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. Home Care Bill of Rights–Minnesota Health Care Program
29. Hospital Admission Notification Process
30. Hospital, SNF, HHA, and CORF Notifications to Medicare Members
31. Imaging Accreditation
32. In-Network Benefit Requests for Out of Network Providers
33. Intensive Obesity Counseling
34. Interpreter Services
35. Measuring and Reporting Provider Performance
36. Medical Records Standards
37. Medicare Responsibilities for Providers and HealthPartners
38. Medication Therapy Management (MTM) Provider Participation Criteria
39. Member Appeals Process for Public Programs
40. Member Rights and Responsibilities
41. Minnesota Care Tax
42. Multiple Procedure Payment Reduction (MPPR) Rules-Facility Claims
43. Multiple Procedure Payment Reduction (MPPR) Rules-Professional Claims
44. Never Events
45. Oncology Care Program Standards
46. Patient-Provider Communication
47. Pediatric Vision – HP Eyewear Collection
48. Personal Care Assistance & Elderly Waiver Provider Requirements
49. Pharmaceutical Sampling
50. Physician Incentive Plan (PIP) Data and Surveys
51. Practitioner Office Site Quality
52. Preventing, Detecting & Reporting Fraud, Waste & Abuse
53. Prescription Monitoring Program (PMP)
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. Rare Diseases or Conditions(Eff 01-01-2024)
64. Reimbursement at Observation Level of Care for Specified Diagnoses
65. Reimbursement for Services Provided by Pre-licensed Practitioners and Postdoctoral Fellows
66. Referral Management: Provider Recommendation for Further Services
67. Required Disclosure to Patients of Potential Bills from Providers
68. Self-administered Drugs Requiring Claim Submission on the Pharmacy Benefit
69. Specialty Pharmacy Network Participation Requirements
70. Standing Referral Process
71. Telehealth Services
72. Total Cost of Care and Patient Management Data Use
73. Transition of Care When Benefits End
74. Utilization Management Criteria Access
75. Workers Compensation Certified Managed Care Plan