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New Shift Care Authorization Requirements

Thank you for being a valued provider for members in one or more of our health plans: Health Partners Plans Medicaid and CHIP plans, Jefferson Health Plans Medicare Advantage, and/or Jefferson Health Plans Individual and Family Plans.

Effective December 1,2024, we will begin requiring all Shift Care requests for Home Health Aide level of care to be submitted with all required modifiers listed on the request (U7, SC, TT modifiers). If the modifier is not included in the prior authorization request a U7 modifier will be included by default; an updated request will be required to add any additional modifiers. If you need to add or remove a modifier, please make sure to indicate the effective date, the days, and the hours for each modifier.

As a reminder, the SC modifier (Legal Responsible Relative to Staff) must be indicated on the physician referral in order to be included in the request.

Shift Care requests should continue to be submitted via the HealthTrio provider portal or faxed to the Shift Care team at 267-515-6667. Thank you for your attention.