Home: Administrative Policies

Administrative Policies Administrative policies are available for providers delivering care to HealthPartners members. Access to Care & Services Anesthesia Payment Methodology CIGNA/HealthPartners Alliance Claim Submission Requirements for Drug Codes (formerly J Code Submission on Claims) Clinical Practice Guidelines Complaint Reporting Continuity of Care Due to Employer Change in Health Plans Continuity of Care Following Termination of a Provider Coordination of Care, Provider Responsibility Credentialing Notifications Diagnostic Imaging Provider Notification Program Disease Management Do Not Use Abbreviations & Error-prone Abbreviations e-Visits Enrollee Rights - HealthPartners Care GA Modifier on Claim Submissions Hospital Admission Notification Process Interpreter Services Medical Records Standards Medicare Responsibilities for Providers and HealthPartners Medication Therapy Management (MTM) Provider Coordination of Care Policy Medication Therapy Management (MTM) Provider Participation Criteria Member Appeals Process for Medicare Products - Primary Care Member Appeals Process for Medicare Products - Specialty Member Appeals Process for Public Programs Member Bill of Rights & Responsibilities for Medicaid Products Member Bill of Rights for Network Services Member Rights and Responsibilities Member Rights and Responsibilities for Medicare Products Minnesota Care Tax Never Events Oncology Care Program Standards Patient-Provider Communication Pharmaceutical Sampling Physician Incentive Plan (PIP) Data and Surveys Practitioner Office Site Quality Preventing, Detecting & Reporting Fraud, Waste & Abuse Prior Authorization Review Process Prior Authorization Review Process for Medicare & Medicaid Products Privacy Practices for Contracted Network Providers Provider-Initiated Clinic Reassignment of Member Provider Portal Electronic Data Access Quality Case Reviews Quality Measurement Quality Monitoring of Organizational Providers Referral Management: Provider Recommendation for Further Services Scheduled Telephone Visit (STV) Pilot Self-administered Drugs Requiring Claim Submission on the Pharmacy Benefit Spine Surgery Prior Authorization for Low Back Pain Office Visits Standing Referral Process Telemedicine Services Transition of Care When Benefits End Transplant Coordination of Care Management Utilization Management Criteria Access