Delivering quality medical services to our members is the hallmark of Johns Hopkins Health Plans, and we rely on our network providers to do this.
News and Announcements
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All Johns Hopkins Health Plans members of Employer Health Programs (EHP), Advantage MD and US Family Health Plan (USFHP) have access to behavioral health providers in the UpLift network. UpLift is a virtual behavioral health practice that expands access to providers and offers members rapid scheduling.
UpLift supplements the existing network of quality behavioral health care providers available to members, offering easy online scheduling that matches members with a qualified behavioral health provider as soon as the next day, and in just several days on average. The UpLift platform also makes it simple for members to find the right care by matching a therapist or psychiatrist according to their personalized needs and provider specialties, allowing members to filter searches for different results.
While UpLift is primarily virtual, some providers offer in-person appointment options. Member cost shares for UpLift providers are the same as all in-network behavioral health care services. Members can self-refer or providers can now refer members to UpLift so they may locate a provider in the UpLift network. Refer members to joinUpLift.co to learn more and to find a provider.
Client Self-Scheduling
- Register at joinUpLift.co and schedule with a therapist.
- Email [email protected] for a referral for therapy and psychiatry.
- Call UpLift at 888-380-2028.
Referrals for Therapy and Psychiatry
- Visit joinUpLift.co/partners/refer
- Email [email protected]
- Call 888-380-2028
- Fax referral sheet to 888-834-8691
Clinical Records can be emailed to [email protected].
Johns Hopkins Health Plans’ contract with UpLift currently covers members in MD, VA, FL and Washington DC. We continue our efforts to expand coverage to all states where UpLift has a presence. -
Johns Hopkins Health Plans has engaged PNC Healthcare and ECHO Health, Inc., to provide new electronic methods for claims payment and remittances via their Claim Payments & Remittances (CPR) service for Advantage MD and USFHP.
If you are already enrolled with PNC/ECHO for Employer Health Programs (EHP) and Priority Partners, you do not need to take further action. If you are not enrolled with PNC/ECHO for EHP and Priority Partners, please follow the important instructions below to ensure you receive payment for Advantage MD and USFHP claims.
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Johns Hopkins Health Plans provides free tools and services to people with disabilities to communicate effectively. Johns Hopkins Health Plans also provides free language services to people whose primary language isn’t English (e.g. qualified interpreters and information written in other languages). These services can be obtained by calling the Customer Service number on their member ID card.
You may also contact Johns Hopkins Medicine International for assistance or submit a member referral to Priority Partners. -
A quick reminder that our Johns Hopkins Health Plans Provider Orientation webinar is held the third Monday of each month at noon. The one-hour online webinar focuses on important information about our processes and procedures and is useful for both new providers to Johns Hopkins Health Plans and also those long-term providers who might want a refresher.
Upcoming dates:- Thursday, Nov. 21, 2024 12 p.m. EST
- Thursday, Dec. 19, 2024 12 p.m. EST
- Thursday, Jan. 23, 2025 12 p.m. EST
- Thursday, Feb. 27, 2025 12 p.m. EST
Register in advance for any of these dates listed above.After registering, you will receive a confirmation email containing information about joining the meeting.
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Johns Hopkins Health Plans’ Provider Relations team welcomes you to the 2024 provider training sessions 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).
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The Fall 2024 issue 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 Advantage MD, Employer Health Programs, Priority Partners and US Family Health Plan networks.
Provider Relations
The Provider Relations Department is dedicated to the partnerships we've established within our provider network. Provider Relations Network Managers and Coordinators work closely with providers and facilities to satisfy the needs of our program enrollees. These include but aren't limited to:
- Rate negotiation and services coordination for non-par providers/vendors
- Needs analyses for network expansions
- Orientation for new providers
- Routine office visits for ongoing training and assurance of contractual compliance
- Annual seminars on general and specific topics of interest
- Updated policies and procedure information
- Network management/monitoring for adequacy, access, appointment and availability
- Immediate response to inquiries, requests and/or issues
- Routine correspondence and communication
Frequently Asked Questions
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We would be honored to include your practice within our provider network. Contact our Provider Relations Department at 888-895-4998 or 410-762-5385, or complete our JHHP New Network Request Form.
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Approximately 30 days from the time we receive your claim. Want to get paid even faster? Did you know that Johns Hopkins Health Plans now offers electronic payments to its providers? Electronic Funds Transfer (EFT) is easy to set up and once complete guarantees a quicker reimbursement. For more information e-mail [email protected] or call 888-895-4998 today.
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Certain medications require prior authorization before coverage is approved to ensure medical necessity, clinical appropriateness and/ or cost effectiveness. Coverage of these drugs is subject to specific criteria approved by physicians and pharmacists on the Johns Hopkins Health Plans Pharmacy and Therapeutics Committee. To see a list of drugs that require prior authorization, visit the pharmacy sections for EHP, Priority Partners or US Family Health Plan.