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Change Healthcare Cyber Security Incident: FAQ
May 6, 2024
Change Healthcare Cyber Security Incident FAQs (Updated 05/6/2024) Member Eligibility, Billing & Payment Do you utilize any Change Healthcare or related products that might be impacted by the cyberattack? Yes, Jefferson Health Plans utilizes Chan…
Claims Update
May 6, 2024
Please be advised that due to a system issue there has been a one-day delay in the release of claims payments this week. Payments will be available on Wednesday, May 8, 2024. If you have any questions, please contact the Provider Services Helpline at…
2024 Provider Access, Appointment and Telephone Availability Standards Survey is Now Available
April 29, 2024
Each year, Jefferson Health Plans surveys our network to determine if providers are meeting the Access and Appointment Standards and Telephone Availability Standards as set by the Department of Human Services (DHS) for Health Partners (Medicaid) and …
Bariatric Policy change
April 26, 2024
Thank you for being a valued participating provider. This letter is to inform you of an important change related to Elective Laparoscopic Sleeve Gastrectomy procedures for our Health Partners (Medicaid) and KidzPartners (CHIP) members. Effective 7/1…
Updates to APR DRG version
April 5, 2024
Thank you for being a participating provider with Jefferson Health Plans. This letter contains important information about the update to the current version of APR-DRG. In accordance with the Pennsylvania Department of Human Services (DHS) and per Je…