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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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EHP Benefits Explorer Launches
EHP recently launched the EHP Benefits Explorer, an interactive tool designed to help EHP patients quickly and easily find coverage information related to specific services. Visit today to see what each individual employer offers your patients.

Change From ICD-9 to ICD-10 Codes Delayed
The ICD-9 to ICD-10 transition has been delayed. The date set for this change is 10/1/2015. We will continue to work with providers on testing. Read more.

Important Information for Providers Receiving Electronic Fund Transfer and Electronic Remittance Advice Transactions
Johns Hopkins HealthCare (JHHC) is working to implement the mandates of the Affordable Care Act (ACA). Effective immediately, all Providers must register with our trading partner Emdeon to continue receiving EFTs and ERAs (835s). Read More

Priority Partners Redetermination Update
The state is now prepared to process redetermination forms. They will begin contacting everyone who was up to re-enroll since last October. Priority Partners will be contacting members who are up for redetermination giving them information on where they can get a redetermination form, what they need to complete the form, and where to send the forms. Be sure to EVS patients to ensure eligibility. 

InterQual 2014 Summary of Clinical Revisions
The JH Scientific Evidence Evaluation and Policy Advisory Committee (SEEPAC) and JH Medical Policy Committee (MPC) have approved the change to the most recent InterQual 2014 for Utilization Management and policy decisions. Read the InterQual 2014 Summary of Clinical Revisions.

National Committee for Quality Assurance (NCQA) Accreditation
Johns Hopkins HealthCare is committed to the health and wellbeing of each and every one of its members. In fact, all three of our health plans have been awarded NCQA Accreditation. Read more.

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