Johns Hopkins HealthCare LLC

Providers and facilities interested in joining JHHC’s provider network can now fill out the LOI form electronically. Once completed, the LOI form can be submitted directly to JHHC’s Contracting Team. Just click the link in this announcement or go to Resources and Guidelines and scroll down to the “Letter of Interest-Request to Join Network” link.

Johns Hopkins HealthCare's Provider Relations team announces the 2023 annual provider training session schedule for Johns Hopkins Advantage MD D-SNP (HMO). D-SNP plan members have special needs that make them eligible for both Medicare and Medicaid (dual eligible). The training describes Special Needs Plans (SNPs), define the Model of Care, as well as explain provider responsibilities and member benefits. All D-SNP providers are required to complete this training annually, especially providers on the care teams of D-SNP members. Please note: Providers only need to attend one training per year.

Presenters: Connie Bradford, Kathy Budacz, Dawn Griffin

• Feb. 21, 2023: 12 p.m.
• Apr. 18, 2023: 12 p.m.
• Jun. 20, 2023: 12 p.m.
• Aug. 15, 2023: 12 p.m.
• Oct. 17, 2023: 12 p.m.
• Dec. 19, 2023: 12: p.m.

Presenters: Michael Randall, Nicole Kreamer, Estella Blanche Deshong

• Mar. 21, 2023: 3 p.m.
• May 16, 2023: 3 p.m.
• Jul. 18, 2023: 3 p.m.
• Sep. 19, 2023: 3 p.m.
• Nov. 21, 2023: 3 p.m.

After registering for the session, you will receive a confirmation email containing information about joining the meeting and the ability to add the invitation to your calendar.

Johns Hopkins HealthCare is transitioning its claims processing operations to the Facets platform for Priority Partners, Johns Hopkins EHP and ElderPlus. This migration from our current legacy system to Facets is tentatively scheduled to occur on September 1, 2022 for Priority Partners and December 1, 2022 for EHP and ElderPlus. It will involve several process changes impacting JHHC network providers. Details will be forthcoming next month. Facets Important Information

The Fall 2022 Issues of 'Provider Pulse' is now available online. The issue contains important information on policies and procedures, quality care, plan changes and other materials pertinent to providers in the Johns Hopkins Advantage MD, Johns Hopkins Employer Health Programs, Priority Partners and Johns Hopkins US Family Health Plan networks.

The federal government enacted The No Surprises Act in December 2020, which became effective on January 1, 2022. The No Surprises Act rules allow patients to give consent to waive surprise billing protections in certain circumstances. If a non-par provider obtains consent from a Johns Hopkins Employer Health Programs (EHP) member or authorized representative to waive surprise billing protections, the Member Consent Form (see below for link to form template) must be submitted with the claim.

Member Consent Form Submission Methods:

• Paper claim, with paper Member Consent Form attached
• Electronic claim, with paper Member Consent Form mailed separately
  • If submitting a paper Member Consent Form that matches up to an electronic claim, please include the following information to ensure the form will be received and processed correctly:
    1. Member Full Name
    2. Member DOB
    3. Member ID
    4. Date of Service
    5. List of Services -OR- Copy of electronic claim, if possible.