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Bariatric Policy change

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…

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Updates to APR DRG version

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…

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Self-Monitoring Blood Pressure Cuffs for Pregnant Members

According to the Center for Disease Control and Prevention (CDC), 1 in every 12 to 17 pregnancies among women ages 20 to 44 in the U.S. experience high blood pressure. In addition, CDC data shows that black women are two to three times more likely to…

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Change Healthcare Cyber Security Incident: FAQ

Change Healthcare Cyber Security Incident FAQs (Updated 03/26/2024) 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 Cha…

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