Applicable to all states except NC.
The Neighborhood Health Partnership (NHP) Supplement applies to covered services provided to members enrolled in NHP benefit plans when you fit into these 2 categories:
NHP Flex Benefit Plans: This supplement does not apply to care providers located outside the NHP service area.
NHP participating care providers are subject to both the main guide and this supplement. This supplement controls if it conflicts with information in the main guide. For protocols, policies and procedures not referenced in this supplement, refer to appropriate chapter in the main guide.
The term “prior authorization” referenced in this supplement is also referred to as “pre-certification”. We use both terms in this supplement.