Local Health Department Billing Manual

Maryland Payers Billing Guidelines

Johns Hopkins

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Document TitleDateExpirationSource​
Johns Hopkins
JHHP Provider claims and payment updates 
Apr-2024​
​No date
​Payer
John Hopkins Prior Authorization Drug List
​Apr-2024
​No date
​Payer
John Hopkins Reminder to Update Demographic data

​Apr-2024
​No date
​Payer
​John Hopkins Behavioral Health Services

​Feb-2024
No date​​Payer
JHHC New CPT Requiring prior Authorization
Feb-2024​No date​​Payer

JHHC Recent code changes for USFHP

​Jan-2024

No date​

Payer
JHHC 2024 Behavioral Health Services Requirements and Audit Process

Jan-2024​
​No date
​Payer
JHHC Medical Policy Updates -eff-2-1-24.pdf (hopkinsmedicine.org)
Feb-2024​​No date
​Payer

JHHC Reimbursement Policies -eff-2-1-24.pdf (hopkinsmedicine.org)

​Feb-2024

​No date

​Payer
JHHC Reimbursement-Policy-Notification-12-30-23.pdf (hopkinsmedicine.org)
Dec-2023​
​No date
​Payer

JHHC overpayment-address-reminder.pdf (hopkinsmedicine.org)
​Dec-2023
​No date
​Payer
JHHC quarterly-changes-reminder.pdf (hopkinsmedicine.org)

​Dec-2023
​No date
​Payer
JHHC New CPT and HCPCS Codes Requiring Prior Authorization​​​
Apr​​-2023​
​​No date​
Provider Update
New CPT Codes and HCP​​CS Codes for USFHP requiring prior Authorization for effective Feb 13​Feb-2023No dateAuthorization
New CPT Codes for Advantage MD Requiring Prior AuthorizationFeb-2023No dateAuthorization
New CPT Codes requiring prior Authorization for Priority PartnersMar-2023No dateAuthorization
EHP Behavioral Health Claims PaymentsFeb-2023No dateClaims
Reminder: Updated Priority Partners Forms for Newborn notification and PCP change RequestsSep-2022No dateForms
JHHC Clarification Regarding Maternity and Newborn Notification ProcessNo date​No dateProvider notice -Authorization and requirements for Maternity and Newborn
JHHC Clarification Vision Codes Requiring Prior Authorization Beginning June 15Jun-2023No dateCoding
JHHC Colorectal Cancer Screening Expanded to Age 45Jul-2023No dateClaims Information
JHHC Converting to New Claims SystemAug-2022Oct-2022Claims Information
JHHC eviCore Healthcare Adds New Codes for Prior AuthorizationJan-2023No dateCoding
JHHC New CPT Codes Requiring Prior Authorization Effective July 15, 2022​Jul-2023No dateCoding
JHHC Priority Partners Continuous Glucose Monitoring​​​​​Jan-2023No dateProvider Notice -Glucose Monitor
JHHC Priority Partners No Longer Reimbursing for HCPC U0005Jan-2023No dateCoding
JHHC Priority Partners Quantity Limits for NebulizersMar-2023No date
JHHC Updated Guidance on the Use of Misoprostol for Priority PartnersFeb-2022No dateProvider notice - Updated guidance
Johns Hopkins on Demand Virtual Care Expands to Priority Partners MemberMar-2023No dateProvider noticee -New service
​HealthLink Quick Reference Guide​No dateNo dateQuick Reference Guide
​​JHHC Additional Prior AuthorizationAug-2022No datePayer Newsletter
JHHC Changes to Place of Service Codes for Telehealth ServicesApr-2022No dateCoding
JHHC Clarification Regarding Maternity and Newborn Notification ProcessNo dateNo datePayer Newsletter
JHHC Colorectal Cancer Screening Expanded to Age 45Jul-2022No datePayer Newsletter
JHHC Converting to New Claims SystemAug-2023No dateClaims Information
JHHC COVID-19 Reimbursement Policy UpdateJan-2023No dateBilling
JHHC eviCore Laboratory Management Program for Johns Hopkins Advantage MDAug-2022No dateCoding
JHHC Federal Transparency in Coverage Rules Now in Effect for Johns Hopkins EHPNo dateNo dateCoverage
JHHC Gender Affirming Procedures and Treatment Medical PolicyJul-2022No dateMedical Policy Upadtes
JHHC Medical Policy Updates Effective February 2022Feb-2022No dateMedical Policy Updates
JHHC Members to Receive Home Testing KitsJun-2022No dateBenefits fot test kits
JHHC New Claims Editing System to Launch July 1Jul-2022No dateClaims Information
JHHC New CPT Codes Requiring Prior AuthorizationApr-2022No dateCoding
JHHC New CPT Codes Requiring Prior AuthorizationJan-2022No dateCoding
JHHC New CPT Codes Requiring Prior Authorization Effective July 15, 2022Jul-2022No dateCoding
JHHC New Health Care Performance and QualityNo dateNo datePerformance and quality improvement
JHHC New Prior Authorization RequirementsFeb-2022No date
JHHC New Prior Authorization RequirementsJan-2022No datePrior authorization for medication
JHHC Provider Pulse Spring 2022Spring 2022No date
JHHC Provider Pulse Winter 2022​Winter 2022No date
​JHHC Reimbursement Policy update Telehealth Telemedicine​Jun-2022No date
JHHC Revised Go-Live Dates for Switch to PNC​Oct-2022No date
JHHC Service Area Changes for Advantage MD​2022No dateService area change notice
JHHC Site of Service Policy Update Effective June 15,2022Jun-2022No dateProvider Notice; Policy updates
JHHC Temporary Revisions of Utilization ManagementFeb-2022No dateNotice on temporary revisions of Utilization management
JHHC Updated Reimbursement Guidance for CPT 99072​​​​​​​​​​Jan-2022No date
Medical Policy Updates Effective May 2, 2022May-2022No dateMedical Policy Update
New Preauthorization Requirements for Certain Provider-Administered Medications​Jun-2022No dateProcess update for prior authorization​
JHHC New CPT and HCPCS Codes Requiring Prior Authorization
Apr-2023​
​No date
​Provider Update
JHHC New Prior Authorization Requirements for Certain Provider-Administered Medications
​May-2023
No date​
JHHC Redetermination for Priority Partners Members
Apr-2023​
​May-2023
JHHC Upgrade to JPAL Prior Authorization Tool
Apr-2023​​No date


JHHC Changes and Additions to the Gender Affirming Treatment Medical Policy

​May-2023

No date
JHHC New Reimbursement Policy_venipuncture_reminbursement.pdf (hopkinsmedicine.org)
May-2023​​No date


​Jul-2023

​No date


​Jun-2023

No date​

​Jul-2023
​No date

​Jul-2023

​No date

John Hopkins Multi-Payer Prtal Availity Launching Oct 21-Announcement.pdf
Oct-2023​
​No date


No date​

No date​
​John Hopkins provider notice
​Nov-2023
​No date



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