Provider Communications
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2024
New CPT® Codes Requiring Prior Authorization Effective May 15 (4/15/2024)
Recent Code Changes for Johns Hopkins Health Plans (4/15/2024)
New Claims Payments/Remittance Providers for Advantage MD and USFHP (4/12/2024)
New Reimbursement Policies Effective June 10 (4/10/2024)
Authorization Process for Mt. Washington Pediatric Hospital (3/28/2024)
Webinar: Johns Hopkins Health Plans Provider Orientation & Plan Updates (3/25/2024)
New Issue of Provider Pulse Now Available (3/19/2024)
Corrected Process for Maryland Prenatal Risk Assessment (MPRA) Forms (3/8/2024)
Update to the Johns Hopkins Health Plans Peer-to-Peer Process (3/5/2024)
New Preferred Med List and Prior Authorization Process for Priority Partners (3/1/2024)
Change Healthcare Incident (2/29/2024)
New CPT® Codes Requiring Prior Authorization for Advantage MD (2/29/2024)
JHU Retirees No Longer Enrolled in EHP Effective April 1 (2/29/2024)
Changes to the Low Back Pain Policy for USFHP (2/27/2024)
Reminder to Update Provider Demographic Information (2/27/2024)
Breast Reduction Surgery Added to Site of Service Policy Effective April 1 (2/22/2024)
Prior Authorization Requirements For Certain Medications Effective April 1 (2/22/2024)
CORRECTION: Prior Authorization Change for Prenatal Screening for USFHP (2/20/2024)
Medical Policy Updates Effective April 1 (2/20/2024)
2024 Behavioral Health Services Requirements and Audit Process for USFHP (2/12/2024)
New CPT® Codes Requiring Prior Authorization Effective March 6 (2/6/2024)
New Prior Authorization Requirements For Certain Medications Effective April 1 (2/5/2024)
Prior Authorization Changes Effective Mar. 15 (2/1/2024)
Prior Authorization Changes for Specific Prenatal Screening for USFHP (1/30/2024)
Prior Authorization Changes for Selected Codes (1/30/2024)
Recent Code Changes for Johns Hopkins US Family Health Plan (1/9/2024)
New CPT® Codes Requiring Prior Authorization Effective Feb. 19 (1/19/2024)
Postponed: Anesthesia Reimbursement Policy (1/18/2024)
Zoom Webinars: Advantage MD D-SNP Provider Training (1/11/2024)
Medical Policy Updates Effective Feb. 1 (1/4/2024)
2023
Medical Policy Updates Effective Jan. 1, 2024 (12/21/2023)
New Program for Specialty Medications, PrudentRx (12/21/2023)
New Reimbursement Policies Effective Feb. 1, 2024 (12/19/2023)
Zoom Webinar: What's in Store in 2024 for Johns Hopkins Health Plans (12/8/2023)
Reminder to Update Demographic Information (12/6/2023)
Manual BP Monitors Not Covered for USFHP Effective Dec. 11, 2023 (12/6/2023)
Reminder: Accepted Addresses for Remitting Overpayments (12/5/2023)
New CPT® Codes Requiring Prior Authorization Effective Jan. 1, 2024 (11/30/2023)
Changes to Prior Authorization Requirements Effective Jan. 10, 2024 (11/28/2023)
New and Revised Reimbursement Policies Effective Dec. 30, 2023 (11/14/2023)
Changes to Prior Authorization for Selected Codes Effective Dec. 15, 2023 (11/14/2023)
Additional Availity Provider Training Date Added: Nov. 28 (11/13/2023)
UpLift Virtual Behavioral Health Practice Added to Provider Network (11/7/2023)
Johns Hopkins University No Longer Enrolled in EHP Effective Dec. 31 (11/3/2023)
Prior Authorization Changes for Advantage MD (11/2/2023)
Changes for Selected Hospice Codes for USFHP Effective Nov. 15 (10/17/2023)
New Streamlined Process for Submitting MPRA Forms to Priority Partners (10/16/2023)
Availity Essentials: New Provider Training Date Added (10/16/2023)
Medical Policy Updates Effective Nov. 1, 2023 (10/13/12023)
New Issue of Provider Pulse Now Available (10/6/2023)
Availity Essentials, Launches October 21: Provider Training Information (10/3/2023)
New Hearing Aid Discount Available to US Family Health Plan Members (10/2/2023)
Availity Essentials, New Multi-Payer Portal, Launches October 21 (9/28/2023)
New Prior Authorization Requirements For Certain Medications Effective Nov. 1 (9/26/2023)
New and Revised Reimbursement Policies Effective Nov. 20, 2023 (9/20/2023)
Johns Hopkins Health Plans New Psychotherapy Reimbursement Policy (9/19/2023)
Changes to Prior Authorization Requirements Effective Oct. 14, 2023 (8/31/2023)
Prior Authorization Requirements For Certain Medications Effective Oct. 1 (8/31/2023)
Updated Skilled Nursing Facilities Authorization Process for USFHP (8/29/2023)
New Multi-Payer Portal, Availity, Launching Oct. 21 (08/28/2023)
Durable Medical Equipment (DME) Provider Search Procedures (8/22/2023)
Johns Hopkins Health Plans Retired Reimbursement Policies (8/21/2023)
New Requirements for Adalimumab Products for Priority Partners (8/17/2023)
New and Updated Reimbursement Policies Effective Sept. 15, 2023 (8/15/2023)
Healthy Babies Equity Act Effective for Non-citizen Pregnant Marylanders (8/8/2023)
Enhanced Reimbursement for Priority Partners Maternal Health Providers (8/3/2023)
Upgrade to JPAL Prior Authorization Tool For Advantage MD (7/30/2023)
Procedure Codes Removed from Prior Authorization Effective Sept. 1, 2023 (7/25/2023)
Medical Policy Updates Effective August 21 (07/25/2023)
Updated Priority Partners Processes Post PHE (7/24/2023)
New Anxiety Screening Recommendations (7/10/2023)
Site-of-Service Policy Updates for Priority Partners and USFHP (7/10/2023)
Johns Hopkins HealthCare Becomes Johns Hopkins Health Plans (7/7/2023)
Post-PHE Changes for EHP Effective July 10, 2023 (7/7/2023)
Balance Transfers from MC400 to Facets (7/6/2023)
Recent Changes to COVID-19 Coverage for USFHP (6/29/2023)
Medical Policy Updates Effective August 1 (6/29/2023)
Student Health Program No Longer Enrolled in EHP Effective July 1 (6/20/2023)
New Codes Requiring Prior Authorization for Advantage MD and USFHP (6/15/2023)
Provider Pulse Spring Issue Now Available (6/12/2023)
Revised UM Hours for After-Hours and Urgent Authorizations (6/8/2023)
Selected DME Codes Removed from Prior Authorization Requirement (6/8/2023)
New Prior Authorization Requirements for Certain Medications (5/31/2023)
Post-PHE Reminder Regarding Peer-to-Peer Review Timeframes (5/12/23)
Removal of Selected Procedure Codes from Prior Authorization Requirement (5/9/2023)
Advantage MD D-SNP Annual Training Reminder (5/8/2023)
New Venipuncture Reimbursement Policy (5/4/2023)
Changes to the Gender Affirming Treatment Policy for EHP (5/1/2023)
Select PT/OT Codes Removed from Prior Authorization Requirement for EHP (5/1/2023)
Reimbursement for Remote Patient Monitoring for Priority Partners (4/20/2023)
Transition After Termination of COVID-19 Public Health Emergency for USFHP (4/17/2023)
Redetermination for Priority Partners Members (4/10/2023)
Upgrade to JPAL Prior Authorization Tool (4/3/2023)
New Prior Authorization for Certain Provider-Administered Medications (3/31/2023)
Medical Policy Updates Effective May 1 (3/31/2023)
Site-of-Service Medical Policy Updates for Priority Partners and USFHP (3/31/2023)
Requesting Prior Authorization for Wound Care from eviCore (3/16/2023)
Winter Edition of Provider Pulse Now Available (3/16/2023)
New Prior Authorization Requirements for Advantage MD and USFHP (3/9/2023)
New Prior Authorization for Certain Medications for EHP Effective Apr. 1 (2/27/2023)
Updates to eviCore Lab Procedure Codes for Priority Partners (02/17/2023)
Advantage MD D-SNP Annual Provider Training (2/16/2023)
New EviCore Program for Orthopedic Pain Management (2/9/2023)
New CPT® Codes Requiring Prior Authorization for Priority Partners (2/9/2023)
EHP Behavioral Health Claims Payments (2/3/2023)
Reminder: Use Updated Priority Partners Forms (2/2/2023)
Changes to Dismissals and Withdrawals for Advantage MD (1/30/23)
Reminder to Update Provider Demographic Information (1/26/2023)
New CPT® Codes for Advantage MD Requiring Prior Authorization Effective Feb. 20, 2023 (1/20/2023)
New Design for JHHC.com Provider Website (1/18/2023)
New CPT® and HCPCS Codes for USFHP Requiring Prior Authorization Effective Feb. 13 (01/12/2023)
New Prior Authorization for Certain Medications for Priority Partners Effective Mar. 1 (01/12/2023)
Required Provider Education for Advantage D-SNP (01/09/2023)
2022
New Home Care Prior Authorization Form (12/29/2022)
Medical Policy Updates Effective Feb. 1, 2023 (12/29/2022)
Quarterly New Codes Review Requiring Prior Authorization for Advantage MD Effective Feb. 1, 2023 (12/22/2022)
Facets Migration for EHP and ElderPlus Reminder (12/01/2022)
Provider Pulse Fall Issue Now Available (11/28/2022)
Reminder: Facets Go Live Date for EHP and ElderPlus Is Dec. 1, 2022 (11/28/2022)
2023 Prior Authorization Requirements For Certain Provider-Administered Medications (11/23/2022)
Priority Partners: Dental Benefits to Extend to Adults (11/22/2022)
Reminder: Authorization Requirements for PhysicalTherapy and Occupational Therapy through eviCore (11/03/2022)
Contraceptive Services Added for USFHP (10/14/2022)
Quarterly New Code Review Requiring Prior Authorization for Advantage MD (10/06/2022)
Use Updated Priority Partners Forms for Newborn Notification and Provider Changes to Ensure Timely Processing of Claims in Facets System (10/06/2022)
Important Notice Regarding eviCore Musculoskeletal Therapies Program (09/26/2022)
New Address for Remitting Overpayments for Johns Hopkins Advantage MD Claims (09/26/2022)
Important Facets Information for Priority Partners, EHP and Johns Hopkins ElderPlus Providers (09/26/2022)
Medical Policy Updates Effective Nov. 1, 2022 (09/15/2022)
New CPT Codes Requiring Prior Authorization Effective Oct. 6, 2022 (09/07/2022)
Optum CES Outpatient Code Editor (OCE) Edits (09/01/2022)
Payment Integrity Updates to Provider Manuals (08/31/2022)
Provider Pulse Summer Issue Now Available (08/30/2022)
Mandatory Provider Education for Advantage MD D-SNP (08/25/2022)
Changes to Telemedicine Services for USFHP Members (08/19/2022)
Facets, Optum CES and PNC Conversion-Go Live Date for Priority Partners, EHP and ElderPlus and Facets Migration: Important Information (08/16/2022)
Reminder: eviCore Laboratory Management Program for Johns Hopkins Advantage MD (08/12/2022)
Reminder: Expansion of JHHC-eviCore Partnership for Musculoskeletal and Post-Acute Care Programs (08/05/2022)
New UM Phone Number for After-Hours and Urgent Authorizations (08/01/2022)
Additional CPT Codes Requiring Prior Authorization Effective September 1, 2022 for USFHP (08/01/2022)
New Prior Authorization Requirements for Certain Provider-Administered Medications (07/28/2022)
Reminder: Review Your NPI Data in the National Plan & Provider Enumeration System (NPPES) (07/28/2022)
Facets, Optum CES and PNC Conversion: New Go Live Date (07/21/2022)
EHP Benefits Changes Effective July 1, 2022 (07/14/2022)
eviCore Laboratory Management Program for Johns Hopkins Advantage MD — New Effective Date (07/14/2022)
Expansion of JHHC-eviCore Partnership for Musculoskeletal and Post-Acute Care Programs (07/08/2022)
Correction: Colorectal Cancer Screening Expansion to Age 45 (06/30/2022)
Reminder to Update Provider Demographic Information (06/24/2022)
New Prior Authorization Requirements For Certain Provider-Administered Medications (06/23/2022)
Medical Policy Updates Effective Aug. 1, 2022 (06/23/2022)
JHHC Now Using InterQual® 2022 (06/17/2022)
Dexcom G6® and Freestyle Libre 2® Now Available Through Walgreens Pharmacies (06/13/2022)
New CPT Codes Requiring Prior Authorization Effective July 15, 2022 (06/13/2022)
eviCore Laboratory Management Program For Johns Hopkins Advantage MD (06/10/2022)
JHHC Converting to New Claims System (06/10/2022)
Clarification Vision Codes Requiring Prior Authorization Beginning June 15 (06/09/2022)
Provider Pulse Spring Issue Now Available (06/09/2022)
Members to Receive Home Testing Kits (06/06/2022)
Gender Affirming Procedures and Treatment Medical Policy (06/01/2022)
Colorectal Cancer Screening Expanded to Age 45 (06/01/20220)
Reminder: New Claims Editing System to Launch July 1 (05/26/2022)
JHHC Reimbursement Policy Update: Telehealth/Telemedicine (05/26/2022)
Clarification Regarding Maternity and Newborn Notification Process (05/24/2022)
Vision Codes Requiring Prior Authorization Beginning June 15 (05/13/2022)
Site-of Service Policy Update Effective June 15, 2022 (05/12/2022)
Additional Prior Authorization Requirements Added to eviCore Partnership (05/12/2022)
New Digital Version of Provider Information Update Form (05/05/2022)
JHHC Converting to New Claims System (05/02/2022)
New Health Care Performance and Quality Resource Center on the JHHC Provider Website (04/29/2022)
New Preauthorization Requirements For Certain Provider-Administered Medications (04/22/20220)
Medical Records Request for HEDIS® Measurement Year 2021 (04/20/2022)
Revised Go-Live Dates for Switch to PNC Healthcare for Provider Claims and Payments/Remittance Services (04/14/2022)
New Claims Editing System to Launch July 1 (04/18/2022)
CPT Code 17380 (Laser Hair Removal and Electrolysis) Now Covered For USFHP Members (04/14/2022)
JHHC Announces Transition to New Claims Processing Platform (04/11/2022)
EHP and Priority Partners to Partner with ProgenyHealth 30-Day Reminder (04/04/2022)
EHP and Priority Partners to Partner with ProgenyHealth 30-Day Reminder- Facilities (04/04/2022)
Provider Education Sessions: JHHC-ProgenyHealth Partnership (03/29/2022)
Medical Policy Updates Effective May 2, 2022 (03/28/2022)
Johns Hopkins OnDemand Virtual Care Expands to Priority Partners Members (03/24/2022)
Correction: Use of Long COVID-19 Code (03/22/2022)
Reminder: Use of Long COVID-19 Code (03/21/2022)
Changes to Place of Service Codes for Telehealth Services (03/21/2022)
JHHC Provider Orientation & Plan Updates (Zoom Webinar) (03/18/2022)
Provider Pulse Winter Issue Now Available (03/15/2022)
EHP and Priority Partners to Partner with ProgenyHealth-Facilities (03/04/2022)
EHP and Priority Partners to Partner with ProgenyHealth (03/04/2022)
New CPT Codes Requiring Prior Authorization Effective April 1, 2022 (02/28/2022)
Important Provider Office Resources (02/24/2022)
New Address and Fax Number for Advantage MD Non-Participating Providers Appeal Requests (02/15/2022)
Updated Guidance on the Use of Misoprostol for Priority Partners (02/15/2022)
Federal Transparency in Coverage Rules Now in Effect for Johns Hopkins Employer Health Programs (EHP) (02/10/2022)
Quantity Limits for Nebulizers Go Into Effect March 1, 2022 for EHP, Priority Partners and USFHP (02/01/2022)
Reminder: Please Use Correct Addresses for Remitting Overpayments for Priority Partners, EHP and USFHP Claims (01/27/2022)
Redetermination Campaign Now Underway for Priority Partners Members: COVID-19 Public Health Emergency (PHE) Extension Ends 4-30-22 (01/20/2022)
Temporary Revisions of Utilization Management Policies in Response to COVID-19 Surge (01/12/2022)
Reminder of Expedited Skilled Nursing Facilities (SNF) Authorization Process and Dedicated Fax Line to Facilitate Authorization Requests for Post-acute Levels of Care (01/05/2022)
Reminder: Updated COVID-19 Testing Benefit Information for USFHP Members (01/03/2022)
2021
COVID-19 Reimbursement Policy Update (12/30/2021)
New Prior Authorization Requirements For Continuous Glucose Monitor (CGM) Devices (12/29/2021)
Medical Policy Updates Effective Feb. 1, 2022 (12/27/2021)
Zoom Webinar: Johns Hopkins Advantage MD D-SNP (HMO) Provider Training (12/27/2021)
Priority Partners Member Incentive for Completing COVID-19 Vaccination (12/21/2021)
New CPT Codes Requiring Prior Authorization Effective January 15, 2022 (12/13/2021)
Provider Pulse Fall Issue Now Available (12/02/2021)
Priority Partners No Longer Reimbursing HCPCS Code U0005 Effective January 1, 2022 (12/02/2021)
Updated Reimbursement Guidance for CPT Code 99072 For EHP and USFHP effective Jan. 1, 2022 (12/02/2021)
New Prior Authorization Requirements For Certain Provider-Administered Medications (12/01/2021)
eviCore healthcare Adds New Codes for Prior Authorization Effective January 1, 2022 (12/01/2021)
Priority Partners: Continuous Glucose Monitor (CGM) Devices Available through Pharmacies Starting December 1 (11/30/2021)
Zoom Webinar: What’s New for 2022 At Johns Hopkins HealthCare (11/29/2021)
Zoom Webinar: Johns Hopkins Advantage MD D-SNP (HMO) Provider Training (11/12/2021)
Zoom Webinar: Johns Hopkins Advantage MD D-SNP (HMO) Provider Training (11/9/2021)
Guidance on the Continuation of Telehealth For Priority Partners Therapy Services (11/4/2021)
30-Day Reminder: eviCore Laboratory Management Program Effective for Priority Partners Dec. 1, 2021 (10/28/2021)
Post-Acute and Ambulance Authorization Fax Line for Acute Inpatient Facility Transfer to Post-Acute Levels of Care (10/18/2021)
eviCore Laboratory Management Program Effective for Priority Partners December 1, 2021 (10/06/2021)
USFHP Low Back Pain Imaging Policy-Post Service Claim Review (10/01/2021)
Service Area Changes for Johns Hopkins Advantage MD in 2022 (09/27/2021)
Correction: Additional CPT Codes Requiring Preauthorization Effective October 20, 2021 (09/21/2021)
Medical Policy Updates Effective November 1, 2021 (09/28/2021)
Applied Behavioral Analysis (ABA) Code 97156 is No Longer Covered as a Telehealth Visit for USFHP Members during COVID-19 Public Health Emergency (08/30/2021)
New CPT Codes Requiring Preauthorization Effective Oct. 1 (08/19/2021)
IMPORTANT: Go-Live Date for Switch to PNC Healthcare for Provider Claims, Payments/Remittance Services for EHP and Priority Partners Moved to Fall 2021 (08/19/2021)
Provider Pulse Summer Issue Now Available (08/9/2021)
Priority Partners Providers: Please Complete Needs Assessment for MDH’s Maternal Opioid Misuse (MOM) Program (08/05/2021)
New CPT Codes Requiring Preauthorization Effective Sept. 1 (07/30/2021)
Reminder: Updated Addresses for Remitting Overpayments For Claims Related to Priority Partners, EHP and USFHP (07/30/2021)
JHHC Reimbursement Policy Update: Physician Assistant (07/12/2021)
Reminder: Use ICD-10 Codes to Identify Social Determinants of Health (07/08/2021)
New CPT Codes Requiring Preauthorization Effective August 2, 2021 (07/01/2021)
Provider-Administered Medication Policy Updates Effective on or after July 1, 2021 (06/29/2021)
AAMC Employees No Longer Enrolled In Johns Hopkins EHP Effective July 1 (06/17/2021)
Medical Policy Updates Effective August 2, 2021 (06/17/2021)
PNC Healthcare to Provide Claims Payments/Remittance Services for EHP and Priority Partners (06/15/2021)
Reminder: JHHC and CVS Health-NovoLogix Partnership for Preauthorization of Medical Injectables Goes Into Effect In July (06/11/2021)
Johns Hopkins OnDemand Virtual Care Now Available for USFHP Members (6/4/2021)
New Site-of-Service Preauthorization Requirements (6/3/2021)
Provider Pulse Spring Issue Now Available (5/28/2021)
Emergency Reimbursement Policy Set for Covid-19 Diagnostic Testing, Treatment and Vaccination (4/1/2021)
New Prior Authorization Requirement for Johns Hopkins US Family Health Plan (05/19/2021)
Additional Security Measures for HealthLINK Access (05/13/2021)
JHHC Reimbursement Policy Update: Supply Codes (05/3/2021)
Additional Information on the JHHC and CVS Health-NovoLogix Partnership for Preauthorization of Medical Injectables (04/30/2021)
JHHC Reimbursement Policy Update (04/22/2021)
JHHC Announces New Partnership with CVS-NovoLogix for Preauthorization of Medical Injectables (04/15/2021)
New 2021 CPT Codes Requiring Preauthorization (04/15/2021)
Updated Addresses for Remitting Overpayments for Claims Related to Priority Partners, EHP and USFHP (04/01/2021)
Electronic Prior Authorization Request Option Now Available for Priority Partners (04/01/2021)
Additional Place of Service Codes Allowed For USFHP Telemedicine Visits (03/25/2021)
Medical Policy Updates Effective May 3, 2021 (03/25/2021)
New Seven-Day Supply Limit for Opioid-Naïve Priority Partners Members (03/22/2021)
COVID-19 Vaccination Registration through ImmuNet, Maryland’s Immunization Information System, Now Open to Providers (03/15/2021)
Updates to Site-of-Service Preauthorization Requirements (03/08/2021)
Provider Pulse Winter Issue Now Available (03/12/2021)
Update to USFHP Low Back Pain Imaging Policy (3/4/2021)
Clarification for Prior Authorization For Certain Provider-Administered Medications (03/01/2021)
Important Message About USFHP Fax Numbers (02/25/2021)
New Codes Added for Preauthorization for High Tech Radiology and Cardiology Advanced Imaging Services (02/22/2021)
ICD-10 Codes to Identify Social Determinants of Health (02/11/2021)
Extension of Coverage and Prior Authorization Requirements For Certain Provider-Administered Medications (02/01/2021)
New Prior Authorization Requirements For Certain Provider-Administered Medications (02/01/2021)
Provider-Administered Medications Prior Authorization Clarification (01/29/2021)
Provider Appeal Submission Form Now on HealthLINK (01/21/2021)
New Utilization Management Fax Numbers for USFHP (01/18/2021)
Zoom Webinar: JHHC 2021 Plan Changes (01/14/2021)
Introducing Johns Hopkins OnDemand Virtual Care (01/07/2021)
2020
Medical Policy Updates Effective February 1, 2021
Cigna PPO to Provide National Network for Johns Hopkins EHP
Updated Functionality for JHHC’s HealthLINK Portal
Zoom Webinar: JHHC 2021 Plan Changes
JHHC Partnership with eviCore healthcare Begins Jan. 1
Provider Pulse Fall Issue Now Available
New Urgent OP Fax Number
Mandatory Training Sessions for Advantage MD and Priority Partners Providers - JHHC’s New Prior Authorization Process for High Tech Radiology and Cardiology Advanced Imaging
JHHC Partners with eviCore healthcare for Prior Authorization of High Tech Radiology and Cardiology Advanced Imaging Services
Site-of Service Preauthorization Requirements Update
COVID-19 Update 10/09/2020
Johns Hopkins US Family Health Plan (USFHP) No Longer Paying Ancillary Fees for Services Provided on Denied Inpatient Days
Weekend and Holiday Authorization Requests For Transfers to SNFs
JHHC Reimbursement Policy Update
Medical Policy Updates Effective November 2, 2020
CLARIFICATION on Update Regarding Peer-to-Peer Review Timeframes for Inpatient and Outpatient Cases
Provider Pulse Summer Issue Now Available
New Fax Line for Initial Inpatient Requests to Utilization Management for EHP, Priority Partners and USFHP
Update to Peer-to-Peer Review Process
Clarification of Preservice Appeals Process for Priority Partners
Provider Payment Dispute Form Now Available on HealthLINK
JHHC Reimbursement Policy Updates
Medical Policy Updates Effective August 3
Support Governor Hogan’s COVID-19 Testing Goals
EHP, Priority Partners, and US Family Health Plan Now Require Prior Authorization for Certain Provider-Administered Medications
Priority Partners to Deny Claims to Providers Not Enrolled in ePREP
Notification of Outpatient Code Editor (OCE) Edits Reimbursement Policy
COVID-19 Update 06/09/2020
COVID-19 Update 06/04/2020
Spring 2020 Provider Pulse Newsletter
Preauthorization Required for Selected Medical Injectables for USFHP Members
COVID-19 Update 05/26/2020
COVID-19 Update 05/19/2020
COVID-19 Update 05/14/2020
COVID-19 Update 05/07/2020
Introducing Johns Hopkins Prior Authorization Lookup Tool (JPAL): New Provider Resource for Outpatient Preauthorization Requirements
COVID-19 Update 04/30/2020
COVID-19 Update 04/16/2020
COVID-19 Update 04/14/2020
COVID-19 Update 04/09/2020
COVID-19 Update 04/07/2020
COVID-19 Update 04/02/2020
Johns Hopkins HealthCare Updates
COVID-19 Update 03/26/2020
UPDATE: Coverage for COVID-19 Testing and Treatment, Expansion of Telemedicine
Winter 2020 Provider Pulse Newsletter
Coverage Updates for Coronavirus Testing and Treatment
Extension of Prior Authorization Requirements for Certain Provider-Administered Medications for Priority Partners
New Diabetes Prevention & Management Programs
Preauthorization Required for Selected Medical Injectables for USFHP Members
Outpatient Referral and Preauthorization Guidelines Update
2019
Medical Policy Updates Effective February 3
New Diabetes Prevention & Management Programs for Johns Hopkins Advantage MD Members
Expedited Authorization for Transfer from an Acute Inpatient Facility to a Skilled Nursing Facility (SNF) for Priority Partners, Johns Hopkins Employer Health Program, and Johns Hopkins US Family Health Plan Members
Frequently Asked Questions Regarding Authorization Requests from an Acute Inpatient Facility to a Participating Skilled Nursing Facility (SNF) for All JHHC Plans
Provider Pulse Fall 2019 Newsletter
USFHP Updates
Updates to Prior Authorization Requirements for Provider-Administered Medications (Priority Partners)
New Programs to Help Manage and Prevent Diabetes
Advantage MD Pharmacy Network Change for 2020
JHHC to Begin Text Messaging to Reach Advantage MD Members
Advantage MD Product Changes for Montgomery County
JHHC Reimbursement Policy Update
Laboratory Developed Tests (LDT) Codes Preauthorization Update for USFHP?
Recent CPT Code Changes
Provider Outreach and Education Summit? - Postponed
Newsletter and Plan Updates
Updates to Prior Authorization Requirements for Provider Administered Medications (Priority Partners)
Automatic Authorization from an Acute Inpatient Facility To a Skilled Nursing Facility (SNF) for Advantage MD Members
Preauthorization is No Longer Required for Observation?
Provider Outreach and Education Summit?
New Diabetes Prevention Program for Priority Partners
JHHC Reimbursement Policy Updates
Medical Policy Updates Effective September 3
HealthLINK Restyle to Improve Information Access
Provider Pulse Spring 2019 Newsletter
Outpatient Referral and Preauthorization Guidelines Update ?
Extension of Prior Authorization Requirements for Certain Provider-Administered Medications for Priority Partners
Medical Policy Updates Effective July 1
Recommendations for Vaccines in Light of Measles Outbreaks in the U.S.
Advantage MD Primary Care Provider Change Form?
Updates to Breast Pump Device Policies for USFHP Members
JHHC Reimbursement Policy Updates?
Introducing New Preauthorization Request Forms?
Updates to Payment Dispute Forms?
Outpatient Referral and Preauthorization Guideline Update
Provider Pulse Winter 2019 Newsletter
Priority Partners Now Requires Preauthorization for Certain Provider-Administered Medications
Site of Service Change for Sleep Study Services for Priority Partners and Johns Hopkins USFHP Members
2019 Preauthorization Updates
2019 EHP ID Cards Printing Error
2018
Outpatient Referral and Preauthorization Guideline Update
HealthLINK Down for Scheduled Maintenance Weekend of December 14-16
Medical Policies Update for 11.30.18
Priority Partners - Prior Authorization for Certain Provider-Administered Medications
New Form for Submission of Post-Service Payment Disputes for Johns Hopkins Advantage MD Participating Providers
Provider Pulse Fall 2018 Newsletter?
Johns Hopkins Advantage MD Whole Health Assessment (WHA) Form Goes Digital
Outpatient Referral and Preauthorization Guidelines Update
2019 EHP Changes
Priority Partners and USFHP Site of Service Change for ENT Services
Updated Process for Eligibility Status of Priority Partners Members
Prior Authorization Now Required for Certain Radiology Services
Medical Policies Update for 8.31.18
Utilization Management Process Change: Discontinuation of Bed Logs
Upgrades to Remittance Advice Report
New Provider Forms for Submission of Payment Disputes and Clinical/Medical Necessity Denial Review Requests
Outpatient Referral & Preauthorization Guidelines August Update
Updated and Expanded Priority Partners Provider Manual Available August 1
Referral and Authorization Requests Not Accepted in HealthLink July 17, 2018
Procedures in Ambulatory Surgery Centers Prior Authorization Initiative
New Priority Partners: Audiology Services for Children and Adults July 1, 2018
Changes to Maryland Contraceptive Equity Act Take Effect July 1, 2018
USFHP Pharmacy Network Change
USFHP Autism Care Demonstration
Medical Policies Update for 5.31.18
Outpatient Referral and Preauthorization Guidelines Update
Inpatient Referral Fax Numbers
Ophthalmology Outpatient Prior Authorization Initiative
Clear Claim Connection™ Fax and Email
Medical Policies Update for 4.16.1
Priority Partners $50 Postpartum Visit Reimbursement
Advantage MD Inpatient Concurrent Review Policy Update
USFHP New Pharmacy Fax Number
Prenatal Obstetrical Ultrasound Policy Clarifications
MRI of the Cervical and Lumbar Spine Prior Authorization Initiative
Cost Shares for USFHP Members
2017
Advantage MD Member Initiatives Notification
Advantage MD Pre-authorization Update
Ambulatory Surgery Centers Prior Authorization Initiative
DME Rent to Own Reimbursement Policy Update
Gastroenterology Outpatient Prior Authorization Initiative
Infusion Services Prior Authorization Initiative
JHHC Important News & Information
Medical Policies Update for 1.15.18
Medical Policies Update for 10.16.17
Medical Policies Update for 7.17.17
Medical Policies Update for 4.17.17
Obstetric Ultrasound Reimbursement Policy Update
Ophthalmology Outpatient Prior Authorization Initiative
Outpatient Referral Guidelines Update
Provider Outreach and Education Seminar: Part 1 for 4.19.17 & 6.8.17
Provider Outreach and Education Seminar: Part 1 Reminder for 6.8.17
Reimbursement Policies Update for 11.1.17
Reimbursement Policies Update for 9.1.17
Urology Outpatient Prior Authorization Initiative
Note: Effective July 10, 2023, Johns Hopkins HealthCare is now Johns Hopkins Health Plans.