Claims will be processed in accordance with Original Medicare billing rules, Medicare fee schedules, prospective payment system requirements, local coverage determinations (LCDs) and the PPHP …

PPHP is a Health Maintenance Organization (HMO) dedicated to Medicare Advantage (MA) product offerings. PPHP serves individuals with Medicare living in a long-term care residential healthcare …

Assistance is available 7 days a week, 24 hours a day. Claims will be processed in accordance with Original Medicare billing rules, Medicare fee schedules, prospective payment system requirements, …

PPHP pays for a routine eye exam every year. PPHP pays up to $150 per year for eyeglasses (frames & lenses). PPHP covers up to 190 days in a lifetime for inpatient services in a psychiatric hospital. …

PPHP is a Health Maintenance Organization (HMO) dedicated to Medicare Advantage (MA) product offerings. PPHP serves individuals with Medicare living in a long-term care residential healthcare …

TO BE COMPLETED BY PERSON REQUESTING AUTHORIZATION Standard Authorization: Most services if requested by or with a written order from a PCP or Plan NP are “auto-authorized” within 8 …

PPHP has approved and promotes the use of the American Medical Directors Association (AMDA) clinical practice guidelines among internal clinical staff and providers which are tailored to the long …

Provider Partners Health Plans are Health Maintenance Organization (HMO) Special Needs Plans (SNP) with Medicare contracts. Enrollment in Provider Partners Health Plans depends on contract …

What is the service area for Provider Partners Texas Advantage Plan? The counties in our service area are listed below. Anderson, Angelina, Bandera, Bexar, Brazos ...

Discrimination is Against the Law ace, color, national origin, age, disability, or sex. PPHP does not exclude people or treat them differently because of PPHP: