Provider Communications
Find all of the communications and updates sent by Johns Hopkins Health Plans.
If you have any questions, please contact Provider Customer Service at 888-895-4998 (option 4).
Repository
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November
October
- Code Changes Effective Dec.1, 2025 (10/29/2025)
- Code Changes for Advantage MD, EHP, Priority Partners (10/22/2025)
- Government Shutdown Update from Our President and CEO (10/22/2025)
- Reminder: Site-of-Service Requirements and Policy Adherence (10/15/2025)
- Changes to Emergency Department Review Policy (10/15/2025)
- Recent MDH Guidance on COVID-19 and Pediatric Vaccines (10/8/2025)
- SFTP Site to Require Multi-Factor Authentication (10/8/2025)
- New Prior Authorization Requirements for Certain Medications (10/8/2025)
- Revised Preventative Services Covered Code List Effective Nov. 1 (10/1/2025)
- Recent Authorization Changes for Johns Hopkins Health Plans (10/1/2025)
- New Prior Authorization Requirement for Certain Medications (10/1/2025)
September
- Recent Code Changes for USFHP Effective Dec. 1, 2025 (9/24/2025)
- Addressing Incorrect Denial of OB Claims for Priority Partners (9/19/2025)
- Reimbursement Policies Effective Nov. 15, 2025 (9/17/2025)
- Reminder to Update Provider Demographic Information (9/10/2025)
- Chart Request Season for Advantage MD (9/10/2025)
- Quarterly New Codes Effective Oct. 1, 2025 (9/10/2025)
- Preventive Services Code List Changes (9/3/2025)
August
- Availity Will Be the Primary Method for Prior Authorization Requests (8/27/2025)
- Code Designation Changes Effective Oct. 1, 2025 (8/13/2025)
- Reminder: Cultural Competency Training Requirement and Attestation (8/6/2025)
- Reminder to Update Provider Demographic Information (8/6/2025)
- Health Outcomes Survey Best Practices for Pharmacists (8/6/2025)
- Cologuard Plus Now Covered for USFHP Members, NPA (8/6/2025)
- Quarterly Medical Policy Changes Effective Oct. 1, 2025 (8/6/2025)
July
- USFHP Code Requires Prior Authorization as of Oct. 30, 2025 (7/30/2025)
- LetsGetChecked At-Home Testing Program for Members (7/23/2025)
- Reminder: Healthy Kids Program Through MDH (7/23/2025)
- Changes to Electronic Appeals Form (7/23/2025)
- Reminder for Dialysis Facilities: Submission of Form CMS-2728 (7/16/2025)
- Update to Inpatient Concurrent Review Policy for Advantage MD (7/16/2025)
- USFHP Code V2510 Requires Prior Authorization as of Sept. 16 (7/16/2025)
- Reminder: Cultural Competency Training Requirement and Attestation (7/9/2025)
- Reminder to Update Provider Demographic Information (7/9/2025)
- Prior Authorization Code Changes Effective September 8 (7/9/2025)
- Prepayment Review Process Amended in Provider Manuals (7/9/2025)
- Health Outcomes Survey Best Practices for Advantage MD (7/2/2025)
- On Hold: Enhancements to Whole Health Assessment Form(7/2/2025)
June
- Submit Electronic ER Appeals in Availity Portal (6/27/2025)
- Code Changes Effective Aug. 25, 2025 (6/25/2025)
- New Health-Related Social Needs Survey Released by MDH (6/25/2025)
- Who's Your Provider Relations Rep? Find Out Now in Availity (6/18/2025)
- Revisions to Previously Announced Code Changes (6/18/2025)
- Reimbursement Policy Updates for Priority Partners (6/18/2025)
- Reminder: Cultural Competency Training Requirement and Attestation (6/11/2025)
- Reminder to Update Provider Demographic Information (6/11/2025)
- Provider Pulse Spring 2025 Issue Now Available (6/11/2025)
- Code Changes for Advantage MD and USFHP (6/11/2025)
- Recent Code Changes for Advantage MD and Priority Partners (6/11/2025)
- Required Training: Johns Hopkins Advantage MD D-SNP Webinar (6/10/2025)
- Join Our Webinar: Connect Your Patients to Virtual Behavioral Health Care (6/9/2025)
- Priority Partners and Advantage MD Code Changes Effective July 21 (6/4/2025)
May
- Unlisted Code Changes Effective July 28, 2025 (5/29/2025)
- Advanced Primary Care Management Code Changes for USFHP (5/14/2025)
- Exception Code Changes for Priority Partners Effective July 1 (5/14/2025)
- Upcoming Webinars: Provider Orientation & Plan Updates (5/14/2025)
- New Reimbursement Policies Effective July 7, 2025 (5/8/2025)
- Quarterly Policy Changes Changes Effective July 1, 2025 (5/7/2025)
- Quarterly New Codes and Code Changes Effective July 1, 2025 (5/7/2025)
- Update: Sleep Studies Policy Changes Effective July 1, 2025 (5/2/2025)
- Help Us Improve Provider Notices – 2-Minute Survey (5/1/2025)
April
- Update to Telehealth Reimbursement Policies Effective June 1 (4/30/2025)
- Announcing Credentialing Engagement with Symplr® (4/24/2025)
- New Prior Authorization Requirements for Certain Medications for USFHP (4/22/2025)
- Code Changes for Ambulance Services for Priority Partners (4/17/2025)
- Electronic Prior Authorization Requests via Availity to be Required (4/10/2025)
- Required Training: Johns Hopkins Advantage MD D-SNP Webinar (4/8/2025)
- Code Changes for USFHP Effective June 3, 2025 (4/3/2025)
- Reimbursement Policy Update (RPC.034) (4/1/2025)
March
- Correct Code for CVP Services and ePREP Enrollment (3/27/2025)
- Priority Partners Formulary Changes Effective May 1, 2025 (3/27/2025)
- Gender Dysphoria Treatment for USFHP Minors Not Covered (3/25/2025)
- Code Changes Effective May 20, 2025 (3/20/2025)
- Winter 2025 Provider Pulse Now Available (3/20/2025)
- Select Dental Codes for USFHP Require Prior Authorization (3/18/2025)
- Register Now: Priority Partners Q&A on Monday, March 17 (3/13/2025)
- Clarification on Foot Orthotics Medical Policy CMS15.04 (3/13/2025)
- Upcoming Webinars: Provider Orientation & Plan Updates (3/11/2025)
- Communications to Priority Partners Members Begin Today (3/10/2025)
- Priority Partners Members Do Not Have to Select a New MCO Plan (3/5/2025)
- Priority Partners Accreditation Update (3/3/2025)
February
- Telehealth Reimbursement Policy Updates (2/28/2025)
- Priority Partners Formulary Changes Effective April 1, 2025 (2/27/2025)
- Quarterly Medical Policy Changes April 18, 2025 (2/17/2025)
- Procedure Code Authorization Changes Effective April 14, 2025 (2/13/2025)
- Quarterly New Codes Review Effective April 14, 2025 (2/13/2025)
- Additional LDT Codes for USFHP Effective April 14, 2025 (2/13/2025)
- Important Alert: Fraudulent Faxes Reported (2/6/2025)
- Telehealth Code Changes for USFHP Effective March 7 (2/4/2025)
- Required Training: Johns Hopkins Advantage MD D-SNP Webinar (2/4/2025)
January
- New LDT Codes for USFHP Effective March 25 (1/24/2025)
- Reminder: Mailing Address for USFHP Paper Claims, Documents (1/21/2025)
- New MDH Behavioral Health Vendor (1/16/2025)
- Upcoming Webinars: Provider Orientation & Plan Updates (1/16/2025)
- Required Training: Johns Hopkins Advantage MD D-SNP Webinar (1/16/2025)
- New Reimbursement Policies Effective March 15, 2025 (1/14/2025)
- Correction: USFHP Prior Authorization Changes Effective March 1 (1/14/2025)
- Complete Medical Records Request for HEDIS® MY 2024 (1/13/2025)
- New Prior Authorization Requirements Effective March 15 (1/10/2025)
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December
- USFHP Prior Authorization Changes (12/27/2024)
- Changes to ED Review Policy and Sudden & Serious List (12/27/2024)
- Medical Policy Change for Site of Service Outpatient Procedures (12/20/2024)
- 2025 Part D Coverage Changes for Advantage MD (12/19/2024)
- Authorization Changes for Cardiac Rehab Codes (12/12/2024)
- USFHP Prior Authorization Changes Effective Jan. 20, 2025 (12/10/2024)
- What to Expect in 2025 for Johns Hopkins Health Plans (12/10/2024)
- Fall 2024 Issue of Provider Pulse Now Available (12/6/2024)
November
- Quarterly Medical Policy Changes Jan. 1, 2025 (11/29/2024)
- Authorization Changes for Codes Effective Jan. 1, 2025 (11/29/2024)
- Cultural Competency Training Requirement and Attestation (11/27/2024)
- New Code Change (81515) for USFHP Effective Jan. 1, 2025 (11/27/2024)
- Emergency Department Facility Claims Review (11/22/2024)
- We’re Listening! Complete Our Provider Survey. Deadline December 16 (11/18/2024)
- Webinars: Johns Hopkins Health Plans Provider Orientation & Updates (11/15/2024)
- New Prior Authorization Requirements for Certain Medications (11/14/2024)
- Updates to Reimbursement Policies Effective Dec. 27, 2024 (11/12/2024)
- New Priority Partners Doula Program Now Available (11/8/2024)
- Register Today! Nov. 14 Webinar on Virtual Behavioral Health Care (11/7/2024)
- New Anesthesia Reimbursement Policy (RPC.007) Effective Dec. 2 (11/1/2024)
October
- USFHP Hearing Benefit Expansion and Behavioral Health Services Audit (10/31/2024)
- Coding and Form Change for Advantage MD WHA Effective Jan. 1, 2025 (10/22/2024)
- Webinar: Connect Your Patients to Virtual Behavioral Health Care (10/17/2024)
- USFHP Procedure Code Authorization Changes Effective Nov. 16 (10/15/2024)
- Tips and Info: Navigating MDH’s ePREP Portal for Priority Partners (10/8/2024)
- Advantage MD Discontinuing Premier (PPO) Plan for 2025 (10/3/2024)
- Upcoming Claims Audit: Alaffia Health to Assist (10/3/2024)
- Procedure Codes Authorization Changes Effective Nov. 1 (10/1/2024)
September
- Prior Authorization Lab Codes Changes for Priority Partners (9/24/2024)
- Webinar: Learn More About UpLift (9/6/2024)
- Changes to Emergency Department Review Policy Effective Nov. 1 (9/5/2024)
- New Reimbursement Policy (RPC.040) Effective Nov. 1 (9/5/2024)
- Updated Reimbursement Policy (RPC.037) Effective Oct. 18 (9/3/2024)
August
- Correction: Quarterly Medical Policy Updates Effective Oct. 1 (8/30/2024)
- New Issue of Johns Hopkins Health Plans Provider Pulse Available (8/30/2024)
- Webinars: Johns Hopkins Advantage MD D-SNP Provider Training (8/27/2024)
- New Prior Authorization Requirements for Certain Medications (8/27/2024)
- New Codes Requiring Prior Authorization Effective Oct. 1 (8/21/2024)
- Medical Policy Updates Effective Oct. 1 (8/20/2024)
- Webinar: Johns Hopkins Health Plans Provider Orientation & Updates (8/16/2024)
- Reimbursement Policies Effective Sept. 15, 2024 (8/15/2024)
- JPAL Updates for Advantage MD and Priority Partners Codes (8/15/2024)
- Prior Authorization and Coverage Changes for US Family Health Plan (8/6/2024)
- Changes to Emergency Department Review Policy Effective Oct. 1 (8/1/2024)
- Priority Partners Reimbursement Policies Effective Oct. 1 (8/1/2024)
July
- New Claims Mailing Address for USFHP Beginning Aug. 1 (7/26/2024)
- EHP Recent Prior Authorization Changes for Unlisted Codes (7/25/2024)
- Advantage MD Recent Code and Prior Authorization Changes (7/24/2024)
- Reimbursement Policies Effective Sept. 6, 2024 (7/18/2024)
- Upcoming Webinar: Provider Orientation & Plan Updates (7/16/2024)
- Recent Prior Authorization Changes for USFHP Effective Aug. 17 (7/15/2024)
June
- New Reimbursement Policies Effective August 15, 2024 (6/27/2024)
- Prior Authorization Hospice Code Changes for Priority Partners (6/27/2024)
- REMINDER: Provider Payments Resume for Advantage MD and USFHP (6/21/2024)
- Provider Payments Resume for Advantage MD and USFHP (6/17/2024)
- New Obstetrical Services Reimbursement Policy for EHP and USFHP (6/6/2024)
- Changes to Emergency Department Review Policy (6/3/2024)
May
- New Issue of Johns Hopkins Health Plans Provider Pulse Now Available (5/31/2024)
- New Codes Requiring Prior Authorization for Advantage MD Effective July 1 (5/31/2024)
- Appropriate Claim Change Reason Codes Required (5/28/2024)
- Medical Policy Updates Effective July 1, 2024 (5/23/2024)
- Prior Authorization and No Prior Authorization Code Changes (5/21/2024)
- New Obstetrical Services Reimbursement Policy for Priority Partners (5/17/2024)
- New Reimbursement Policies Effective July 5 (5/14/2024)
- Effective Immediately: New Availity Authorization Status Process (5/9/2024)
- Availity Portal Expansion Coming May 20. Training Opportunities Available. (5/7/2024)
- New Prior Authorization Requirements For Certain Medications Effective June 1 (5/1/2024)
April
- REMINDER: New Claims Payments/Remittance Providers (4/22/2024)
- April Webinar: Johns Hopkins Health Plans Provider Orientation/Plan Updates (4/22/2024)
- Johns Hopkins Health Plans Transitions to Epic Platform for Reviews (4/19/2024)
- New CPT® Codes Requiring Prior Authorization Effective May 15 (4/15/2024)
- Recent Code Changes for Johns Hopkins Health Plans (4/15/2024)
- New Claims Payments/Remittance Providers for Advantage MD and USFHP (4/12/2024)
- New Reimbursement Policies Effective June 10 (4/10/2024)
March
- Authorization Process for Mt. Washington Pediatric Hospital (3/28/2024)
- Webinar: Johns Hopkins Health Plans Provider Orientation & Plan Updates (3/25/2024)
- New Issue of Provider Pulse Now Available (3/19/2024)
- Corrected Process for Maryland Prenatal Risk Assessment (MPRA) Forms (3/8/2024)
- Update to the Johns Hopkins Health Plans Peer-to-Peer Process (3/5/2024)
- New Preferred Med List and Prior Authorization Process for Priority Partners (3/1/2024)
February
- Change Healthcare Incident (2/29/2024)
- New CPT® Codes Requiring Prior Authorization for Advantage MD (2/29/2024)
- JHU Retirees No Longer Enrolled in EHP Effective April 1 (2/29/2024)
- Changes to the Low Back Pain Policy for USFHP (2/27/2024)
- Reminder to Update Provider Demographic Information (2/27/2024)
- Breast Reduction Surgery Added to Site of Service Policy Effective April 1 (2/22/2024)
- Prior Authorization Requirements For Certain Medications Effective April 1 (2/22/2024)
- CORRECTION: Prior Authorization Change for Prenatal Screening for USFHP (2/20/2024)
- Medical Policy Updates Effective April 1 (2/20/2024)
- 2024 Behavioral Health Services Requirements and Audit Process for USFHP (2/12/2024)
- New CPT® Codes Requiring Prior Authorization Effective March 6 (2/6/2024)
- New Prior Authorization Requirements For Certain Medications Effective April 1 (2/5/2024)
- Prior Authorization Changes Effective Mar. 15 (2/1/2024)
January
- Prior Authorization Changes for Specific Prenatal Screening for USFHP (1/30/2024)
- Prior Authorization Changes for Selected Codes (1/30/2024)
- Recent Code Changes for Johns Hopkins US Family Health Plan (1/9/2024)
- New CPT® Codes Requiring Prior Authorization Effective Feb. 19 (1/19/2024)
- Postponed: Anesthesia Reimbursement Policy (1/18/2024)
- Zoom Webinars: Advantage MD D-SNP Provider Training (1/11/2024)
- Medical Policy Updates Effective Feb. 1 (1/4/2024)
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December
- Medical Policy Updates Effective Jan. 1, 2024 (12/21/2023)
- New Program for Specialty Medications, PrudentRx (12/21/2023)
- New Reimbursement Policies Effective Feb. 1, 2024 (12/19/2023)
- Zoom Webinar: What's in Store in 2024 for Johns Hopkins Health Plans (12/8/2023)
- Reminder to Update Demographic Information (12/6/2023)
- Manual BP Monitors Not Covered for USFHP Effective Dec. 11, 2023 (12/6/2023)
- Reminder: Accepted Addresses for Remitting Overpayments (12/5/2023)
November
- New CPT® Codes Requiring Prior Authorization Effective Jan. 1, 2024 (11/30/2023)
- Changes to Prior Authorization Requirements Effective Jan. 10, 2024 (11/28/2023)
- New and Revised Reimbursement Policies Effective Dec. 30, 2023 (11/14/2023)
- Changes to Prior Authorization for Selected Codes Effective Dec. 15, 2023 (11/14/2023)
- Additional Availity Provider Training Date Added: Nov. 28 (11/13/2023)
- UpLift Virtual Behavioral Health Practice Added to Provider Network (11/7/2023)
- Johns Hopkins University No Longer Enrolled in EHP Effective Dec. 31 (11/3/2023)
- Prior Authorization Changes for Advantage MD (11/2/2023)
October
- Changes for Selected Hospice Codes for USFHP Effective Nov. 15 (10/17/2023)
- New Streamlined Process for Submitting MPRA Forms to Priority Partners (10/16/2023)
- Availity Essentials: New Provider Training Date Added (10/16/2023)
- Medical Policy Updates Effective Nov. 1, 2023 (10/13/12023)
- New Issue of Provider Pulse Now Available (10/6/2023)
- Availity Essentials, Launches October 21: Provider Training Information (10/3/2023)
- New Hearing Aid Discount Available to US Family Health Plan Members (10/2/2023)
September
- Availity Essentials, New Multi-Payer Portal, Launches October 21 (9/28/2023)
- New Prior Authorization Requirements For Certain Medications Effective Nov. 1 (9/26/2023)
- New and Revised Reimbursement Policies Effective Nov. 20, 2023 (9/20/2023)
- Johns Hopkins Health Plans New Psychotherapy Reimbursement Policy (9/19/2023)
August
- Changes to Prior Authorization Requirements Effective Oct. 14, 2023 (8/31/2023)
- Prior Authorization Requirements For Certain Medications Effective Oct. 1 (8/31/2023)
- Updated Skilled Nursing Facilities Authorization Process for USFHP (8/29/2023)
- New Multi-Payer Portal, Availity, Launching Oct. 21 (8/28/2023)
- Durable Medical Equipment (DME) Provider Search Procedures (8/22/2023)
- Johns Hopkins Health Plans Retired Reimbursement Policies (8/21/2023)
- New Requirements for Adalimumab Products for Priority Partners (8/17/2023)
- New and Updated Reimbursement Policies Effective Sept. 15, 2023 (8/15/2023)
- Healthy Babies Equity Act Effective for Non-citizen Pregnant Marylanders (8/8/2023)
- Enhanced Reimbursement for Priority Partners Maternal Health Providers (8/3/2023)
July
- Upgrade to JPAL Prior Authorization Tool For Advantage MD (7/30/2023)
- Procedure Codes Removed from Prior Authorization Effective Sept. 1, 2023 (7/25/2023)
- Medical Policy Updates Effective August 21 (07/25/2023)
- Updated Priority Partners Processes Post PHE (7/24/2023)
- New Anxiety Screening Recommendations (7/10/2023)
- Site-of-Service Policy Updates for Priority Partners and USFHP (7/10/2023)
- Johns Hopkins HealthCare Becomes Johns Hopkins Health Plans (7/7/2023)
- Post-PHE Changes for EHP Effective July 10, 2023 (7/7/2023)
- Balance Transfers from MC400 to Facets (7/6/2023)
June
- Recent Changes to COVID-19 Coverage for USFHP (6/29/2023)
- Medical Policy Updates Effective August 1 (6/29/2023)
- Student Health Program No Longer Enrolled in EHP Effective July 1 (6/20/2023)
- New Codes Requiring Prior Authorization for Advantage MD and USFHP (6/15/2023)
- Provider Pulse Spring Issue Now Available (6/12/2023)
- Revised UM Hours for After-Hours and Urgent Authorizations (6/8/2023)
- Selected DME Codes Removed from Prior Authorization Requirement (6/8/2023)
May
- New Prior Authorization Requirements for Certain Medications (5/31/2023)
- Post-PHE Reminder Regarding Peer-to-Peer Review Timeframes (5/12/23)
- Removal of Selected Procedure Codes from Prior Authorization Requirement (5/9/2023)
- Advantage MD D-SNP Annual Training Reminder (5/8/2023)
- New Venipuncture Reimbursement Policy (5/4/2023)
- Changes to the Gender Affirming Treatment Policy for EHP (5/1/2023)
- Select PT/OT Codes Removed from Prior Authorization Requirement for EHP (5/1/2023)
April
- Reimbursement for Remote Patient Monitoring for Priority Partners (4/20/2023)
- Transition After Termination of COVID-19 Public Health Emergency for USFHP (4/17/2023)
- Redetermination for Priority Partners Members (4/10/2023)
- Upgrade to JPAL Prior Authorization Tool (4/3/2023)
March
- New Prior Authorization for Certain Provider-Administered Medications (3/31/2023)
- Medical Policy Updates Effective May 1 (3/31/2023)
- Site-of-Service Medical Policy Updates for Priority Partners and USFHP (3/31/2023)
- Requesting Prior Authorization for Wound Care from eviCore (3/16/2023)
- Winter Edition of Provider Pulse Now Available (3/16/2023)
- New Prior Authorization Requirements for Advantage MD and USFHP (3/9/2023)
February
- New Prior Authorization for Certain Medications for EHP Effective Apr. 1 (2/27/2023)
- Updates to eviCore Lab Procedure Codes for Priority Partners (02/17/2023)
- Advantage MD D-SNP Annual Provider Training (2/16/2023)
- New EviCore Program for Orthopedic Pain Management (2/9/2023)
- New CPT® Codes Requiring Prior Authorization for Priority Partners (2/9/2023)
- EHP Behavioral Health Claims Payments (2/3/2023)
- Reminder: Use Updated Priority Partners Forms (2/2/2023)
January
- Changes to Dismissals and Withdrawals for Advantage MD (1/30/23)
- Reminder to Update Provider Demographic Information (1/26/2023)
- New CPT® Codes for Advantage MD Requiring Prior Authorization Effective Feb. 20, 2023 (1/20/2023)
- New Design for JHHC.com Provider Website (1/18/2023)
- New CPT® and HCPCS Codes for USFHP Requiring Prior Authorization Effective Feb. 13 (01/12/2023)
- New Prior Authorization for Certain Medications for Priority Partners Effective Mar. 1 (01/12/2023)
- Required Provider Education for Advantage D-SNP (01/09/2023)
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December
- New Home Care Prior Authorization Form (12/29/2022)
- Medical Policy Updates Effective Feb. 1, 2023 (12/29/2022)
- Quarterly New Codes Review Requiring Prior Authorization for Advantage MD Effective Feb. 1, 2023 (12/22/2022)
- Facets Migration for EHP and ElderPlus Reminder (12/01/2022)
November
- Provider Pulse Fall Issue Now Available (11/28/2022)
- Reminder: Facets Go Live Date for EHP and ElderPlus Is Dec. 1, 2022 (11/28/2022)
- 2023 Prior Authorization Requirements For Certain Provider-Administered Medications (11/23/2022)
- Priority Partners: Dental Benefits to Extend to Adults (11/22/2022)
- Reminder: Authorization Requirements for PhysicalTherapy and Occupational Therapy through eviCore (11/03/2022)
October
- Contraceptive Services Added for USFHP (10/14/2022)
- Quarterly New Code Review Requiring Prior Authorization for Advantage MD (10/06/2022)
- Use Updated Priority Partners Forms for Newborn Notification and Provider Changes to Ensure Timely Processing of Claims in Facets System (10/06/2022)
September
- Important Notice Regarding eviCore Musculoskeletal Therapies Program (09/26/2022)
- New Address for Remitting Overpayments for Johns Hopkins Advantage MD Claims (09/26/2022)
- Important Facets Information for Priority Partners, EHP and Johns Hopkins ElderPlus Providers (09/26/2022)
- Medical Policy Updates Effective Nov. 1, 2022 (09/15/2022)
- New CPT Codes Requiring Prior Authorization Effective Oct. 6, 2022 (09/07/2022)
- Optum CES Outpatient Code Editor (OCE) Edits (09/01/2022)
August
- Payment Integrity Updates to Provider Manuals (08/31/2022)
- Provider Pulse Summer Issue Now Available (08/30/2022)
- Mandatory Provider Education for Advantage MD D-SNP (08/25/2022)
- Changes to Telemedicine Services for USFHP Members (08/19/2022)
- Facets, Optum CES and PNC Conversion-Go Live Date for Priority Partners, EHP and ElderPlus and Facets Migration: Important Information (08/16/2022)
- Reminder: eviCore Laboratory Management Program for Johns Hopkins Advantage MD (08/12/2022)
- Reminder: Expansion of JHHC-eviCore Partnership for Musculoskeletal and Post-Acute Care Programs (08/05/2022)
- New UM Phone Number for After-Hours and Urgent Authorizations (08/01/2022)
- Additional CPT Codes Requiring Prior Authorization Effective September 1, 2022 for USFHP (08/01/2022)
July
- New Prior Authorization Requirements for Certain Provider-Administered Medications (07/28/2022)
- Reminder: Review Your NPI Data in the National Plan & Provider Enumeration System (NPPES) (07/28/2022)
- Facets, Optum CES and PNC Conversion: New Go Live Date (07/21/2022)
- EHP Benefits Changes Effective July 1, 2022 (07/14/2022)
- eviCore Laboratory Management Program for Johns Hopkins Advantage MD — New Effective Date (07/14/2022)
- Expansion of JHHC-eviCore Partnership for Musculoskeletal and Post-Acute Care Programs (07/08/2022)
June
- Correction: Colorectal Cancer Screening Expansion to Age 45 (06/30/2022)
- Reminder to Update Provider Demographic Information (06/24/2022)
- New Prior Authorization Requirements For Certain Provider-Administered Medications (06/23/2022)
- Medical Policy Updates Effective Aug. 1, 2022 (06/23/2022)
- JHHC Now Using InterQual® 2022 (06/17/2022)
- Dexcom G6® and Freestyle Libre 2® Now Available Through Walgreens Pharmacies (06/13/2022)
- New CPT Codes Requiring Prior Authorization Effective July 15, 2022 (06/13/2022)
- eviCore Laboratory Management Program For Johns Hopkins Advantage MD (06/10/2022)
- JHHC Converting to New Claims System (06/10/2022)
- Clarification Vision Codes Requiring Prior Authorization Beginning June 15 (06/09/2022)
- Provider Pulse Spring Issue Now Available (06/09/2022)
- Members to Receive Home Testing Kits (06/06/2022)
- Gender Affirming Procedures and Treatment Medical Policy (06/01/2022)
- Colorectal Cancer Screening Expanded to Age 45 (06/01/20220)
May
- Reminder: New Claims Editing System to Launch July 1 (05/26/2022)
- JHHC Reimbursement Policy Update: Telehealth/Telemedicine (05/26/2022)
- Clarification Regarding Maternity and Newborn Notification Process (05/24/2022)
- Vision Codes Requiring Prior Authorization Beginning June 15 (05/13/2022)
- Site-of Service Policy Update Effective June 15, 2022 (05/12/2022)
- Additional Prior Authorization Requirements Added to eviCore Partnership (05/12/2022)
- New Digital Version of Provider Information Update Form (05/05/2022)
- JHHC Converting to New Claims System (05/02/2022)
April
- New Health Care Performance and Quality Resource Center on the JHHC Provider Website (04/29/2022)
- New Preauthorization Requirements For Certain Provider-Administered Medications (04/22/20220)
- Medical Records Request for HEDIS® Measurement Year 2021 (04/20/2022)
- New Claims Editing System to Launch July 1 (04/18/2022)
- Revised Go-Live Dates for Switch to PNC Healthcare for Provider Claims and Payments/Remittance Services (04/14/2022)
- CPT Code 17380 (Laser Hair Removal and Electrolysis) Now Covered For USFHP Members (04/14/2022)
- JHHC Announces Transition to New Claims Processing Platform (04/11/2022)
- EHP and Priority Partners to Partner with ProgenyHealth 30-Day Reminder (04/04/2022)
- EHP and Priority Partners to Partner with ProgenyHealth 30-Day Reminder- Facilities (04/04/2022)
March
- Provider Education Sessions: JHHC-ProgenyHealth Partnership (03/29/2022)
- Medical Policy Updates Effective May 2, 2022 (03/28/2022)
- Johns Hopkins OnDemand Virtual Care Expands to Priority Partners Members (03/24/2022)
- Correction: Use of Long COVID-19 Code (03/22/2022)
- Reminder: Use of Long COVID-19 Code (03/21/2022)
- Changes to Place of Service Codes for Telehealth Services (03/21/2022)
- JHHC Provider Orientation & Plan Updates (Zoom Webinar) (03/18/2022)
- Provider Pulse Winter Issue Now Available (03/15/2022)
- EHP and Priority Partners to Partner with ProgenyHealth-Facilities (03/04/2022)
- EHP and Priority Partners to Partner with ProgenyHealth (03/04/2022)
February
- New CPT Codes Requiring Prior Authorization Effective April 1, 2022 (02/28/2022)
- Important Provider Office Resources (02/24/2022)
- New Address and Fax Number for Advantage MD Non-Participating Providers Appeal Requests (02/15/2022)
- Updated Guidance on the Use of Misoprostol for Priority Partners (02/15/2022)
- Federal Transparency in Coverage Rules Now in Effect for Johns Hopkins Employer Health Programs (EHP) (02/10/2022)
- Quantity Limits for Nebulizers Go Into Effect March 1, 2022 for EHP, Priority Partners and USFHP (02/01/2022)
January
- Reminder: Please Use Correct Addresses for Remitting Overpayments for Priority Partners, EHP and USFHP Claims (01/27/2022)
- Redetermination Campaign Now Underway for Priority Partners Members: COVID-19 Public Health Emergency (PHE) Extension Ends 4-30-22 (01/20/2022)
- Temporary Revisions of Utilization Management Policies in Response to COVID-19 Surge (01/12/2022)
- Reminder of Expedited Skilled Nursing Facilities (SNF) Authorization Process and Dedicated Fax Line to Facilitate Authorization Requests for Post-acute Levels of Care (01/05/2022)
- Reminder: Updated COVID-19 Testing Benefit Information for USFHP Members (01/03/2022)
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December
- COVID-19 Reimbursement Policy Update (12/30/2021)
- New Prior Authorization Requirements For Continuous Glucose Monitor (CGM) Devices (12/29/2021)
- Medical Policy Updates Effective Feb. 1, 2022 (12/27/2021)
- Zoom Webinar: Johns Hopkins Advantage MD D-SNP (HMO) Provider Training (12/27/2021)
- Priority Partners Member Incentive for Completing COVID-19 Vaccination (12/21/2021)
- New CPT Codes Requiring Prior Authorization Effective January 15, 2022 (12/13/2021)
- Provider Pulse Fall Issue Now Available (12/02/2021)
- Priority Partners No Longer Reimbursing HCPCS Code U0005 Effective January 1, 2022 (12/02/2021)
- Updated Reimbursement Guidance for CPT Code 99072 For EHP and USFHP effective Jan. 1, 2022 (12/02/2021)
- New Prior Authorization Requirements For Certain Provider-Administered Medications (12/01/2021)
- eviCore healthcare Adds New Codes for Prior Authorization Effective January 1, 2022 (12/01/2021)
November
- Priority Partners: Continuous Glucose Monitor (CGM) Devices Available through Pharmacies Starting December 1 (11/30/2021)
- Zoom Webinar: What’s New for 2022 At Johns Hopkins HealthCare (11/29/2021)
- Zoom Webinar: Johns Hopkins Advantage MD D-SNP (HMO) Provider Training (11/12/2021)
- Zoom Webinar: Johns Hopkins Advantage MD D-SNP (HMO) Provider Training (11/9/2021)
- Guidance on the Continuation of Telehealth For Priority Partners Therapy Services (11/4/2021)
October
- 30-Day Reminder: eviCore Laboratory Management Program Effective for Priority Partners Dec. 1, 2021 (10/28/2021)
- Post-Acute and Ambulance Authorization Fax Line for Acute Inpatient Facility Transfer to Post-Acute Levels of Care (10/18/2021)
- eviCore Laboratory Management Program Effective for Priority Partners December 1, 2021 (10/06/2021)
- USFHP Low Back Pain Imaging Policy-Post Service Claim Review (10/01/2021)
September
- Service Area Changes for Johns Hopkins Advantage MD in 2022 (09/27/2021)
- Correction: Additional CPT Codes Requiring Preauthorization Effective October 20, 2021 (09/21/2021)
- Medical Policy Updates Effective November 1, 2021 (09/28/2021)
August
- Applied Behavioral Analysis (ABA) Code 97156 is No Longer Covered as a Telehealth Visit for USFHP Members during COVID-19 Public Health Emergency (08/30/2021)
- New CPT Codes Requiring Preauthorization Effective Oct. 1 (08/19/2021)
- IMPORTANT: Go-Live Date for Switch to PNC Healthcare for Provider Claims, Payments/Remittance Services for EHP and Priority Partners Moved to Fall 2021 (08/19/2021)
- Provider Pulse Summer Issue Now Available (08/9/2021)
- Priority Partners Providers: Please Complete Needs Assessment for MDH’s Maternal Opioid Misuse (MOM) Program (08/05/2021)
July
- New CPT Codes Requiring Preauthorization Effective Sept. 1 (07/30/2021)
- Reminder: Updated Addresses for Remitting Overpayments For Claims Related to Priority Partners, EHP and USFHP (07/30/2021)
- JHHC Reimbursement Policy Update: Physician Assistant (07/12/2021)
- Reminder: Use ICD-10 Codes to Identify Social Determinants of Health (07/08/2021)
- New CPT Codes Requiring Preauthorization Effective August 2, 2021 (07/01/2021)
June
- Provider-Administered Medication Policy Updates Effective on or after July 1, 2021 (06/29/2021)
- AAMC Employees No Longer Enrolled In Johns Hopkins EHP Effective July 1 (06/17/2021)
- Medical Policy Updates Effective August 2, 2021 (06/17/2021)
- PNC Healthcare to Provide Claims Payments/Remittance Services for EHP and Priority Partners (06/15/2021)
- Reminder: JHHC and CVS Health-NovoLogix Partnership for Preauthorization of Medical Injectables Goes Into Effect In July (06/11/2021)
- Johns Hopkins OnDemand Virtual Care Now Available for USFHP Members (6/4/2021)
- New Site-of-Service Preauthorization Requirements (6/3/2021)
May
- Provider Pulse Spring Issue Now Available (5/28/2021)
- Emergency Reimbursement Policy Set for Covid-19 Diagnostic Testing, Treatment and Vaccination (4/1/2021)
- New Prior Authorization Requirement for Johns Hopkins US Family Health Plan (05/19/2021)
- Additional Security Measures for HealthLINK Access (05/13/2021)
- JHHC Reimbursement Policy Update: Supply Codes (05/3/2021)
April
- Additional Information on the JHHC and CVS Health-NovoLogix Partnership for Preauthorization of Medical Injectables (04/30/2021)
- JHHC Reimbursement Policy Update (04/22/2021)
- JHHC Announces New Partnership with CVS-NovoLogix for Preauthorization of Medical Injectables (04/15/2021)
- New 2021 CPT Codes Requiring Preauthorization (04/15/2021)
- Updated Addresses for Remitting Overpayments for Claims Related to Priority Partners, EHP and USFHP (04/01/2021)
- Electronic Prior Authorization Request Option Now Available for Priority Partners (04/01/2021)
March
- Additional Place of Service Codes Allowed For USFHP Telemedicine Visits (03/25/2021)
- Medical Policy Updates Effective May 3, 2021 (03/25/2021)
- New Seven-Day Supply Limit for Opioid-Naïve Priority Partners Members (03/22/2021)
- COVID-19 Vaccination Registration through ImmuNet, Maryland’s Immunization Information System, Now Open to Providers (03/15/2021)
- Updates to Site-of-Service Preauthorization Requirements (03/08/2021)
- Provider Pulse Winter Issue Now Available (03/12/2021)
- Update to USFHP Low Back Pain Imaging Policy (3/4/2021)
- Clarification for Prior Authorization For Certain Provider-Administered Medications (03/01/2021)
February
- Important Message About USFHP Fax Numbers (02/25/2021)
- New Codes Added for Preauthorization for High Tech Radiology and Cardiology Advanced Imaging Services (02/22/2021)
- ICD-10 Codes to Identify Social Determinants of Health (02/11/2021)
- Extension of Coverage and Prior Authorization Requirements For Certain Provider-Administered Medications (02/01/2021)
- New Prior Authorization Requirements For Certain Provider-Administered Medications (02/01/2021)
January
- Provider-Administered Medications Prior Authorization Clarification (01/29/2021)
- Provider Appeal Submission Form Now on HealthLINK (01/21/2021)
- New Utilization Management Fax Numbers for USFHP (01/18/2021)
- Zoom Webinar: JHHC 2021 Plan Changes (01/14/2021)
- Introducing Johns Hopkins OnDemand Virtual Care (01/07/2021)