Important provider resources, forms and guidelines for providers in the Partners Health Plan network.
Billing & Claims
Claims and billing submission guidelines, contact information, and other billing and claims resources
Authorizations & Appeals
Authorization requirements, request forms, and appeal / greivance information.
Durable Medical Equipment (DME)
DMEPOS Requests, Requirements and Resources
FAQ & Reference Guide
Important contact information and frequently asked questions.
Provider Events & Webinars
Previous Provider Webinars
August 22, 2023 Provider Webinar: Medicaid Eligibility: Maintaining Benefits for the Intellectually and Developmentally Disabled in New York State
This webinar was in collaboration with Care Design NY and focused onchanges to Medicaid eligibility and recertifications, as well as the unwinding of the Public Health Emergency (PHE) as it relates to Medicaid coverage.
PRESENTED BY: Kristina Cunningham, Assistant Vice President of Member Benefits and Enrollment
June 14, 2023 Provider Webinar: Medication Related Risk in the IDD Population
This webinar was in collaboration with Care Design NY and focused on:
- Medication Risks for the IDD Population
- PHP’s clinical pharmacy program
- Comprehensive Medication Therapy Reviews (CMTRs)
- What is a CMTR and how it is used
- Clinical Pharmacy program outcomes
PRESENTED BY: Scott Doolan RN BSN, MBA, Assistant Vice President of Health Care Management
March 22, 2023 Provider Webinar:
What is IDD Care Management and What Does It Mean To Me?
This webinar was in collaboration with Care Design NY and focused on how Care Management is different when in support of someone with an Intellectual or Developmental Disability (IDD) and the importance of collaboration between IDD Care Managers and the provider community.
PRESENTED BY: Steven Merahn, MD, Medical Director
Provider News, Updates & Announcements
Stay up-to-date on important information for providers in the PHP Provider Network.
National Enteral Supply Shortage
Message from the Medical Director: COVID-19 Update
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relevant to participation in Medicaid and other health programs?
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Information for Providers (ny.gov)
Need Provider Assistance?
The Partners Health Plan Network Development and Provider Relations team is here to assist you with your billing, claims, authorization, education, and any other general inquiry. Use the Contact Us button below to complete a Provider Ticket Submission Form.