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Provider Emergency Preparedness Plan

The Provider Services Department (Provider Services) will work with HPSM’s provider network, including network providers, subcontractors and downstream subcontractors, to ensure members have continuing access to healthcare services in the event of an emergency and to gather information related to closures and/or impacted clinics in order to provide required regulatory reporting.

Education

  1. Provider Services will update existing provider trainings to include content around emergency preparedness and disaster planning/relief. This Plan will also be presented during the credentialing process, which providers will attest to, to ensure HPSM’s network providers are equipped to manage and inform the health plan of any impactful man-made emergencies and/or natural disasters.
  2. Provider Services will provide network providers, subcontractors and downstream subcontractors with an emergency preparedness fact sheet and resources on general emergency preparedness, response and communication protocols via the HPSM website, provider newsletters, provider quick reference sheet and provider trainings in the event of man-made emergencies or natural disasters.

Communication during an emergency

  1. HPSM has a system, a process and contacts in place to inform and receive information from network providers, subcontractors and downstream subcontractors during an emergency (see below). Contact information will be updated, as changes occur, but no less than every six months.
    • Email
    • Phone (cloud based)
    • HPSM website
    • Marketing (emergency notifications)
  2. Provider Services has policies for informing network providers, subcontractors, and downstream subcontractors about what modifications need to be implemented during an emergency to ensure that members can access covered services, and how the plan can assist network providers, subcontractors, and downstream subcontractors in those efforts.
  3. Possible changes made to members’ access to covered services can be found in the HPSM Member Emergency Preparedness Plan. This information will be transmitted to providers as determined by the specific emergency.

Network Provider Agreement

  1. Provider Services provider agreements inform network providers that they are required to advise HPSM of the provider’s emergency plan, adhere to CMS Emergency Preparedness Final Rule 81 FR 63859, and submit evidence of doing so annually.
  2. In addition, they are to notify HPSM Provider Services within 24 hours of an emergency if the provider closes, is unable to meet the demands of a medical surge or is otherwise affected by an emergency.