August 21, 2024
Introduction to MHK/Portal Mandate for Prior Authorization requests
Thank you for being a valued provider for members in one or more of our health plans: Health Partners Plans Medicaid, Health Partners Plans CHIP, Jefferson Health Plans Medicare Advantage, and/or Jefferson Health Plans Individual and Family Plans.
We wanted to share some exciting news! Jefferson Health Plans will be moving to a new platform, MHK, for prior authorization submissions with a target go live date of December 1, 2024. The MHK platform will be accessible through the HealthTrio provider portal through a single sign on. There will be no change to the process for submitting requests through the EviCore portal.
With the shift to the MHK platform, and in a continued effort to share information via sustainable means, effective February 1,2025,providers will also be required to submit requests for prior authorizations electronically via MHK.
Additionally, looking ahead later into 2025, Jefferson Health Plans will be moving to the electronic distribution of the Inpatient Authorization Determination Logs. Hospitals will need to utilize the HealthTrio provider portal to retrieve these daily reports. We will provide additional information as our internal processes are finalized.
Training videos and other resources on how to request access and how to navigate the HealthTrio provider portal are available at www.hpplans.com/providerportal.
If you have any questions, please call the Provider Services Helpline at 1-888-991-9023 (Monday - Friday, 9 a.m. to 5:30 p.m.).