Health Plus Provider Manuals

Policies and Procedures for Medicare and Medicaid

The documents below represent the policy and procedure manuals for Health Plus Elite (Medicare Advantage Prescription Drug Plan) and Health Plus (Medicaid, FHP, and CHP). They include overviews of each plan and its services, updated referral, authorization and billing information, and a concise yet comprehensive summary of quality improvement, HIPAA and other regulatory guidelines.

Should you have any questions about the information presented in these manuals, please contact your Provider Relations Associate, the Health Plus Provider Care Center (1-800-450-8753), or e-mail us at: providers@healthplus-ny.org.

• Health Plus Elite (Medicare Advantage) Provider Manual - ( PDF, 1 MB)
• Health Plus Provider Manual (Medicaid, CHP, HCP) - ( PDF, 906KB)
• Appendix 1- Medical Record Standards - ( PDF, 22.5KB)
• Appendix 2- EOP Code Explanations - ( PDF, 38.3KB)
• Appendix 3 - Covered Services - ( PDF, 0.98 MB)
• Appendix 4 - Manual Updates - ( PDF, 533 KB)