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. Essential Community Provider Contracts
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(Eff 7-1-2021)
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
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. Never Events
42. Oncology Care Program Standards
43. Patient-Provider Communication
44. Pediatric Vision – HP Eyewear Collection
45. Personal Care Assistance & Elderly Waiver Provider Requirements
46. Pharmaceutical Sampling
47. Physician Incentive Plan (PIP) Data and Surveys
48. Practitioner Office Site Quality
49. Preventing, Detecting & Reporting Fraud, Waste & Abuse
50. Prior Notification for Spine Surgical Practice - Low Back Pain Office Visits
51. Prior Authorization Review Process for Commercial Products (Revised 11-30-2020)
52. Prior Authorization Review Process for Medicare & Medicaid Products (Revised 11-30-2020)
53. Privacy Practices for Contracted Network Providers
54. Provider Billing and Collection of Member Cost-Sharing for Medicaid Products
55. Provider Communications
56. Provider-Initiated Clinic Reassignment of Member
57. Provider Portal Electronic Data Access
58. Quality Case Reviews
59. Quality Monitoring of Organizational Providers
60. Referral Management: Provider Recommendation for Further Services
61. Required Disclosure to Patients of Potential Bills from Providers
62. Self-administered Drugs Requiring Claim Submission on the Pharmacy Benefit
63. Standing Referral Process
64. Telehealth Services - Temporary COVID-19 (Revised 12-21-2020)
65. Total Cost of Care and Patient Management Data Use
66. Transition of Care When Benefits End
67. Utilization Management Criteria Access
68. Workers Compensation Certified Managed Care Plan