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Prior Authorization Update - CHIP

Thank you for being a valued Jefferson Health Plans provider. We are writing to inform you of an important update to the prior authorization requirements for our Health Partners Plans CHIP (KidzPartners) product. 

Effective June 1, 2024, Jefferson Health Plans will no longer require prior authorization requirements for Ambulatory Surgical (ASC), Short Procedure Unit (SPU), and Outpatient Surgical services for our CHIP members. This applies to all services billed in POS 22 and 24 and/or Revenue code 360 and 361, for dates of service beginning on/after June 1, 2024.

If you have any questions, please contact our Provider Services Helpline at 1-888-991-9023 (Monday - Friday, 9:00 a.m. – 5:30 p.m.).