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Johns Hopkins HealthCare LLC

Our Health Plans Resources for Providers Careers ICD-10 is Coming. Understand the ICD-10 transition
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Welcome to Johns Hopkins HealthCare LLC

Johns Hopkins HealthCare LLC (JHHC) provides health care services for three health plans: Priority Partners Managed Care Organization, Johns Hopkins Employer Health Programs (EHP), and Johns Hopkins US Family Health Plan (USFHP). This site provides our medical health providers with general plan information, current news, and plan updates.

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ICD-10 Is Here
Today the ICD-10 diagnosis codes have officially gone into effect. Click here to learn more about ICD-10.

Johns Hopkins Advantage MD (PPO) Launches
Johns Hopkins HealthCare’s new Medicare Advantage plan, Johns Hopkins Advantage MD, has officially launched. Advantage MD offers two preferred provider organization (PPO) plans and Medicare Part D prescription drug coverage for Medicare-eligible residents in 11 counties throughout Maryland. Learn more about Medicare Advantage and Advantage MD.

Changes in Priority Partners Redetermination Process
The redetermination process for Priority Partners members has changed. The State of Maryland is no longer taking paper forms and is directing all members to re-apply online at Maryland Health Connection. If your patients need assistance re-applying for their health benefits, or have questions about the application process, they can access a step-by-step guide here, find a connector entity in their county, or call the Maryland Health Connection Call Center at 1-855-642-8572. 

Help Your Patients Get to Their Specialist Appointment
Over the past few months, several health insurance plan members have arrived at Johns Hopkins HealthCare in Glen Burnie, Maryland, thinking this was their destination for their specialist appointment. We want you to help us clarify to our members, your patients, where to find the correct address information on the Maryland Uniform Consultation Referral Form for their specialist appointment. Please remind your patients that they should go to the address listed under Consultant/Facility Provider.

Medical Policies Update
An email and fax went out on 9/10/2015 with the most recent Medical Policies that will be effective as of 10/23/2015. If you did not receive this notification via email or fax, please contact Provider Relations at 888-895-4998 to provide your up-to-date contact information.

2015 Outpatient Referral Guidelines
Per the Provider Notice letter you should have received, the 2015 Outpatient Referral & Pre-Authorization Guidelines for EHP, Priority Partners, and USFHP are now up on the JHHC website. Read more.

Upgrade to How We Keep You Informed
Under your Participating Provider Agreement with JHHC, you are entitled to notices regarding the policies and procedures and the Provider Manual, and modifications thereto, applicable under your agreement. Read more.

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