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Section 1: About HPSM
Section 2: Customer Support
Section 3: Member Complaints
Section 4: Claims
Section 5: Provider Disputes
Section 6: Ancillary Services
Section 7: Utilization Management
Section 8: Provider Services
Section 9: Quality Improvement
Section 10: Health Education
Section 11: Fraud Waste and Abuse
Section 12: Privacy
Clinical Guidelines
Language Interpreter Services
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Language Documentation Requirements
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Provider Forms
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Diabetes Prevention Program
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Grievance & Appeals Process
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HEALTHmatters MD
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Urgent Care
Tobacco Cessation Information and Resources
Identifying Tobacco Users
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Vulnerable Populations
Provider Education and Trainings
Older Adults and People with Disabilities
Provider Videos
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Incentives for Primary Care Providers
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Learning Lab
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HPSM Dental Providers
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Benefits of Dental Integration
HPSM Dental Mission
An Innovative Pilot Program
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Urgent Care
HPSM has five urgent care centers in our network. PCPs may wish to refer patients to an urgent care center when:
- A patient needs to be seen sooner than you have an appointment opening
- A patient needs care outside of your office hours (for example, evenings, weekends or holidays)
- The situation isn’t an emergency (that is, not life-threatening)
Referring patients to urgent care
Some urgent care centers accept either appointments (which can be made by phone or online) or walk-ins. Others only accept walk-ins.
- Find the nearest HPSM network urgent care center
- Not sure where to send a patient? Have them call HPSM's Nurse Advice Line
- Urgent care or ER? A quick guide to what each one does
How urgent care helps patients & PCPs
- HPSM wants you to remain the member’s primary care provider, and our Nurse Advice Line will only refer your patients to urgent care when it is the most appropriate option in a given situation
- Wait times for urgent care are typically shorter than at the ER
- Care coordination: Within one to two hours after an HPSM member’s visit, the clinic faxes a visit summary to the member’s PCP which includes lab results and follow-up suggestions