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- Antidepressant Medication
- Baby Partners
- CAHPS Resources
- Care Guidelines
- Developmental Screenings and Surveillance
- Diabetes Prevention Programs
- Disease and Medication Management
- EPSDT / Bright Futures
- ICD-10 Coding and Risk Adjustment
- Lead Screening
- Medication Management and Adherence
- Member Rewards
- Oral Health Resources
- Patient Management
- Patient Safety Reporting
- Quality and Population Health
- Smoking Cessation
- TiPS: Telephonic Psychiatric Consultation Service Program
- Opioid Use Resources
Provider Education Self-Management Tools Certificate Program
These online classes were created to keep you informed on a variety of important topics. Click on a course below to start, and please be sure to complete an attestation once the courses are completed.
To register for an upcoming live webinar on any of these topics, visit our Webinars page.
| Course | What to Expect |
|---|---|
For newly contracted providers seeking a more comprehensive orientation and training, please contact us at providereducation@jeffersonhealthplans.com. For established contracted providers who have already completed the initial comprehensive orientation and training and looking for a more concise yet impactful and informative session, please follow the link to Annual Training for Network Providers (ATP) |
Contracted providers are required to annually demonstrate their knowledge and training on key topics. Participation in our provider orientation and training course fulfills this annual requirement. This course provides a comprehensive overview of our plans and essential information to meet our members' needs. Topics covered include: 2025 updates, product overview, member ID cards, credentialing, claims filing instructions and best practices, online tools, Community HealthChoices program, Pay-for-Performance and Quality Care Plus, EPSDT standards, and much more. |
| For ancillary contracted providers who are seeking a more comprehensive orientation and training, please follow the link to Annual Training for Ancillary Providers (ATAP). | Our comprehensive training session is designed for contracted ancillary providers and will cover a range of topics, including 2025 updates, claim filing instructions and best practices, credentialing, utilization management and prior authorization, Evicore, and other valuable resources. The training is tailored to the services provided by the following provider types: |
| DSNP Model of Care Training | To comply with CMS requirements, all contracted and non-contracted providers serving Dual Eligible Special Needs Plan (D-SNP) members must complete annual MOC training. This training ensures providers understand the specialized care and services offered to dual-eligible beneficiaries. At least one representative per care team location must complete the training, submit the attestation, and distribute the materials with all DSNP care team members. Training is available year-round via our online course or live webinars. Completion is only recognized once the attestation is submitted - either at the end of the online course or via the DSNP Attestation link following a webinar. |
| Timely Filing Protocols and The Reconsideration Process | This course provides an overview of our 180-day process for submitting or resubmitting claims for proper review and/or processing within an accurate time frame. Topics also include an overview of the claims reconsideration appeals process with the steps and appropriate documentation needed for review and determination. |
| Cultural Competency and Linguistic Requirements and Services | This course teaches you how to access our clinical programs and resources for patients, including identification and appropriate referral for mental health, drug and alcohol and substance abuse services sensitivity training on diverse and Special Needs populations such as persons who are deaf or hard of hearing and how to obtain sign language interpreters and work effectively with sign language interpreters. The course also includes information on cultural competency and treating Special Needs populations, including the right to treatment for individuals with disabilities. |
| Complaints, Grievances and Medical Necessity Reviews | Part 1 of this course offers information to providers regarding the Medicaid and CHIP Member Complaint and Grievance process, and how providers can submit Complaint and Grievance requests to the Plan on behalf of their patients who are Plan members. Part 2 of this course offers information to providers regarding the Medicaid and CHIP Member Utilization Management Authorization request process, and the need to provide supporting clinical documentation and orders required for a medical necessity review. |
| Overview of 2025 Medicare Advantage Products | This course provides an overview of Jefferson Health Plans’ Medicare Advantage Plans, and an understanding of the values/benefits Jefferson Health Plans Medicare offers our members. Topics include copay and prescription drug coverage, and enhanced supplemental benefits such as vision, dental, flex cards, transportation and much more. |
| Jefferson Health Plans: Individual and Family Plans 2025 Plan Year Overview | This course provides a comprehensive overview of the Individual & Family Plans (Affordable Care Act (ACA)), focusing on the key features, benefits, and enrollment process. You’ll gain insight into the 2025 offerings from Jefferson Health Plans (JHP), including the ACA HMO and PPO plans that are available. |
If you have questions about online courses or provider training, please call 1-888-991-9023 or email providereducation@jeffersonhealthplans.com.
How can I join one of your educational webinars?
To view the upcoming webinar schedule or download a previous webinar, please click here.
Do you offer any other educational resources for providers?
To view additional Jefferson Health Plans tools and resources for providers, click here. You can also log in to the provider portal for more information.
Where can I find your policies and procedures?
To view our provider manual, which includes up-to-date policies and procedures, click here.