Welcome
Thank you for being a valued provider for members in one or more of our health plans: Health Partners Plans Medicaid and CHIP plans, Jefferson Health Plans Medicare Advantage, and/or Jefferson Health Plans Individual and Family Plans.
We are proud to work with you and the thousands of PCPs, specialists, dentists and vision care and other providers who make up our network.
Branding Update (October 2024)
As a reminder, in July of 2023 we launched Jefferson Health Plans as our official marketing name for certain Health Partners Plans, Inc. products. While the marketing name changed for certain products, others did not. Our product names that remained the same (Health Partners Plans remained for the Medicaid and CHIP lines of business, while other products were with the Jefferson Health Plans marketing name for Medicare Advantage and the ACA/Individual and Family Plans lines of business).
To help our provider partners understand these changes, please take note of our product names and member ID cards, as well as the FAQs we have developed (please see links below). It is important to know the differences in the product names and applicable program (Health Partners Plans Medicaid, Health Partners Plans CHIP, Jefferson Health Plans Medicare, Jefferson Health Plans Individual and Family) when speaking to our members/your patients.
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It is important to note the differences in Member IDs used across our products. Medicaid: 9 characters long, starting with all numerical digits CHIP: 10 characters long, starting with a “3” or a “9” Medicare: 7 characters long, starting with a “5” Individual & Family Plan: 12 characters long, starting with a “J” Below is the link to our Provider Quick Reference guide, which provides important phone numbers and claims submission information. |
Provider Information & Resources
- Prior Authorization Guidelines and Forms
- Provider Portal
- Formularies
- Provider Manual
- Policy Bulletins
- Clinical Resources
- Clinical Care Guidelines
- Preventative Care Guidelines
- Form and Supply Requests
- Provider Orientation and Training
Expansion Information
More Information
- Are you interested in joining our network? Get started.
- Are you adding a provider to an existing HPP participating provider group? Add a provider.
- Do you need to know more about our credentialing process? Learn more.
- Do you have questions or need assistance? Contact HPP.