Skip navigation

Sub-navProviders

False
Provider News
print

2022

Medicare Sequestration Update

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…

Read more

HPP is Investigating Claims Payment Issue

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…

Read more

COVID-19 Update: Retrospective Reviews

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).…

Read more

Provider Orientation and Training Webinar - June 22

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 …

Read more

Medicaid Expansion is Coming

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…

Read more

Inovalon ePass Update

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…

Read more

The Summer Issue of Provider Check Up is Now Available!

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…

Read more

HealthTrio Portal Implementation

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 …

Read more

Crozer Health Update

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…

Read more

Join HPP for Q1's Provider Orientation and Training Webinar

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…

Read more

Getting Ready for HealthChoices Expansion

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…

Read more

You're Invited to HPP's Home Care Authorizations Webinar

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…

Read more

New Provider Portal Announcement

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…

Read more

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…

Read more

No Surprises Act - Provider Directory Update

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…

Read more

Check Cycle Posting Update

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…

Read more

What is CAHPS? Webinar Announcement

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…

Read more

COVID-19 Update

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…

Read more

HPP Upcoming Upgrade and Scheduled Portal Maintenance

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…

Read more

Diabetic Retinopathy Screening and Fundus Photography

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…

Read more