Thank you for being a Jefferson Health Plans participating provider.

We are contacting you today to inform you of a revised policy available in our Jefferson Health Plans Policy Bulletin Library. Effective November 1, 2023, Jefferson Health Plans will be implementing a revised claim payment policy: B.025.D Pediatric Shift Care when Multiple Members in a Household are Receiving Care.

You can access this policy by visiting our policy bulletin library at www.hpplans.com/PolicyBulletins.

As a reminder, Jefferson Health Plans’ medical policy bulletins define medical necessity criteria and coverage positions on topics such as medical services, procedures, DME, therapies, etc., while our claim payment policy bulletins provide reimbursement rules and billing guidelines necessary to ensure timely and appropriate payment.

Thank you for your support in providing the highest quality of care to our members.