June 13, 2022
COVID-19 Update: Authorization Process Changes – Update 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 business managed by HPP and will go into effect on July 16, 2022.
- Prior authorization requirements will be reinstated for shift care services,which are billed using procedure codes T1019, S9123 and S9124.
- Children under the age of 21 who are authorized through the prior authorization process to receive shift care services will need reauthorization.
- Children under the age of 21 who requests to increase the number of hours beyond what was authorized will require prior authorization. Procedure code T1019 requires authorization through the program exception process for the CHIP line of business.
HPP will continue to inform you of additional changes, including those required by our regulators.
HPP encourages providers to visit our COVID-19 Resources for Providers webpage at HPPlans.com/COVID for additional information.
Thank you for your support in providing the highest quality of care to our members.