October 12, 2018
Dear MSHP Clinically Integrated Network Member,
We are pleased to advise you of Mount Sinai Health Partners, IPA, LLC’s (“MSHP”) fee-for-service arrangement with HIP, an EmblemHealth company,
for providers in MSHP’s Clinically Integrated Network (CIN). The FFS rates are for
HIP Medicare Advantage
As a member of MSHP’s CIN, your practice is automatically enrolled in this fee-for-service arrangement that became effective on
October 1, 2018.
You do not need to sign any opt-in agreement to participate. As of
October 1, 2018
your HIP Medicare Advantage and HIP Commercial claims will be processed at the new rates. Please note that the new rates are not currently available and we will be in touch with you when they are released by EmblemHealth.
If you were previously participating with HIP through another agreement or IPA affiliation, that is no longer the case. If you were previously managing any referrals or prior approval requests through another IPA affiliation, you should now access EmblemHealth’s online platform directly for referral or prior approval requests as of October 1, 2018. Any issues managing referrals or prior approval requested should be handled directly with EmblemHealth by contacting them at 1-866-447-9717. As a reminder, please refer to member ID cards for contact information for prior approvals.
Mount Sinai Health Partners does
participate with HIP Medicaid. If you are currently participating with HIP’s Medicaid network and would like to continue to participate with HIP’s Medicaid network, please contact HIP directly at 1-866-447-9717 to confirm your continued participation.