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Administrative policies
Administrative policies are available for providers delivering care to HealthPartners members.
- Access to Care & Services
- Accessibility to Utilization Mgmt Staff
- Advance Notice of Non-Coverage for Medicare members
- Affirmative Statement Regarding Incentives
- Anesthesia Payment Methodology
- Bundled Invasive Procedures in Ambulatory Surgery Center Settings
- Care Coordination for MSHO/MSC+
- Care Coordination for Special Needs Basic Care (SNBC)
- 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
- Delegation Oversight for Care Coordination
- Diagnostic Imaging Provider Notification Program
- Disease Management
- Do Not Use Abbreviations & Error-prone Abbreviations
- Enrollee Rights - HealthPartners Care
- Essential Community Provider Contracts
- Equity, Inclusion, & Anti-Racism
- Fixed Wing Air or Rotary Wing Air Ambulance Transportation Provider Reimbursement
- GA Modifier on Claim Submissions
- GA, GY, or GZ Modifier on Claim Submissions for Medicare Plans
- Genetic & Molecular Lab Testing
- Hospital Admission Notification Process
- Hospital, SNF, HHA, and CORF Notifications to Medicare Members
- Imaging Accreditation
- In-Network Benefit Requests for Out of Network Providers
- Intensive Obesity Counseling
- Interpreter Services
- Measuring and Reporting Provider Performance
- Medical Records Standards
- Medicare Responsibilities for Providers and HealthPartners(Revised 11-29-2022)
- Medication Therapy Management (MTM) Provider Participation Criteria
- Member Appeals Process for Public Programs
- Member Rights and Responsibilities
- Minnesota Care Tax
- Multiple Procedure Payment Reduction (MPPR) Rules-Facility Claims(Eff 7-1-2022)
- Multiple Procedure Payment Reduction (MPPR) Rules-Professional Claims
- Never Events
- Oncology Care Program Standards
- Patient-Provider Communication
- Pediatric Vision – HP Eyewear Collection
- Personal Care Assistance & Elderly Waiver Provider Requirements
- Pharmaceutical Sampling
- Physician Incentive Plan (PIP) Data and Surveys
- Practitioner Office Site Quality
- Preventing, Detecting & Reporting Fraud, Waste & Abuse
- Prescription Monitoring Program (PMP)
- Prior Notification for Spine Surgical Practice - Low Back Pain Office Visits
- Prior Authorization Review Process for Commercial Products
- Prior Authorization Review Process for Medicare & Medicaid Products
- Privacy Practices for Contracted Network Providers
- Provider Billing and Collection of Member Cost-Sharing for Medicaid Products
- Provider Communications
- Provider-Initiated Clinic Reassignment of Member
- Provider Portal Electronic Data Access
- Quality Case Reviews
- Quality Monitoring of Organizational Providers
- Reimbursement at Observation Level of Care for Specified Diagnoses
- Reimbursement for Services Provided by Pre-licensed Practitioners and Postdoctoral Fellows
- Referral Management: Provider Recommendation for Further Services
- Required Disclosure to Patients of Potential Bills from Providers
- Self-administered Drugs Requiring Claim Submission on the Pharmacy Benefit(Eff 01-01-2023)
- Specialty Pharmacy Network Participation Requirements
- Standing Referral Process
- Telehealth Services(Eff 05-12-2023)
- Total Cost of Care and Patient Management Data Use
- Transition of Care When Benefits End
- Utilization Management Criteria Access
- Workers Compensation Certified Managed Care Plan