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.
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.