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Administrative policies

Administrative policies are available for providers delivering care to HealthPartners members.

  1. Access to Care & Services
  2. Access to Doula Services for Pregnant People
  3. Accessibility to Utilization Mgmt Staff
  4. Advance Notice of Non-Coverage for Medicare members
  5. Affirmative Statement Regarding Incentives
  6. Anesthesia Payment Methodology
  7. Bundled Invasive Procedures in Ambulatory Surgery Center Settings
  8. Care Coordination for MSHO/MSC+
  9. Care Coordination for Special Needs Basic Care (SNBC)
  10. CIGNA/HealthPartners Alliance
  11. Claim Submission Requirements for Drug Codes
  12. Clinical Practice Guidelines
  13. Complaint Reporting
  14. Continuity of Care Due to Employer Change in Health Plans
  15. Continuity of Care Following Termination of a Provider
  16. Coordination of Care, Provider Responsibility
  17. Credentialing Notifications
  18. Delegation Oversight for Care Coordination
  19. Diagnostic Imaging Provider Notification Program
  20. Disease Management
  21. Do Not Use Abbreviations & Error-prone Abbreviations
  22. Enrollee Rights - HealthPartners Care
  23. Essential Community Provider Contracts
  24. Equity, Inclusion, & Anti-Racism
  25. Fixed Wing Air or Rotary Wing Air Ambulance Transportation Provider Reimbursement
  26. GA Modifier on Claim Submissions
  27. GA, GY, or GZ Modifier on Claim Submissions for Medicare Plans
  28. Genetic & Molecular Lab Testing
  29. Home Care Bill of Rights–Minnesota Health Care Program
  30. Hospital Admission Notification Process
  31. Hospital, SNF, HHA, and CORF Notifications to Medicare Members
  32. Imaging Accreditation
  33. In-Network Benefit Requests for Out of Network Providers
  34. Intensive Obesity Counseling
  35. Interpreter Services
  36. Measuring and Reporting Provider Performance
  37. Medical Records Standards
  38. Medicare Responsibilities for Providers and HealthPartners
  39. Medication Therapy Management (MTM) Provider Participation Criteria
  40. Member Appeals Process for Public Programs
  41. Member Rights and Responsibilities
  42. Minnesota Care Tax
  43. Multiple Procedure Payment Reduction (MPPR) Rules-Facility Claims
  44. Multiple Procedure Payment Reduction (MPPR) Rules-Professional Claims
  45. Never Events
  46. Oncology Care Program Standards
  47. Patient-Provider Communication
  48. Pediatric Vision – HP Eyewear Collection
  49. Personal Care Assistance & Elderly Waiver Provider Requirements
  50. Pharmaceutical Sampling
  51. Physician Incentive Plan (PIP) Data and Surveys
  52. Practitioner Office Site Quality
  53. Preventing, Detecting & Reporting Fraud, Waste & Abuse
  54. Prescription Monitoring Program (PMP)
  55. Prior Authorization Review Process for Commercial Products
  56. Prior Authorization Review Process for Medicare & Medicaid Products
  57. Privacy Practices for Contracted Network Providers
  58. Provider Billing and Collection of Member Cost-Sharing for Medicaid Products
  59. Provider Communications
  60. Provider-Initiated Clinic Reassignment of Member
  61. Provider Portal Electronic Data Access
  62. Quality Case Reviews
  63. Quality Monitoring of Organizational Providers
  64. Rare Diseases or Conditions
  65. Reimbursement at Observation Level of Care for Specified Diagnoses
  66. Reimbursement for Services Provided by Pre-licensed Practitioners and Postdoctoral Fellows
  67. Referral Management: Provider Recommendation for Further Services
  68. Required Disclosure to Patients of Potential Bills from Providers
  69. Self-administered Drugs Requiring Claim Submission on the Pharmacy Benefit
  70. Specialty Pharmacy Network Participation Requirements
  71. Standing Referral Process
  72. Telehealth Services
  73. Total Cost of Care and Patient Management Data Use
  74. Transition of Care When Benefits End
  75. Utilization Management Criteria Access