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Policy Bulletin Update: CMS and CMS and (DHS Payment Systems Update and Maintenance Payment Policy

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 Systems Update and Maintenance Payment Policy.

You can access this policy by visiting our policy bulletin library at www.hpplans.com/PolicyBulletins.

As a reminder, HPP’s medical policy bulletins define medical necessity criteria and coverage positions on topics such as medical services, procedures, DME, therapies, etc., while our claim payment policy bulletins provide reimbursement rules and billing guidelines necessary to ensure timely and appropriate payment.

If you have any questions, please contact our Provider Services Helpline at 1-888-991-9023 (Monday – Friday, 9 a.m. – 5:30 p.m.).