April 24, 2023
HPP Policy Bulletin: Gene Therapy
Health Partners Plans would like to inform our provider partners of a revised policy available in our HPP Policy Bulletin Library. Effective May 24, 2023, HPP will be implementing a new drug policy: DR.014.A Gene Therapy.
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.
Thank you for your support in providing the highest quality of care to our members.