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Update: HPE Application Portal System Modifications and User Requirements

February 8, 2019

The implementation date to modify the Hospital Presumptive Eligibility (HPE) Application Portal system user access has changed and will occur mid-to-late 2019. HPE providers should continue to check the Medi-Cal website for updates. An advanced notification of the new implementation date will be posted once it is established.

In the meantime, HPE provider/employee users should confirm and/or update their HPE user information if they have not yet done so, as indicated in the April 2, 2018, HPE NewsFlash Modifications to the HPE Computer Based Training and HPE Application Portal, which provides detailed instructions.

These modifications will enforce requirements that users are trained and have an appropriate National Provider Identifier (NPI) for authorized access into the HPE Application Portal. Upon implementation, HPE provider/employee users must meet all three user access requirements, outlined below, in order to have authorized access into the HPE Application Portal to make HPE determinations.

If users do not meet each of the three user access requirements, the HPE Application Portal system will deny access.

The following are three new requirements to access the HPE Application Portal:

  1. The HPE provider/employee user must have registered properly on the Medi-Cal Learning Portal (MLP), with either a user type of “Healthcare Provider” or “Provider Staff.” “Healthcare Provider” is defined as a Medi-Cal provider with a valid NPI. “Provider Staff” is defined as anyone working in the provider’s office with access to the provider NPI.

  2. The HPE provider/employee user must have successfully completed the HPE Provider/Employee Computer Based Training.

  3. The HPE provider/employee user must have a valid NPI and PIN.