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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

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 Provider Web 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.

Medical Policies Update

An email and fax went out on 6/8/2016 with the most recent Medical Policies that are effective as of 7/18/2016. 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.

2016 Outpatient Referral Guidelines

Per the Provider Notice letter you should have received, the 2016 Outpatient Referral & Pre-Authorization Guidelines for EHP, Priority Partners, and USFHP are now up on the JHHC website. Read more.

Read more on announcements.

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