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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 Manual
The provider manual reflects current policies, procedures and applicable changes to all our product lines and is considered an extension of your participating provider agreement.
Per your contract, communications (e.g., billing guides, letters, newsletters and bulletins) distributed via mail or posted on our website may be considered an extension of the provider manual. If we release a communication that includes language that supersedes language found in the provider manual, we will clarify this in the communication and identify the affected chapter(s) and page number(s).
Where can I find information about member satisfaction with Jefferson Health Plans and Health Partners Plans?
The PA Department of Human Services (DHS) gathers satisfaction measures by plan, using the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey, and Medicaid Health Care Effectiveness Data and Information Set (HEDIS®) and Pennsylvania Performance Measures reporting. The Consumer Guides contain information on member satisfaction.
Where can I find information about participating providers for referrals?
Our online provider directory offers the most current information available about our network of primary care physicians, specialists, hospitals, designated radiology and lab facilities, durable medical equipment (DME) providers and much more. Please use this directory when providing referrals or prescriptions for our members. To request a Spanish version of this tool, please contact the provider services helpline at 1-888-991-9023.