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 Special Needs Basic Care (SNBC)
  8. CIGNA/HealthPartners Alliance
  9. Claim Submission Requirements for Drug Codes (formerly J Code Submission on Claims)
  10. Clinical Practice Guidelines
  11. Complaint Reporting
  12. Continuity of Care Due to Employer Change in Health Plans
  13. Continuity of Care Following Termination of a Provider
  14. Coordination of Care, Provider Responsibility
  15. Credentialing Notifications
  16. Diagnostic Imaging Provider Notification Program
  17. Disease Management
  18. Do Not Use Abbreviations & Error-prone Abbreviations
  19. Enrollee Rights - HealthPartners Care
  20. Epidural Steroid Injection (ESI) Decision Support Program
  21. GA Modifier on Claim Submissions
  22. GA, GY, or GZ Modifier on Claim Submissions for Medicare Plans
  23. Hospital Admission Notification Process
  24. Hospital, SNF, HHA, and CORF Notifications to Medicare Members
  25. Imaging Accreditation
  26. Intensive Obesity Counseling
  27. Interpreter Services
  28. Measuring and Reporting Provider Performance
  29. Medical Records Standards
  30. Medicare Responsibilities for Providers and HealthPartners
  31. Medication Therapy Management (MTM) Provider Participation Criteria
  32. Member Appeals Process for Public Programs
  33. Member Rights and Responsibilities
  34. Minnesota Care Tax
  35. Never Events
  36. Oncology Care Program Standards
  37. Patient-Provider Communication
  38. Pediatric Vision – HP Eyewear Collection
  39. Personal Care Assistance & Elderly Waiver Provider Requirements
  40. Pharmaceutical Sampling
  41. Physician Incentive Plan (PIP) Data and Surveys
  42. Practitioner Office Site Quality
  43. Preventing, Detecting & Reporting Fraud, Waste & Abuse
  44. Prior Authorization for Spine Surgical Practice - Low Back Pain Office Visits
  45. Prior Authorization Review Process for Commercial Products
  46. Prior Authorization Review Process for Medicare & Medicaid Products
  47. Prior Notification for Non Contracted, Out of Network Ambulatory Surgery Centers
  48. Privacy Practices for Contracted Network Providers
  49. Provider Communications
  50. Provider-Initiated Clinic Reassignment of Member
  51. Provider Portal Electronic Data Access
  52. Quality Case Reviews
  53. Quality Monitoring of Organizational Providers
  54. Referral Management: Provider Recommendation for Further Services
  55. Self-administered Drugs Requiring Claim Submission on the Pharmacy Benefit
  56. Standing Referral Process
  57. Telehealth Services
  58. Total Cost of Care and Patient Management Data Use
  59. Transition of Care When Benefits End
  60. Utilization Management Criteria Access
  61. Workers Compensation Certified Managed Care Plan