Provider Orientation and Training

Providers who are contracted with Health Partners Plans (HPP) must demonstrate that they are knowledgeable and trained on important topics annually. Participation in our quarterly provider orientation and training course satisfies this annual requirement. The course offers a detailed overview of HPP and gives valuable information to meet the needs of our members. Topics include:

• Claims information
• Member identification cards
• Lab and other benefit carriers
• Online tools including the HealthTrio provider portal and more
• Prior authorizations

Please visit our Provider Webinars page to register for a live provider orientation and training.

If you have already completed the training and are looking to attest, please click the following link for our provider education attestation: Annual Orientation and Training Attestation (AOT)

You can also request a face-to-face training by emailing providercommunications@jefffersonhealthplans.com.

D-SNP Model of Care Training

Successful completion of this training module is mandatory for providers serving Health Partners 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.

The D-SNP Model of Care training module helps your practice stay current on Medicare programs and resources while maintaining compliance with standards from agencies including the Department of Human Services, the Centers for Medicare & Medicaid Services and the National Committee for Quality Assurance.

By completing this training you will:

• Understand the benefits and requirements of the Health Partners Medicare
  D-SNP plan.
• Receive an overview of the demographic and health profile of our membership.
• Learn about valuable resources to help meet beneficiaries’ needs.

Start the Model of Care training now. Simply review the information, complete the attestation and click “submit” to complete the requirement.

For questions or more information, contact providercommunications@jefffersonhealthplans.com.

Medicare Compliance

CMS refers to our contracted partners as First-Tier, Downstream, and Related entities or FDRs. HPP is required to effectively manage and oversee its FDRs that assist in providing administrative and/or health care services for our Medicare members. Learn more.