade will affect data for Authorizations, Benefits &am…
Crozer Health Temporarily Suspending Select Services Due to Staffing Constraints
January 25, 2022
Crozer Health has announced it will temporarily suspend services at the Springfield Hospital Emergency Department and ancillary services beginning Friday, January 14, 2022, due to staffing issues that have challenged the health care industry across t…
Change in Reimbursement and Billing Practices for Pediatric Shift Care
January 14, 2022
Effective February 15, 2022, HPP will only reimburse providers 150% of contracted rate for multiple members who receive Home Health Aide (S9122) or Skilled Nursing (S9123/S9124) services in the same household by the same provider of care. Providers w…
Diabetic Retinopathy Screening and Fundus Photography
January 14, 2022
Health Partners Plans (HPP) wants to inform providers of a change to our HPP Policy Bulletin Library. Effective 1/1/2022, HPP implemented a new claim payment policy: RB.023.A Diabetic Retinopathy Screening and Fundus Photography. HPP considers Digita…
COVID-19 Update: Authorization Process Changes – UPDATE TO PRIOR COMMUNICATION
January 7, 2022
Together, we are facing one of the most significant and wide-ranging health crises in recent memory. Health Partners Plans (HPP) is always looking for ways to partner with you to support the care of our members. We are providing updates since our las…
Provider Network Enhancements: Jefferson Health Joins Medicaid, CHIP Networks
January 1, 2022
Building upon the provider network growth success we experienced in 2021, we are excited to announce the addition of Jefferson Health to our Medicaid and CHIP provider network. The addition of Jefferson Health brings Thomas Jefferson University Hospi…