June 11, 2024
Provider Annual Orientation and Training Webinar Announcement for 2024
Thank you for being a valued participating provider. Jefferson Health Plans is hosting our Quarter 2 provider orientation and training webinar on June 19, 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 with a comprehensive review of Jefferson Health Plans’ benefits, administrative services, and processes.
Topics include important information for 2024 on:
- Health Partners (Medicaid), KidzPartners (CHIP),Jefferson Health Plans Medicare Advantage and Individual and Family 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. The mandatory survey launched on April 30. We look forward to your participation.
Thank you for your support in providing the highest quality of care for our members.