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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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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.
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.
Johns Hopkins Advantage MD Influenza "Flu" Vaccinations
It's flu season again! People 65 years and older are at greater risk of serious influenza (flu) disease. Read more.
Removal of Quantitative Treatment Limitations for Mental Health and Substance Abuse
Effective October 3, 2016, the Johns Hopkins US Family Health Plan (USFHP), in compliance with new Defense Health Agency rules, has modified mental health and substance use disorder benefits for all plan members. Read more.
NCQA Ratings for 2016-2017
EHP, PPMCO, and USFHP are awarded high performance ratings by the NCQA. Read more.
New Resource for EPSDT Requirements
To help you stay informed about the requirements of EPSDT, we have created a webpage with helpful information and links to periodicity schedules, immunization recommendations, and additional resources. Read more.
Johns Hopkins HealthCare has begun sending the 277CA EDI transaction to providers for EDI claims errors for Employer Health Programs (EHP) and Priority Partners members. Read more.
Join Us for Seminar II of the Medicare Advantage Informational Coding Seminar Series
This follow-up to Seminar I presents additional tools and tactics to close gaps in care and optimize Medicare Advantage Hierarchical Conditional Coding and is designed for practice administrators, office managers and appropriate clinical staff. Read more.
Advantage MD Provider Manual
Johns Hopkins Advantage MD Providers - check out the new provider manual.
Important HealthLink Portal Update
The File Transfer Agent is no longer the method by which you should run and download your reports. We have transitioned to a new system called Document Manager. To access the Document Manager, click on Office Management and then the Document Manager link. View the Document Manager Quick Reference Guide. If you have questions, please call Provider Relations at 1-888-895-4998.