What you need to know about the COVID-19 vaccine, your HAP coverage, and getting care during the pandemic.

Can I admit my patients to any HAP contracted hospital where I have privileges?

Yes. Except for specific limitations noted in the Provider Directory, physicians can admit patients to any HAP contracted hospital at which they...

What is HAP monitoring and responding to specialist visit and cost increases?

HAP will continue to monitor physician practice patterns and utilization through our physician report cards, Episode Treatment Groups (ETG) and...

Who determines medical neccesity for services on the referral Requirement List?

For covered services, we will rely on the ordering physician to use evidence based guidelines to determine medical appropriateness of care and...

When is my HAP contract effective and when can I start treating HAP members?

Once we process your application, you will receive a welcome letter from HAP with your effective date and participating lines of business. Please...

How do I confirm member eligibility?

You can log in to your provider portal and click on “Member eligibility.” You can also call (800) 801-1766.

How long is the process for becoming a HAP participating provider?

The process takes about 90 days. If it’s been more than 90 days since you applied, you may check the status of your application by contacting...

Is HAP taking applications for all ancillary service providers?

HAP has standards to ensure appropriate access to care exists within a defined geographic region. As such, we are not accepting applications for...

Can referrals be entered in IRA for services labeled as no referral required?

No, if you attempt to enter a referral in IRA for services not requiring a referral, users will receive a pop up message indicating no referral is...

Does HAP offer any special programs for people with chronic diseases such as asthma, diabetes or heart failure?

Chronic and complex conditions can need many health care providers, prescriptions, appointments and treatments. Our innovative care management...

How do I end my participation with HAP if I am a provider?

If you are a practitioner, please complete the provider change form and email the form to [email protected] If you are an ancillary...

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