Provider Learning Lab
Partnering with providers to give our members high-quality service is one of HPSM’s top priorities. As your partner in care, we strive to create processes and requirements that are easy for providers to understand and follow.
The training resources on this page will help you get the information and support you need quickly. If you have questions about them or suggestions for additional training modules, please email Provider Services.
- Provider Onboarding
- Behavioral Health
- Black History Month
- Clinical Guidelines
- Cultural Competency
- Electronic Funds Transfer
- Home Health Care Providers
- Interpreter Services
- Nursing Facilities
- Provider Manual
- Provider Portals
- Quality Improvement
- Reopen Your Practice
- Value-Based Payment Program
New to HPSM? These resources are here to welcome you to the network and to set you up for success.
Provider Onboarding Video Series:
- Video #1: Welcome to HPSM
- Video #2: Getting Started
- Video #3: Authorizations
- Video #4: Billing, Claims and Finance
- Video #5: Rights and Responsibilities
- Video #6: Caring For Our Members
Download the new provider regulatory presentation
Download the new provider onboarding presentation
Learn how to submit a prior authorization request form – a requirement before providing some treatments or medications for HPSM members.
Watch the authorizations tutorial video
Watch the "Authorization Requests Through HPSM's Provider Portal" video
Resources for our behavioral health providers.
Managing Increased Behavioral Health Demand - 4/14/2021 Presentation (video)
Submitting a Claim (for behavioral health providers)
Download the appointment availability form
Black History Month
Learn how you can improve health outcomes for Black and African American patients.
HPSM Celebrates Black History Month Webinar (Recorded 2/23/2022)
HPSM Celebrates Black History Month Webinar slides (2/23/2022 presentation)
Barriers to Black Breastfeeding Webinar (in partnership with Black Infant Health) 11/5/2020
What does it take to submit a claim correctly? Check out our resources here.
Learn how to submit a claim electronically
Watch the claims tutorial video for behavioral health providers
Webinar recordings to help providers learn more about HPSM's diverse member populations.
Asian American and Pacific Islander Awareness Month 2022
Black Breastfeeding Awareness Month 2020
Learn more about HPSM evidence-based recommendations for optimizing patient care.
Electronic Funds Transfer
HPSM wants to make sure you are reimbursed quickly and accurately so we use EFT to pay claims. Learn how to sign up here.
Learn how to check a member’s eligibility using our portals.
Home Health Care Providers
Resources for providers delivering home health care services for HPSM members.
Home health care provider page
Caring for homebound members authorizations page
Resources for Home Health Care Providers webinar (6/7/2022)
Resources for Home Health Care Providers webinar slides (6/7/2022)
Resources to help make sure a language barrier does not stop you from delivering excellent care.
Resources for in-network nursing facilities participating in our quality payment program.
Nursing Facility Quality Payment Program
Nursing Facility Quality Learning Collaborative - Quarterly Meeting (August 5, 2021)
This manual contains policies and procedures relevant to providers that are contracted with HPSM.
HPSM’s Provider Portals are user-friendly and have many great features, including claim and authorization status lookup. Learn more about our portals here.
Training topics that are required for HPSM providers to ensure high-quality care for our members.
Go to the Clinical Guidelines web page
Go to the Medical Record and Facility Sites Review web page
Go to the Potential Quality Issues (PQI) page
Go to the Healthcare Effectiveness Data and Information Set (HEDIS) page
Reopen Your Practice
How to carefully reopen your practice during the global health crisis, and other resources.
Value-Based Payment Program
Our value-based payment (VBP) programs offer performance bonus payments to in-network providers for meeting targeted quality measures. Learn more about them here.
Go to the VBP Program web page
Watch the VBP tutorial webinar