Thank you for being a valued participating provider.  In an effort to reduce the administrative burden around prior authorization requests, effective October 1, 2024, Jefferson Health Plans will no longer require prior authorization for Sleep Studies when rendered outside of a facility setting for all lines of business (Health Partners Plans Medicaid, Health Partners Plans CHIP, Jefferson Health Plans Medicare Advantage, Jefferson Health Plans Individual and Family Plans). 

Sleep studies rendered in the facility setting (POS 19, 22, 49) will still require a prior authorization. Effective with this above change, as of October 1, 2024, prior authorization requests for sleep studies will no longer be submitted to eviCore.  Please submit all prior authorization requests to Jefferson Health Plans via the HealthTrio provider portal. 

The link to access the HealthTrio portal, along with portal training resources can be found on our website: HPPlans.com/providerportal.

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