01/20/2025

Health Alliance Plan

Health Alliance Plan Managed Care Committee Member

April Danish, CHONC - Newland Medical Associates

New HAP 2025 Medicare Advantage Plans
HAP Medicare Advantage plans have access to an extensive network of doctors and hospitals across the state, 24/7 telehealth services, over-the-counter benefits, fitness options and more. We have four new Medicare Advantage plans for 2025!

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Reminder - HAP CareSource Marketplace Plans Coming in 2025
Effective January 1, 2025, HAP CareSource will offer Marketplace plans in Michigan. They are available in Genesee, Lapeer, Macomb, Oakland, Shiawassee and Wayne counties. These plans are on-exchange and have gold, silver, and bronze tiers. There are also chronic-condition health plans:

• Diabetes (gold and silver)
• Healthy Heart (gold and silver)
• HDHP Preventive and Preventive (silver)

Important!
These plans are Commercial HMO. If you are participating in HAP HMO Commercial plans, then you are participating in the HAP CareSource Marketplace plans.

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Reminder – Benefit Policies, Prior Authorizations and Pharmacy Information
Please see the table below for helpful reminders and tips!

Benefit Coverage Policies
Log in at hap.org, select More, Benefit Admin Manual. You can easily search for policies by term, code, or phrase. To see changes from the previous month, select Recent Changes.

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Update - Multifactor Authentication (MFA) Coming Soon
Provider Frequently Asked Questions

We recently told you that in early 2025, HAP will require MFA to access the secure provider portal. Below is some helpful information about this implementation.

1. Why is HAP implementing MFA?
   Added security for you and your HAP patients. MFA will also help with “forgot username” and “forgot password” functionality. You will be able to enter a code that is emailed to you or sent to your authenticator app instead of having to remember the answer to a challenge question.
2. When will MFA be implemented?
   We anticipate go live in first quarter 2025. Once MFA is live, the first time you log in you will get an MFA registration screen. You can choose your method to authenticate. Your selection will be remembered.
3. What methods are available to authenticate?
   • Email: Email will be sent to the email address in your profile
   • Authenticator app: Option to download an authenticator app.
4. Can I skip the process?
   No. Every time you log in, you are required to authenticate.
5. Will my current HAP username and password need to change?
   No, however, please note:
   • All users must have their own username for access to the portal.
   • All usernames must be attached to a unique email address.
     Sharing of usernames may result in issues when MFA is implemented.
6. Will I still have to MFA when I link to HAP CareSource from the HAP provider portal?
   No.
7. Who can I call if I have trouble with MFA?
   Provider Inquiry at (866) 766-4661.

Please continue to watch the Provider Newsroom for more information.