Partners Health Plan is the culmination of a rich and robust collaboration of I/DD service providers and other stakeholders dedicated to serving the I/DD population. PHP currently operates a FIDA/IDD product for dual-eligible individuals with I/DD in the downstate NY nine-county area. In addition, PHP is finalizing and will soon be offering an additional Medicaid line of business.
Billing & Claims
A message to our OPWDD Service Providers: PHP is currently working to implement the new claims guidelines regarding Appendix K Waiver Services and expect to be ready to process claims shortly. In the interim,…
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Authorizations & Appeals
Authorization Requests To request an authorization (coverage determination) for services (medical or I/DD Waiver), contact your patient’s Interdisciplinary Team (IDT) or call our Utilization Management department at 1-855-769-2508. Your may fax a prior authorization request form…
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PHP strongly encourages participating physicians/ practitioners/ providers to complete education and training regarding our model of care, policies, procedures, requirements, and expectations as described in the Provider Contract, the Provider Manual, Provider Training Modules, and in Provider Notices/ Alerts that are disseminated from time to time.
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