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Johns Hopkins HealthCare LLC

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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.

EHP/Priority Partners/Advantage MD Login
Log in to your HealthLINK account to view information on your EHP/Priority Partners/Advantage MD patients.
USFHP Login
Log in to your HealthLINK account to view information on your USFHP patients.
Health Library
Search health topics in the Health Library.

Announcements

HealthLINK EOPs Issue - EHP and Priority Partners

Johns Hopkins HealthCare is experiencing technical difficulties with HealthLINK. Please note that EOPs are not available for EHP and Priority Partners claims paid on 12/12/2016 and 12/19/2016. Once this issue has been resolved, a new message will be posted. We apologize for any inconvenience.
 

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.
 

277CA Announcement

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.

Read more on announcements.

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