Administrative policies

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. Epidural Steroid Injection (ESI) Decision Support Program
  23. GA Modifier on Claim Submissions
  24. GA, GY, or GZ Modifier on Claim Submissions for Medicare Plans
  25. Hospital Admission Notification Process
  26. Hospital, SNF, HHA, and CORF Notifications to Medicare Members
  27. Imaging Accreditation
  28. Intensive Obesity Counseling
  29. Interpreter Services
  30. Measuring and Reporting Provider Performance
  31. Medical Records Standards
  32. Medicare Responsibilities for Providers and HealthPartners
  33. Medication Therapy Management (MTM) Provider Participation Criteria
  34. Member Appeals Process for Public Programs
  35. Member Rights and Responsibilities
  36. Minnesota Care Tax
  37. Never Events
  38. Oncology Care Program Standards
  39. Patient-Provider Communication
  40. Pediatric Vision – HP Eyewear Collection
  41. Personal Care Assistance & Elderly Waiver Provider Requirements
  42. Pharmaceutical Sampling
  43. Physician Incentive Plan (PIP) Data and Surveys
  44. Practitioner Office Site Quality
  45. Preventing, Detecting & Reporting Fraud, Waste & Abuse
  46. Prior Authorization for Spine Surgical Practice - Low Back Pain Office Visits
  47. Prior Authorization for Spine Surgical Practice - Low Back Pain Office Visits Effective 1/1/2019
  48. Prior Authorization Review Process for Commercial Products
  49. Prior Authorization Review Process for Medicare & Medicaid Products
  50. Prior Notification for Non Contracted, Out of Network Ambulatory Surgery Centers
  51. Privacy Practices for Contracted Network Providers
  52. Provider Communications
  53. Provider-Initiated Clinic Reassignment of Member
  54. Provider Portal Electronic Data Access
  55. Quality Case Reviews
  56. Quality Monitoring of Organizational Providers
  57. Referral Management: Provider Recommendation for Further Services
  58. Self-administered Drugs Requiring Claim Submission on the Pharmacy Benefit
  59. Standing Referral Process
  60. Telehealth Services
  61. Telehealth/Telemedicine Services - Minnesota Health Care Programs
  62. Telehealth/Telemedicine Services - North Dakota
  63. Total Cost of Care and Patient Management Data Use
  64. Transition of Care When Benefits End
  65. Utilization Management Criteria Access
  66. Workers Compensation Certified Managed Care Plan