Administrative policies are available for providers delivering care to HealthPartners members.

1. Access to Care & Services
2. Accessibility to Utilization Mgmt Staff
3. Advance Notice of Non-Coverage for Medicare members
4. Affirmative Statement Regarding Incentives
5. Anesthesia Payment Methodology
6. Bundled Invasive Procedures in Ambulatory Surgery Center Settings
7. Care Coordination for MSHO/MSC+
8. Care Coordination for Special Needs Basic Care (SNBC)
9. CIGNA/HealthPartners Alliance
10. Claim Submission Requirements for Drug Codes (formerly J Code Submission on Claims)
11. Clinical Practice Guidelines
12. Complaint Reporting
13. Continuity of Care Due to Employer Change in Health Plans
14. Continuity of Care Following Termination of a Provider
15. Coordination of Care, Provider Responsibility
16. Credentialing Notifications
17. Delegation Oversight for Care Coordination
18. Diagnostic Imaging Provider Notification Program
19. Disease Management
20. Do Not Use Abbreviations & Error-prone Abbreviations
21. Enrollee Rights - HealthPartners Care
22. Essential Community Provider Contracts
23. Equity, Inclusion, & Anti-Racism
24. Fixed Wing Air or Rotary Wing Air Ambulance Transportation Provider Reimbursement
25. GA Modifier on Claim Submissions
26. GA, GY, or GZ Modifier on Claim Submissions for Medicare Plans
27. Genetic & Molecular Lab Testing
28. Hospital Admission Notification Process
29. Hospital, SNF, HHA, and CORF Notifications to Medicare Members
30. Imaging Accreditation
31. In-Network Benefit Requests for Out of Network Providers
32. Intensive Obesity Counseling
33. Interpreter Services
34. Measuring and Reporting Provider Performance
35. Medical Records Standards
36. Medicare Responsibilities for Providers and HealthPartners(Revised 11-29-2022)
37. Medication Therapy Management (MTM) Provider Participation Criteria
38. Member Appeals Process for Public Programs
39. Member Rights and Responsibilities
40. Minnesota Care Tax
41. Multiple Procedure Payment Reduction (MPPR) Rules-Facility Claims(Eff 7-1-2022)
42. Multiple Procedure Payment Reduction (MPPR) Rules-Professional Claims
43. Never Events
44. Oncology Care Program Standards
45. Patient-Provider Communication
46. Pediatric Vision – HP Eyewear Collection
47. Personal Care Assistance & Elderly Waiver Provider Requirements
48. Pharmaceutical Sampling
49. Physician Incentive Plan (PIP) Data and Surveys
50. Practitioner Office Site Quality
51. Preventing, Detecting & Reporting Fraud, Waste & Abuse
52. Prescription Monitoring Program (PMP)
53. Prior Notification for Spine Surgical Practice - Low Back Pain Office Visits
54. Prior Authorization Review Process for Commercial Products
55. Prior Authorization Review Process for Medicare & Medicaid Products
56. Privacy Practices for Contracted Network Providers
57. Provider Billing and Collection of Member Cost-Sharing for Medicaid Products
58. Provider Communications
59. Provider-Initiated Clinic Reassignment of Member
60. Provider Portal Electronic Data Access
61. Quality Case Reviews
62. Quality Monitoring of Organizational Providers
63. Reimbursement at Observation Level of Care for Specified Diagnoses
64. Reimbursement for Services Provided by Pre-licensed Practitioners and Postdoctoral Fellows
65. Referral Management: Provider Recommendation for Further Services
66. Required Disclosure to Patients of Potential Bills from Providers
67. Self-administered Drugs Requiring Claim Submission on the Pharmacy Benefit(Eff 01-01-2023)
68. Specialty Pharmacy Network Participation Requirements
69. Standing Referral Process
70. Telehealth Services(Eff 05-12-2023)
71. Total Cost of Care and Patient Management Data Use
72. Transition of Care When Benefits End
73. Utilization Management Criteria Access
74. Workers Compensation Certified Managed Care Plan