Jefferson Health Plans is hosting our first provider orientation and training webinar of the year on March 20, 2024. Jefferson Health Plans requires all participating providers to demonstrate that they are knowledgeable and trained on important topics and participate in at least one of four quarterly webinars each year. Participation in this webinar will satisfy this annual requirement.

This webinar will provide current and newly credentialed providers a comprehensive review of Jefferson Health Plans’ benefits, administrative services and processes.

Topics include:

• 2024 updates
• Health Partners (Medicaid), KidzPartners (CHIP), Jefferson Health Plans Medicare and Individual and Families plans
• Lab and other benefit carriers
• Online tools (including provider portal, website, etc.)
• Claim filing instructions and best practices
• Community HealthChoices program
• Maternity services
• Access and availability standards
• Pay-for-Performance and Quality Care Plus
• EPSDT standards
• Special HIV/AIDS services
• Member identification cards

REGISTER TODAY

To register for this and future webinars, visit hpplans.com/webinars, select the webinar you are interested in attending and click the registration link in the description. You will receive an email that confirms your registration and gives you the option to add the webinar to your calendar.

ALTERNATE OPTION

While participation in this live webinar will satisfy your annual Jefferson Health Plans training requirement, there is an alternative method to complete the training. Please visit, hpplans.com/provideronlinecourses to access the Provider Orientation and Training eLearning course. Simply review with your staff and submit the electronic attestation found at the end of the training.

D-SNP MODEL OF CARE TRAINING

Successful completion of the D-SNP Model of Care training module is mandatory for providers serving Jefferson Health Plans Medicare-Dual Eligible Special Needs Plan (D-SNP) members. At least one member of a care team location is required to take the annual online training course and distribute the training material to all D-SNP care team members.

To take the training, go to hpplans.com/requiredtraining and complete the attestation upon completing the training.

ACCESS AND APPOINTMENT & AVAILABILITY STANDARDS

Timely access to quality health care is extremely important for our members. As you should be aware, it is a regulatory requirement that all Jefferson Health Plans-participating providers must meet clearly defined access, appointment and availability standards. These standards can be found in Chapter 11: Provider Practice Standards & Guidelines, of the Jefferson Health Plans Provider Manual, available at hpplans.com/providermanual.

To help ensure that your site is adhering to appropriate timeframes for scheduling and availability, we have enclosed copies of these standards for PCPs, Specialists and OB/GYNs. These documents include:

• Provider Access and Appointment Standards
• Telephone Availability Standards

JEFFERSON HEALTH PLANS ACCESS AND AVAILABILITY SURVEYS

Each year, Jefferson Health Plans surveys our providers to determine if they are meeting these standards. A new mandatory survey is planned for Q2.  We look forward to your participation.

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