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Provider News
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2021
- COVID-19 Antibody Therapy Administration
- COVID-19 Vaccine Administration – Updated Information Based on DHS Changes
- COVID-19 Vaccine Administration by Pharmacies
- Capture Accurate ICD-10, HCPCS, CPT Coding at Annual Wellness Visit
- 2021 Medicaid/CHIP Member Rewards
- 340B Hospital Billing Reminder
- Policy Bulletin Update: RB.017.B Continuous Glucose Monitors
- Non-Participating Laboratory COVID-19 Testing Update
- Participating Laboratory COVID-19 Testing Update
- Complete the Annual D-SNP Model of Care Training
- Medicaid Check Cycle Delay
- The Spring Issue of Provider Check Up is Now Available!
- Elimination of Separate CHIP P.O. Box for Paper Claims and Claim Reconsiderations
- New CMS OMH COVID-19 Vaccine Resources for Vulnerable Populations Webpage
- Philadelphia COVID-19 Vaccine Center Expands Access to Residents in Under-Vaccinated Zip Codes
- HealthRules Care Manager, New Utilization Management Platform, Launches March 29
- Medicaid Medical Oncology Prescription Drug Prior Authorization Changes
- HealthRules Care Manager Update – Different Look to HPP Authorization Numbers
- COVID-19 Vaccine Administration - Updated Information Based on DHS Changes (April 23)
- Ordering Physician Notification for Pediatric Shift Care CPT Code S9122
- Prior Authorization Issue Identified
- Don't Miss Out on the Health Outcomes Survey Webinar Series
- Upcoming Webinars on Shift Care Staffing and Reporting
- Removal of Medical Necessity Review for Non-emergent Land Transportation
- HPP Launches COVID Vaccine Report
- Check Out the Summer Issue of Provider Check Up
- COVID-19 Update: Authorization Process Changes
- You're Invited to HPP's Provider Roundtable on Uncontrolled Diabetes
- You're Invited to HPP's Medicare Health Outcomes Survey Webinar Series
- The 2021 Provider Access, Appointment and Telephone Availability Standards Survey is Now Available
- Tobacco Cessation and NRT Resources
- Upcoming Changes to HPP’s Claims Call Center
- Oncology Drug Prior Authorization Changes for Health Partners (Medicaid)
- Diabetes and Cardiovascular Disease Screening and Monitoring for People With Schizophrenia or Bipolar Disorder
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2020
- Health Partners (Medicaid) CG&A Change
- HPP Changing Telehealth Services Requirements in Response to COVID-19
- HealthRules Payor—New Claims Platform Implementation for Medicaid
- 2020 Rewards Now Available for Health Partners, KidzPartners Members
- InterQual Criteria
- Provider Check-In
- Tri-Tech Health Announcement
- The Spring Issue of Provider Check Up is Now Available!
- Improving Provider P4P Measures Webinar: Medication Adherence for Members with Chronic Conditions
- NCQA Announces Changes and Adjustments
- The Fall Issue of Provider Check Up is Now Available!
- HealthRules Payor—New Claims Platform Implementation for Medicare
- Spirometry Testing in Primary Care
- eviCore Portal Enhancements
- Expansion of CHIP Program Offering
- The Winter Issue of Provider Check Up is Now Available!
- COVID-19 Vaccine Administration Information
- Year-End Claim Payment Cycles
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2019
- Reminder: Pennsylvania License Requirements
- Routine Foot Care for Health Partners (Medicaid) Adult Members
- Provider Orientation and Training Webinar: Wednesday, February 20, 2019
- 2019 Quality Care Plus Program
- DHS Enrollment Required by July 1, 2019
- Changes to Prenatal Billing Requirements
- Pay-for-Performance (P4P) Provider Initiatives Webinar Series Begins March 27, 2019
- Cut Through the Confusion: Understanding Health Partners Medicare and Community HealthChoices (CHC)
- Insulin Glargine Formulary Change (Basaglar to replace Lantus)
- Annual D-SNP Model of Care Training – Required
- 2019 Maternity Quality Care Plus Program
- Webinar Invitation: Continuity of care, provider communication, and optimal reimbursement begin in a patient’s chart
- Congestive Heart Failure Self-Management for Health Partners Medicare Patients
- Provider Orientation and Training Webinar: Wednesday, May 15, 2019
- HEDIS Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents (WCC)
- Provider Webinar: Care Coordination Support and Your Patients, June 6
- Now Available for Download: Recent HPP Webinars
- Wellness Rewards: Our Improved Medicare Incentive Program
- Tips for Boosting CAHPS Scores... and How It Can Help Your Practice
- Shift Care Staffing and Reporting – Upcoming Webinars
- Certifications for Small Businesses (SBs) and Small Diverse Businesses (SDBs)
- Reportable Conditions – PA-NEDSS
- Proper Billing for Combined Sick Visits and Well-Child Visits (Modifier 25)
- Access, Appointment & Availability Standards
- Pennsylvania Perinatal Quality Collaborative (PA PQC)
- Medicaid Specialty Pharmacy Update
- Our Spring 2019 Provider Newsletter is Now Available
- Best Practices for Your Youngest Patients
- Immunizations for Health Partners (Medicaid) and KidzPartners Members
- The Opioid Epidemic
- New Diabetes Incentive for Health Partners (Medicaid) Members
- Medicare Diabetes Prevention Program (MDPP) Sites Expanded
- Hospital Readmissions: Peer-to-Peer Reviews
- HP Connect Provider Portal Enhancements
- Reminder—2019 HPP Benefits Available
- Register Now: Provider Orientation and Training Webinar Registration Scheduled for August 21
- Breast Pump Purchases and Rentals
- Elimination of Lump-sum Purchase Option for Power Wheelchairs and Accessories over $500
- HealthRules Payor—New Claims Platform Coming October 1
- Talk to Patients about the Importance of Preventive Screenings
- Medical Records Requirement (BPI)
- Reminder: Provider Orientation and Training Webinar to be held Wednesday, August 21
- Change regarding HCPCS Code T1015
- Oral Health and Preventive Care in Your Medical Office—Revenue Opportunities for Fluoride Varnish Certification
- CCMP Updates Scheduled for September 16, 2019
- Register Now: Maternity Authorizations and Claim Submissions Webinar (9/26)
- 2019 Wellness Rewards Program available for Health Partners (Medicaid) and KidzPartners members
- HealthRules Payor—New Claims Platform Implementation Delayed for Medicaid and Medicare
- Health Partners Plans to start Synagis Prior Authorizations Process on October 15
- New Medical Necessity Policy: Peroral Endoscopic Myotomy (POEM) to be implemented 11/1/2019
- Register Now: Tobacco, Nicotine and Vaping: Prevention and Treatment Webinar (11/13)
- Updated Medical Necessity Policy: Whole Genome Sequencing/Whole Exome Sequencing to be implemented 12/1/2019
- New Reimbursement Policy: Professional Telehealth Services to be implemented 12/1/2019
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2018
- Updated 2018 HPP Provider Manual Now Available (Medicare Specialist Referrals)
- Specialist Referral Requirement (Medicare)
- Top 5 Tips for Boosting Member Satisfaction Scores
- The February 2018 Provider Newsletter is Now Available
- Refer eligible Medicaid patients to local Diabetes Prevention Program in April
- The April 2018 Provider Newsletter is Now Available
- Top 5 Tips for Improving Front-Office Customer Service
- Specialist Referral Requirement – HP Connect Provider Portal
- How Focusing on the Health Outcomes Survey (HOS) Can Improve Your Practice
- The June 2018 Provider Newsletter is Now Available
- Improve Health Outcomes with Preventive Screenings
- Home Health Prescribing by Non-Physicians
- Implementation of the 2018 InterQual Criteria
- Please take our HPP Provider Communication Survey
- A Rise in STD Cases and an Emerging Resistance to Antibiotics
- Prepare Your Office for Annual Checkups and Well-Child Visits
- Opioid Awareness
- The Winter 2018 Provider Newsletter is Now Available
- Prior Authorizations for Behavioral Health Transports
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2021
- Eligibility and Claims
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Clinical Resources
- Antidepressant Medication Management Resources
- Antipsychotic Medication Adherence Tools
- Care Management Programs
- Clinical Care Guidelines
- Developmental Screenings
- Diabetes Prevention Programs
- EPSDT/Bright Futures
- ICD-10 Coding & Risk Adjustment
- Lead Screenings
- Oral Health Resources for Primary Care
- Patient Safety Reporting
- Pay-For-Performance (P4P) Program
- Preventive Care Guidelines
- Provider Notice
- Smoking Cessation
- Specialty Medications and Pharmacies
- Telehealth Resources for PCPs
- Plan Info
- Provider Education Attestation
- Subcontractor Fraud, Waste and Abuse Training Attestation Form
- Health & Wellness
- In The Community
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About Us
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Newsroom
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News Releases
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2021
- Health Partners Plans Expands CHIP Offering in Pennsylvania
- Program Aimed at Providing Housing & Support Services for People Experiencing Homelessness Sees 75% Decrease in Emergency Department Visits and 79% Decrease in Admissions
- Health Partners Plans Announces Partnership with City of Philadelphia to Offer Monthly Narcan Trainings
- Health Partners Plans Provides Free and Reduced-Cost Community Resources with Aunt Bertha
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2020
- Health Partners Plans Announces Literacy Initiative to Assist Children During COVID-19 and Beyond
- Health Partners Plans Names Kevin Clancy as Chief Financial Officer
- Health Partners Plans and Children’s Hospital of Philadelphia Announce Agreement
- Health Partners Plans Expands Commitment to Social Determinants of Health by Launching PartnerUp HealthCompass, Convening First-Ever Regional Council
- Health Partners Medicare Announces 2021 Plan Offerings with New and Expanded Benefits
- Health Partners Plans Partners with Philabundance, Food Connect to Address Critical Food Insecurity and Workforce Development Needs
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2019
- Health Partners Plans Executives Volunteer in MANNA’s Kitchen
- Free Foot Exams and Footwear Offered to Those Experiencing Homelessness
- Health Partners Plans President and CEO William S. George To Retire; Executive Vice President Denise Croce Named President and CEO
- Health Partners Plans to Support Aspiring Women Leaders in Healthcare, Staci Scott to Share her Inspiring Journey at Inaugural Conference
- Health Partners Plans Rallies to Help Community Members Facing Food Insecurity Due to Delayed SNAP Benefits
- Health Partners Plans Becomes FIRST Managed Care Organization in Southeastern PA to Open a Community Wellness Center in West Philadelphia
- Health Partners Foundation Helps Drive Conversation on African-American Women in Philanthropy
- Health Partners Plans Proudly Sponsors Pennsylvania’s Second-Ever Latino Health Summit
- Health Partners Plans Now Offers Health and Wellness Workshops Online
- Renee Mercer Named Vice President of Member and Provider
- Health Partners Plans’ Employees Address SDoH in Nigeria
- Health Partners Plans Unveils Powerful Tools of Support, Compassion in Fight against Opioid Addiction
- Health Partners Plans to Host a Career Day for Local Job Seekers
- Health Partners Medicare Offers Affordable Plans with New Benefits and No Referral Requirements
- Health Partners Plans Remains Among Highest-Rated Medicaid Plans in Pennsylvania
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2018
- Groundbreaking Partnership Connects Homeless People to Vital Health Care Services
- U.S. Department of Labor Invites Health Partners Plans to Lead Workshop in Honor of African American History Month
- Health Partners Plans Publishes Results of Groundbreaking Food as Medicine Program in Call to Action
- Health Partners Plans Hosts Candidates for Pennsylvania Lt. Governor
- Barry Volin Named Executive Vice President of Medicare and Operations for Health Partners Plans
- Health Partners Plans Leaders Invited to Present Innovative Approach to Value Based Care at Nation’s Leading Healthcare Finance Association
- Health Partners Plans Employees Honored for Working with Intellectually Disabled Citizens
- Health Partners Plans and Cradle of Liberty Council, Boy Scouts of America, Sponsor New Boy Scout Troop Focused on Health
- Health Partners Plans Proud Sponsor of Pennsylvania’s First-Ever Latino Health Summit
- Health Partners Plans President and CEO to Address U.S. Congressional Briefing About Results of Groundbreaking Food as Medicine Partnership
- Health Partners Plans Featured in Pennsylvania Department of Human Services’ Medicaid Innovation Tour
- Health Partners Plans to Share Groundbreaking Food is Medicine Partnership at Tulane University Culinary Medicine Conference
- Jenny Fong Named Senior Vice President of Medicare and Operations for Health Partners Plans
- Health Partners Plans Names Hicham Elanmati Vice President of Sales, Medicare Advantage
- David Naramore Named Vice President and Chief Actuary for Health Partners Plans
- Health Partners Medicare Offers Affordable Plans with Valuable Benefits at No Additional Cost
- For Second Year in a Row, Health Partners Plans Is Awarded “Excellent” Accreditation Status by NCQA
- National Leaders Focused on Health Equity Gather in New Orleans to Address Social Determinants of Health
- James Hynek Named Senior Vice President of Finance for Health Partners Plans
- Brian K. Donovan Named Vice President of Network Management for Health Partners Plans
- Health Partners Plans Earns NCQA Multicultural Health Care Distinction Status for Fifth Consecutive Year
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2021
- Awards and Recognition
- Food is Medicine Program
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