Health Partners Plans Provider Orientation - PowerPoint Presentation

Slide1

Health Partners Plans

Provider Orientation

and Training Slide2

Training Requirement

DHS now requires the MCO’s to ensure their providers attend at least one MCO sponsored training during the course of the year. By attending this session you fulfill that requirement.

Please complete the attestation located at the end of this presentation.

2Slide3

Agenda

Introduction

to Health Partners Plans

Lines

of Business

Lab

and Other Benefit CarriersOnline Tools Member Identification CardsReferral ProcessKey Departments and ServicesEmergency Department Use InformationProvider Practice Information and HPP ProgramsEncounter DataAccess, Appointment Standards and Telephone availabilityMaternity ServicesIdentification of Potential or Actual Abuse

3Slide4

Agenda (continued)

Information on Reportable Conditions

Infection Control

Cultural Competency

Special Needs

Special HIV/AIDS Services

Member Rights and ResponsibilitiesFalse Claims Act / FWARecipient Restriction ProgramComplaints and Grievances / DHS Fair HearingsBalance Billing / Dual EligiblesPractice ChangesPlan Contacts and Resources4Slide5

Introduction

Health Partners Plans is one of a few hospital-owned health maintenance

organizations. We were founded by four local teaching

hospitals and helps residents of Southeastern and Central Pennsylvania lead healthier lives through innovations and services that improve access to high-quality care.

Today, we are

owned

by:Aria HealthEinstein Medical Center Episcopal Hospital Hahnemann University HospitalSt. Christopher’s Hospital for ChildrenTemple University Hospital5Slide6

Key Facts

Health Partners Plans was founded in the Commonwealth of Pennsylvania more than 30 years ago.

We are among the nation’s top 15 Medicaid MCO’s, as ranked by the National Committee for Quality Assurance (NCQA).

Has been ranked number one in membership satisfaction in Southeastern Pennsylvania for 14 of the last 15 years.

Nationally recognized for its innovative approach to health care and has a proven track record in creating life-changing programs that improve health outcomes.

As the recipient of the first Multicultural Health Care Distinction award, Health Partners Plans was

literally the first plan in the nation to be accredited by the NCQA for outreach and services that help improve health outcomes in diverse communities.6Slide7

Lines of Business

Graphic/Image

Health Partners (Medicaid)

Provides free health coverage for children, teens, and adults who qualify. Members are eligible for all benefits covered under the Pennsylvania Department of Human Services (DHS) Medical Assistance Program.

KidzPartners (CHIP)

Provides health coverage for uninsured children and teens up to age 19 who qualify and are not eligible for Medical Assistance. Members are eligible for all benefits covered under the Pennsylvania Insurance Department (PID).Health Partners Medicare (Medicare Advantage) Provides health coverage for Original Medicare (Part A & Part B), Part C (Medicare Advantage) and Part D (prescription drug coverage). Members are eligible for all benefits covered under the Department of Centers for Medicare & Medicaid Services (CMS).7Slide8

Laboratory and other Benefit Carriers

Laboratory

Quest Diagnostics

Dental Carrier

Avesis 1-800-952-6674Vision Carrier Superior Vision 1-800-879-69018Medicaid, Medicare, CHIPSlide9

Other

Benefit

Carriers

Behavioral Health

Health

Partners (Medicaid)

– Philadelphia County. Community Behavioral Health (1-888-545-2600) – Bucks County. Magellan Behavioral Health (1-877-769-9784) – Chester County. Community Care Behavioral Health (1-886-622-4228) – Delaware County. Magellan (1-888-207-2911) – Montgomery County. Magellan (1-877-769-9782)KidzPartners (CHIP) – Magellan Behavioral Health (1-800-424-3702)Health Partners Medicare – Magellan Behavioral Health (1-800-424-3702)9Slide10

HPP Provider Website

Website offers access

to:

HP Connect

NaviNet

HPP University

Online directoryProvider manualOnline formularyClinical informationProvider newsletter and much more….10www.healthpartnersplans.com/providersSlide11

HPP Provider Portals

Our

provider

portals, HP Connect and NaviNet offers

convenient and

secure access to

important information 24 hours a day.While we currently offer two portals, each portal provides unique functionality that is important to your office. The following chart will show how we are transitioning current HP Connect features over to NaviNet.Contact your office’s current administrator to register.Provider Portals11All Lines of BusinessSlide12

HPP Portals

Features

NaviNet

HP

CONNECT

Member eligibility

XMember benefitsXClaims statusXRequest claims reconsiderations comingXRequest AuthorizationscomingXPatient roster reportsXProvider Performance Reports (QCP Report Card) XCare Gap ReportsXChronic Care Management Program (CCMP) Diagnosis Documentation X12Slide13

You can access these documents by clicking

on the

Practice Documents

option under

the

Workflow

menu.   If you are not registered with NaviNet, go to www.navinet.net to register for a new account and click on “Providers: Sign up for NaviNet” in the upper right corner. If you do not have access to the Practice Documents transactions, please speak with your NaviNet Security Officer.13NaviNet Please call our Provider Helpline at 1-888-991-9023 if you have any questions or need more information about new features. Slide14

HPP University

Health Partners Plans

University is a series of online educational offerings targeted to the needs of various

HPP audiences

.

You can explore

interactive presentations designed specifically for HPP providers. Your colleagues and practice staff can also take advantage of these online learning opportunities.www.healthpartnersplans.com/providers/resources/hpp-university14Slide15

Introduction to our plans and services available to our members

Frequently asked questions

An overview of member enrollment and eligibility guidelines

Benefit summaries for all lines of business

An

introduction to Health Partners Plans’ Utilization Management team and the guidelines and criteria used by the

department.Quality management standards used at Health Partners PlansProvider practice standards and guidelinesBilling and reimbursementAppeals, Complaints and Grievances15Provider Manual OverviewSlide16

Identification Cards 2017

Health Partners

(Medicaid)

(

9

digit ID Number)KidzPartners (CHIP)(10 digit ID Number)16Slide17

Identification Cards 2017

Health Partners

(Medicare)

(7

digit ID Number

)

17Slide18

Referrals

Referrals

are

not

required for any Health Partners Plans line of business! Our members are permitted to “self-refer” for specialist care.

When

coordinating care, the PCP should direct members to a specialist who the PCP believes can best assist with the care needed. In return, it is extremely important for specialists to continue to keep a patient’s assigned PCP informed of all care they render to the patient. 18Slide19

Encounter Data

Member Encounters

Health

Partners Plans PCPs, specialists, Ambulatory Surgical Centers, ancillary and allied health providers must provide encounter data for professional services on properly completed CMS-1500 forms or electronic submission in an ASC X12N 837P format for each encounter with a Health Partners Plans

member.

EPSDT Encounter -

Providers should report the appropriate level Evaluation and Management CPT code, plus CPT code EP Modifier and all immunization CPT codes to properly report an EPSDT claim.19Slide20

EPSDT Standards

EPSDT stands for Early and Periodic Screening, Diagnosis and Treatment

EPSDT standards are comprised of routine care, screenings, services and treatment that allow members under the age of 21 the ease to receive the recommended services set forth by the American Academy of Pediatrics’ Guidelines

.

Following an EPSDT screen, if the screening Provider suspects developmental delay and the child is not receiving services at the time of screening, s/he is required to refer the child (not over five years of age) through CONNECT, 1-800-692-7288, for appropriate eligibility determination for Early Intervention Program services. 

20

Medicaid onlyFor more information on EPSDT, visit our web site orcall the EPSDT Hotline at 1-866-500-4571.Slide21

Lead Screening Requirements for all Children

All Medicaid children must have a minimum of two screenings by the age of 5 as part of the Early and Periodic Screening, Diagnosis and Treatment(EPSDT) well child screenings, regardless of the individual child’s risk factors.

Please refer to the recommendations set forth in the EPSDT Periodicity schedule.

EPSDT Periodicity Schedule

All Children’s Health Insurance Program (CHIP) members should follow the same schedule.

21Slide22

Claims Filing Instructions

Electronic:

Payer

ID Number:

80142

Claims

Clearing House: Change Healthcare (formerly Emdeon)EFT Payments and Remittances: ECHO Health , Inc.EDI Support: EDI@hpplans.comTimely filing deadlines:Initial Submissions: 180-days from Date of Service or Discharge DateReconsiderations: 180-days from HPP’s original Explanation of Payment (EOP)TPL: 60-days from (EOP)22Health Partners (Medicaid ) and Health Partners Medicare:P.O. Box 1220

Philadelphia

, PA 19105-1220

KidzPartners:

P.O

. Box 1230

Philadelphia, PA 19105-1220Slide23

Claims Reconsideration

Providers can request a reconsideration determination for a claim

that

a

provider believes

was paid incorrectly or denied

inappropriately.Three options to request a reconsideration of a claim:Submit requests through the provider portal, HP Connect.Rapid Reconsideration. Call to speak with a claims reconsiderationspecialist who can reprocess a claim (or confirm a denial) – Monday to Friday, 8:30a.m. to 5 p.m., by calling 1-888-991-9023 , Option #1. Submit written requests to: Health Partners PlansAttention: Claim Reconsiderations Department901 Market Street, Suite 500Philadelphia, PA 19107

23Slide24

Utilization Management

Providing Appropriate Medical Care for Members

At Health Partners Plans, we are committed to providing our members with the most appropriate medical care for their specific situations.

To

achieve this goal, our utilization management decisions are based on medical necessity, appropriateness of care and service, the existence of coverage  and whether an item is medically necessary or considered a medical item.

This

means Health Partners Plans does not provide financial incentives for utilization management decision makers that encourage denials of coverage or service or decisions that result in underutilization.24Slide25

Prior Authorization Process

Providers

should obtain prior authorization at least

seven

days in advance for elective (non-emergent) procedures and services. Your request will be processed according to state and federal regulations. Failure to comply with this guideline may result in the medically non-urgent services being delayed.

25Slide26

Prior Authorization Process

For elective admissions and transfers to non-participating facilities, the PCP, referring

specialist

or hospital

must

call

the Health Partners Plans Inpatient Services department at 1-866-500-4571.We also offer the convenience of submitting authorization requests around the clock via HP Connect, our secure provider portal at www.HealthPartnersPlans.comMore detailed information can be found in the Utilization Management section of our provider manual at www.HealthPartnersPlans.com26Slide27

Emergency Care

Emergency care and post-stabilization services in emergency rooms and emergency admissions are covered services for both participating and non-participating facilities, with no distinction for in- or out-of-area services. Emergency care and post-stabilization services do not require prior authorization.

Health Partners Plans must comply according to our HealthChoices Agreement pertaining to coverage and payment of Medically Necessary Emergency Services.

Medicaid Members are not responsible for any payments.

27Slide28

Non-par follow-up specialty care for an emergency is covered by Health Partners, but our staff will contact the member to arrange for services to be provided in-network, whenever possible.

Access to PCP care is vitally important to maintaining the health of our members and, when possible, steering them away from the use of emergency rooms when their condition can more appropriately be managed in a PCP office environment. A PCP is required to provide access to care as outlined in the Access and Appointment Standards section of the manual. In addition, a PCP must be accessible 24/7.

This information applies all lines of business.

28

Emergency Care (continued)Slide29

Healthcare Management

Clinical Care Programs e

nsures

our members receive

high-quality care and provides programs through the following units:

Accordant Health Services

Baby PartnersComplex Case ManagementDisease ManagementFit Kids ProgramHealthy Kids ProgramMember IncentivesOptum Care PlusSpecial Needs UnitMedicare DSNPMedicare AdvantageOptum OncologyCOPD Program29Contact: 215-845-4765Practitioners can refer to any program.Slide30

Extra Benefits

YMCA Fitness Program

Annual

gym membership covered;

$2 copay

for each of first 12 visits

for members 18 and older (Medicaid). No visit requirement for Medicare. Weight Watchers 50 weekly visits covered yearly; program requirements apply;$2 weekly meeting fee30All Lines of BusinessSlide31

Access, Appointment Standards and

Telephone Availability

Access

,

Appointment

Standards and Telephone Availability Criteria PCPSpecialistRoutine Office Visits Within 10 days Within 10 DaysRoutine Physical Within 3 weeks N/APreventive Care

Within 3 weeks

N/A

Urgent Care

Within 24 hours

Within 24 hours of referral

Emergency Care

Immediately and/or refer to ER

Immediately upon referral

First Newborn Visit

Within 2 weeks

N/A

Patient with HIV Infection

Within 7 days of enrollment for any member known to be HIV positive unless the member is already in active care with a PCP or specialist regarding HIV status

31

All Lines of BusinessSlide32

Access

,

Appointment Standards and Telephone Availability Criteria

PCP

Specialist

EPSDT

Within 45 days of enrollment unless the member is already under the care of a PCP and the member is current with screenings and immunizations N/ASSI Recipient Within 45 days of enrollment unless the enrollee is already in active care with a PCP/specialist N/AOffice Wait Time 30 minutes, or up to one hour if urgent situation arises 30 minutes, or up to one hour if urgent situation arises

Weekly Office Hours

At least 20 hours per site

At least 20 hours per site

Maximum Appointment

per

Hour

6

N/A

All PCPs

must

be available to members for consultation regarding an emergency

medical condition 24

hours a day, seven days a week

.

32

All Lines of Business

Access, Appointment Standards and

Telephone Availability (continued)Slide33

A

dministrative

Procedures Regarding Patient A

ccess

Guidelines and Procedures

While

maintaining patient confidentiality, the practice should attempt to notify the patient of missed appointments and the need to reschedule. Such attempts are recorded in the patient record. The attempts must include at least one telephonic outreach.The office has procedures for notifying patients of the need for preventive health services, such as various tests, studies, and physical examination as recommended for the appropriate age group. Notifications are recorded in the patient record.33All Lines of BusinessSlide34

Maternity Services

Members

who are confirmed to be pregnant are not subject to limitations on the number of services or copayments. Members are eligible for comprehensive medical, dental, vision and pharmacy coverage with no copayments or visit limits during the term of their pregnancy and until the end of their postpartum

care.

These

services include expanded nutritional counseling and smoking cessation services. However, services not ordinarily covered under a pregnant member’s benefit package are not covered, even while pregnant

.34MedicaidSlide35

Direct Access

Women

are permitted direct access to women’s health specialists for routine and preventive health care services without being required to obtain a referral or prior authorization as a condition to receiving such services. Women’s health specialists include, but are not limited

to gynecologists

or certified nurse midwives.

Pregnant

members and newborns If a new member is pregnant and already receiving care from an out-of-network OB-GYN specialist at the time of enrollment, she may continue to receive services from that specialist throughout the pregnancy and delivery-related postpartum care. This coverage period may also be extended if Health Partners Plans' Medical Director finds that the postpartum care is related to the delivery. 35All Lines of BusinessSlide36

Determination of Abuse or Neglect

Upon notification by the County Children and Youth Agency system, Health Partners Plans must ensure its members receive proper services when under evaluation as possible victims of child abuse and /or neglect and who present for physical examinations for determination or abuse or neglect.

HPP

staff who are designated as mandated reporters, as defined by the Pennsylvania Family Support

Alliance,

must report suspected child abuse to the appropriate authorities.

Section 11 of the HPP Provider Manual stipulates that providers must report abuse, neglect and/or domestic violence.36Slide37

Mental

Health and Substance Abuse Treatment

Under

HealthChoices, all Medical Assistance members, regardless of the health plan/MCO to which they belong, receive mental health and substance abuse treatment through the behavioral health managed care organization (BHMCO) assigned to their county of residence

.

PCPs who identify a Health Partners

(Medicaid) member in need of behavioral health services should direct the member to call his or her county's BHMCO. The BHMCO will conduct an intake assessment and refer the member to the appropriate level of care.37Slide38

Criteria

The Pennsylvania Department of Human Services (DHS) publishes and maintains behavioral health "Medical Necessity Criteria" for the Pennsylvania HealthChoices program.

If

you are interested in learning more about this criteria, visit the HealthChoices Behavioral Health Services Guidelines for Mental Health Medical Necessity Criteria.

38Slide39

Reportable Conditions

All

providers ̶ including

labs, practitioners and facilities ̶

are

required to appropriately report in accordance with 28 PA Code Chapter 27 reported conditions to PA/county/municipal health departments. For complete information about this requirement please refer to Chapter 27 of the PA

Code.Here is the link with details about how and what to report. Access the Health Information Portal to report a disease. Health Information Portalwww.pacode.com/secure/data/028/028toc.html 39All Lines of BusinessSlide40

Infection Control

Mandatory Requirements

Recommended Standards

Infectious

material is separated from other trash and disposed of appropriately

Medical

instruments used on patients are disposable or properly disinfected and/or sterilized after each use Needles and sharps are disposed of directly into rigid, sealed container(s) that cannot be pierced and are properly labeled Standard precautions are reviewed with staff and documented annually The practice site has an OSHA manual Hand washing facilities or antiseptic Hand sanitizers are available in each exam room 40All Lines of BusinessSlide41

Pay-For-Performance Program

Each year, Health Partners Plans develops Pay-for-Performance (P4P) incentives for our providers, based on specific initiatives that improve the health outcomes of our members. While ultimately benefiting our members, these incentives also offer an opportunity to increase revenue to your office

.

We encourage you to become familiar with our pay-for-performance programs and take advantage of every opportunity available to get patients in for appropriate treatment. 

For more detailed information or a copy of the manual outlining the changes and details of the QCP, contact your Network Account Manager or the Provider Helpline @ 1-888-991-9023.

41Slide42

Members with Special Needs

Treating individuals with

disabilities

Our Special Needs Unit (SNU) serves as a link between members, physicians, agencies, community services and Health Partners

Plans.

Case

management activities focus on both long-term and short-term goals that help members who require extra assistance getting care for their illnesses, disabilities, or other special needs to achieve and maintain the maximum benefit from their medical treatment plan. 42Medicaid onlySlide43

Members with Special Needs

Referrals to the SNU are

accepted from all sources including primary care physicians, community and hospital social workers, discharge planners and members themselves. SNU staff is available to help address specific needs of our member population

.

Special needs

sensitivity

For those with hearing disabilities or language barriers, interpreters should be considered as an option to minimize or eliminate any potential miscommunication between provider and patient. 43Medicaid onlySlide44

It is required that all members have access to quality health care and we rely on our providers to ensure that our members have barrier-free access to our quality

network.

Our Special Needs Unit (SNU)

can be reached at 215-

967-4690

for any guidance or assistance in locating interpreter services.

44Members with Special NeedsSlide45

Special HIV/AIDS Services

Case Management

Services.

Any

Health Partners

(Medicaid) member diagnosed

as being HIV infected are eligible for HIV/AIDS case management provided by the Center of Excellence (COE), regardless of whether that member is assigned to the COE for primary care services. To be reimbursed, HIV or AIDS must be a primary or secondary diagnosis for each service.COE is a participating provider or group of providers that offers special medical and social expertise to HIV/AIDS patients and are a recognized provider of coordinated medical and social services to patients with HIV/AIDS and has agreed to provide special services as outlined in their COE agreement.Siblings can also be assigned to these providers as their PCP.45Slide46

Cultural and Linguistic Requirements

and Services

Low English proficiency, also known as

Limited

English

Proficiency

(LEP), affects more than 23 million Americans. Research has found that people with LEP encounter barriers to quality health care and are less likely to see their PCP, seek preventive care or use public health services. They are more likely to seek care in the ER, and receive far fewer services once seen in the ER than English-speaking patients.46All Lines of BusinessSlide47

Providing adequate interpreter and translation services

to

people seeking care is mandated by Federal law

.

These

mandates are found in Title VI of the Civil Rights Act of 1964,

Title I & II of the Americans with Disabilities Act, and PA Code Title 55. Every patient with LEP is entitled to professional interpretation and translation services.For medical appointments, family members should never be used to interpret, nor should untrained office staff who are bilingual.47All Lines of BusinessCultural and Linguistic Requirements and ServicesSlide48

Professional interpretation and translation services are necessary to ensure that patients are provided with quality care that they can understand, question and engage with their doctor.

If you would like information regarding where your staff can receive training to become a certified medical interpreter or information about scheduling interpreter services for your patients, contact our Special Needs Unit at

215-967-4690

.

To schedule to have an interpreter meet one of your patients at the office for an appointment, you can contact Quantum directly at

215-627-5521

.  They have interpreters available 24 hours a day, 7 days a week. www.quantumtranslations.com.48All Lines of BusinessCultural and Linguistic Requirements and ServicesSlide49

Members Rights and Responsibilities

Health Partners

members

have the right to know about their

rights

and

responsibilities. Exercising these rights will not negatively affect the way they are treated by Health Partners Plans, its participating providers or other state agencies. Members have the right to take an active part in decisions about their health care and/or care plan without feeling as though Health Partners Plans or its providers are restraining, secluding or retaliating against them. 49Slide50

Health

Partners

Plans statement of Member Rights

and Responsibilities are provided to our members.

A list is made available to providers. You can find this list located in the Provider Manual.

Member Rights and Responsibilities Section 14

50Members Rights and ResponsibilitiesSlide51

Medical Assistance Provider Self-Audit Protocol / FWA

False Claims Act / Self-Auditing & Reporting

As you know, identifying and reporting

fraud, waste, and abuse

is everyone’s responsibility. HPP takes this very seriously and holds all employees, members and providers accountable for reporting all concerns of fraud, waste and abuse.

Our providers are responsible for auditing themselves and reporting any findings that would have resulted in an overpayment or underpayment to them. You can find self-auditing protocols on the Pennsylvania Department of Public Welfare website at:

www.dhs.state.pa.us/learnaboutdhs/fraudandabuse/medicalassistanceproviderselfauditprotocol/51Slide52

Recipient Restriction Program

Medicaid only

Program Description

The Recipient Restriction is a program of DHS’s Bureau of Program Integrity (BPI), also referred to as “lock-in” program (requirement of DHS).

Participants are

MEDICAID

members only.Identifies patterns of misutilization of benefits.Recipients may be restricted to a physician, a pharmacy, or both (physician and pharmacy) upon BPI approval.52Slide53

Program Goals

Encourage members to efficiently manage their health care needs, obtaining only required services and medications through proper care coordination.

Establish a relationship with both a provider and pharmacy for the best medical management.

Provide safeguards against inappropriate use of Medicaid services under the Medical Assistance (MA) program.

For more information about the Recipient Restriction Program, contact the pharmacy department at, 215 991-4300 or email:

PharmacyRecipientRestriction@hpplans.com

53Slide54

False Claims Act

The False Claims Act is the most important tool U.S. taxpayers have to recover the billions of dollars stolen through fraud by U.S. government contractors, including providers, every year

.

Under the False Claims Act, those who knowingly submit or cause another person or entity to submit false claims for payment of government funds are liable for three times the government’s damages plus civil penalties of $5,500 to $11,000 per false claim.

If you wish to report fraud or suspicious activity, please call the Special Investigation Unit Hotline at

1-866-HP-SIU4U

.54Slide55

Complaints, Grievances and Appeals

When Health Partners Plans denies, decreases, or approves a service or item different than the service or item requested because it is not medically necessary, a written grievance may be filed by the member, member's legal representative, or healthcare provider or other member's representative (with the appropriate written consent of the member) to request that Health Partners Plans reconsider its decision.

For more information on the complaint, grievance and appeal process refer to our

provider manual

or

contact Health Partners Plans at 1- 888-991-9023.55Slide56

Member Information about Fair Hearings

Department

of Human

Services Fair

Hearings

In some cases

members can ask the Department of Human Services to hold a hearing because they are unhappy about or do not agree with something HPP did or did not do. These hearings are called “fair hearings.” Members can ask for a fair hearing at the same time they file a complaint or grievance or can ask for a fair hearing after HPP decides the members first or second level complaint or grievance.For more information, consult the Member Handbook’s “Help With Problems” section.56Slide57

Balance Billing Dual Eligible Members

Medicare / Medicaid

Partially Dual Eligible

members

are responsible for their appropriate cost share amounts, as defined by their benefit package and should be billed accordingly.  

Fully

Dual Eligible members are not directly responsible for their appropriate cost share amounts. These charges are payable by Medicaid Fee-For-Service.57Slide58

Practice Changes

The Network Management

department

must be immediately notified in writing when any of the following occurs

:

Additions

/deletions of providersChange in payee informationChange in hours of operationProvider practice name changeChange in practice ownershipTelephone number changeSite relocationChange in patient age restrictionsTax ID change (must be accompanied by W9)Please send all updates to credentialing@hpplans.com or via fax at 1-215-967-4473.58

All Lines of BusinessSlide59

Plan Contacts and resources

Benefits and

e

ligibility – 24 hour

Helpline

1-888-991-9023, prompt 3

Claims inquires and claims reconsiderations1-888-991-9023, prompt 1 Authorizations – utilization management1-888-991-9023, prompt 2Radiology authorizations, PT/OT/ST and other expanded servicesEviCore 1-888-693-3211 Provider Services Helpline1-888-991-9023, prompt 4ECHO Health – electronic funds transfer and remittance advice1-888-834-3511 59Slide60

Plan Contacts and resources

Provider

Landing

Page

http://www.healthpartnersplans.com/providersProvider Manualhttp://www.healthpartnersplans.com/providers/resources/provider-manualHP (Provider Portal)http://www.healthpartnersplans.com/providers/provider-portalHealth Partners Plans Universityhttp://www.healthpartnersplans.com/providers/resources/hpp-universityProvider Directoryhttp://www.healthpartnersplans.com/providers/resources/provider-directoryOnline Formularyhttp://www.healthpartnersplans.com/providers/resources/formularyECHO Healthhttp://View.echohealthinc.com

60Slide61

In Closing

Thank you

for

your participation in the

Health

Partners

Plans provider network and for your commitment to our members health care needs! Attestation If you reviewed the training materials electronically, please complete the provider attestation by accessing the following link: https://www.healthpartnersplans.com/providers/provider-education-attestationIf the link has been disabled, please copy the URL into your browser. If you requested a paper copy of the training materials, please complete the attestation form sent along with your materials. Fax to Lisa Mallory at 215 967-9249 or email ProviderEducation@hpplans.com 61Slide62

Questions?

62

Thanks for participating!