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Fast Facts Newsletter - September 2025

HealthPartners·MN · Orthopedics, Allergy & Immunology, Emergency Medicine·Medical Policy
Effective date
Sep 1, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

HealthPartners has retired several medical policies effective immediately including hip and knee joint replacement surgery, updated allergy testing policy to exclude home-administered immunotherapy starting November 1, 2025, and revised ambulance/medical transportation policy requiring prior authorization only for non-emergency fixed wing air ambulance effective November 1, 2025.

Action Required

Action needed
Immediately: Remove prior authorization requirements for hip and knee joint replacement surgery as policy is retired. By November 1, 2025: Update billing system to require prior authorization only for non-emergency fixed wing air ambulance services. Stop billing for home-administered subcutaneous allergen immunotherapy as it will no longer be covered. Review ambulance billing to ensure proper documentation of medical necessity and attending provider transfer orders for fixed wing transport.