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2022

Policy Notification: Panniculectomy and Abdominoplasty

Thank you for being a Health Partners Plans (HPP) participating provider. We are contacting you today to inform you of a new policy available in our HPP Policy Bulletin Library. Effective 2/1/2023, HPP will be implementing a new medical policy: “MN.…

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New Diabetes Treatment and Management Tools

HPP would like to make you aware of new resources to assist with diabetes management. HPP recognizes the barriers to care and other challenges that individuals with uncontrolled diabetes face and we want to highlight strategies that our providers can…

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The Winter Issue of Provider Check Up is Now Available!

The Winter 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/conditio…

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RSV Cases are Increasing

The Respiratory Syncytial Virus (RSV) season typically runs from November 1 through March 31. There has been an increase in RSV in children across Pennsylvania and around the country. CDC surveillance has shown an increase in RSV detections and RSV-a…

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Blood Pressure Cuff Order Form Update

Health Partners Plans (HPP) is committed to providing you with tools and resources to assist with hypertension management. HPP would like to inform you about a recent update to the blood pressure cuff order form. The goal of updating the form is to r…

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Developmental Screenings During Well-Child Visits

Thank you for being a participating Health Partners Plans (HPP) provider. As a healthcare provider, you play a critical role in monitoring children’s growth and development and identifying problems as early as possible. The American Academy of Pediat…

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Policy Notification: Continuous Glucose Monitors

We are contacting you today to inform you of a revised policy available in our HPP Policy Bulletin Library. Effective 12/9/2022, will be implementing a revised claim payment policy: RB.017.C Continuous Glucose Monitors (CGM's). You can access this p…

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HealthChoices Expansion Continuity of Care Process Update

This is an update to a communication dated August 29, 2022. Health Partners Plans (HPP) would like to make you aware of our approach to improving access to care and overall patient experience for the HealthChoices (HC) expansion effective September …

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The Fall Issue of Provider Check Up is Now Available!

The Fall 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 …

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Controlling Blood Pressure

Health Partners Plans (HPP) would like to inform you about resources and information related to blood pressure management. Hypertension is one of the most common chronic conditions among the HPP population. HPP has identified opportunity for improvem…

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Updated Procedures Requiring Authorization

Following up to our communication dated September 9, 2022 – Resources for Prior Authorization Questions, we have since posted a document on our website which provides you authorization requirements at the procedure code level by line of business. Th…

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2022 MQCP Update

Thank you for being a Health Partners Plans (HPP) participating provider and for your continued participation in our Maternity Quality Care Plus (MQCP) program. HPP wants to make you aware of an update to the 2022 MQCP Manual. Changes are outlined b…

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HealthChoices Expansion Update

HPP is excited to expand our award-winning Medical Assistance program into your communities effective September 1, 2022. Partnering with our provider network is an important part of our success and furthers our mission to build healthier lives and st…

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2022 QCP Manual Update

Thank you for being a Health Partners Plans (HPP) participating provider and for your continued participation in our Quality Care Plus (QCP) program. HPP wants to make you aware of a few updates to the 2022 QCP Manual. Changes are outlined below: …

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HealthChoices Expansion Continuity of Care Process

Health Partners Plans (HPP) would like to make you aware of our approach to improving access to care and overall patient experience for the HealthChoices (HC) expansion effective September 1, 2022. The changes identified below are specific to members…

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Comprehensive Pediatric Education Packet

Thank you for being a Health Partners Plans (HPP) participating provider. We want to share new and updated materials to assist in caring for HPP’s pediatric members. The Comprehensive Pediatric Education Packet includes: Telemedicine Well Visit G…

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New Portal Implementation Update: July 29, 2022

In response to concerns regarding the short window to register users for our new provider portal we are delaying full deployment to the new HP Connect platform. Here is what you need to know. Full transition to our new HP Connect platform will not…

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New Provider Portal Implementation Update

As previously communicated, Health Partners Plans is getting closer to our single provider portal platform. To make this transition easier, we are retaining the name HP Connect,which will now be powered by HealthTrio. Our go live date is scheduled fo…

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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…

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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…

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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)…

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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 …

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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…

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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…

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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/conditio…

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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 …

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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…

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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…

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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…

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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 authorizatio…

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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…

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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/conditio…

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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…

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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 Provi…

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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…

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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 eff…

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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 &a…

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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 Digit…

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