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School of Medicine
Welcome to Johns Hopkins HealthCare LLC
Johns Hopkins HealthCare LLC (JHHC) provides health care services for four health plans: Priority Partners Managed Care Organization, Johns Hopkins Employer Health Programs (EHP), Johns Hopkins US Family Health Plan (USFHP) and Johns Hopkins Advantage MD (Advantage MD). This site provides our medical health providers with general plan information, current news, and plan updates.
Log in to your HealthLINK account to view information on your EHP/Priority Partners/Advantage MD patients.
Log in to your HealthLINK account to view information on your USFHP patients.
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Provider Outreach and Education Seminar
The provider relations department is hosting a two-part seminar series. Part I, "The Inside Story: Coding and Introduction to Risk" is intended for practice administrators, billing and coding staff, and lead physicians. We will discuss accurate medical record documentation and coding practices, and best practices for appropriately capturing provider and patient interactions for quality documentation and complementary coding. Read more about the provider seminar.
Johns Hopkins Advantage MD Pre-Authorization Guidelines Update
The updates are in alignment with industry standard and will be effective April 15. Read more about the Advantage MD pre-authorization guidelines update.
Emergency Room Facility Update
Summary of Change: Effective March 23, 2017, EHP will follow the ER sudden and serious auto pay list for facility emergency services for members covered under the EHP medical plans for Johns Hopkins Hospital, Johns Hopkins Bayview, and Johns Hopkins Health System with group numbers: E00090, E00091, E00092, E00093, E00190, E00192, E00194, E00198, E00006, E00007. Read more about the ER sudden and serious criteria.
HealthLINK EOPs Issue - Resolved
The technical difficulties we were previously experiencing with HealthLINK have been resolved. Thank you for your cooperation.
HealthLINK Claims Issue - USFHP
Johns Hopkins HealthCare is experiencing technical difficulties with HealthLINK. Please note that USFHP claims dated after 12/1/2016 are not available at this time. Once this issue has been resolved, a new message will be posted. We apologize for any inconvenience.
Medical Policies Update
JHHC issued a fax and email to providers in December regarding the most recent medical policy updates that go into effect 1/16/17. For questions, please call Provider Relations at 1-888-895-4998.
CMS11.03 Observation Policy Revised for PPMCO Providers
The observation policy has been revised and is effective 1/1/17. View the revised observation policy.
2017 Outpatient Referral Guidelines
The 2017 Outpatient Referral & Pre-Authorization Guidelines for Advantage MD, EHP, Priority Partners, and USFHP are now posted on the Resources and Guidelines page.