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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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Medical Policies Update
An email and fax went out on 3/10/2015 with the most recent Medical Policies that will be effective as of 4/23/2015. 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.

Use the Alternative Drug Guide for EHP Members
The Alternative Drug Guide for EHP Members is a tool that displays drug brands by category and offers less expensive, generic alternatives to consider for each brand. Please do your part and save your patients money by prescribing cost-effective medications. Click here to view the Alternative Drug Guide.

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.

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
The ICD-10 code transition is set to be implemented on October 1, 2015. We will continue to work with providers on testing. 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. 

View more Announcements.

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