Jefferson Health Plans offers a comprehensive Provider Portal designed to streamline healthcare provider interactions, support network management, and enhance overall healthcare delivery. This digital platform serves as a critical tool for healthcare professionals seeking efficient and secure access to essential information and resources.

Official Links

• Provider Portal
• Providers Homepage

What Is the Provider Portal?

The Provider Portal is a robust online platform that enables healthcare providers to:

• Access important provider information
• Submit and manage prior authorization requests
• Access clinical resources
• Manage credentialing and recredentialing processes
• Explore training and educational materials

Who Can Use It

The portal is designed for:

• Participating healthcare providers
• Network providers
• Medical professionals associated with:
  • Health Partners Plans Medicaid
  • Health Partners Plans CHIP
  • Jefferson Health Plans Medicare Advantage
  • Jefferson Health Plans Individual and Family Plans

How to Access the Portal

First-Time Registration

Providers need to:

1. Create an account on the Provider Portal
2. Complete the Provider Registration Guide
3. Follow the Initial User Login Guide

Login Options

Providers can log in through specific portals:

• CHIP Portal
• Medicaid Portal
• Providers Portal

Key Features and Services

Prior Authorizations

• Access to MHK Prior Authorizations Portal
• Comprehensive guide and FAQ available
• Drug-specific prior authorization for:
  • Medicaid/CHIP
  • Medicare
  • Individual and Family Plans

Clinical Resources

Extensive resources including:

• Antidepressant Medication information
• Diabetes Prevention Programs
• Patient Safety Reporting
• Medication Management
• Oral Health Resources

Training and Education

• Webinars
• Provider Online Courses
• Provider Newsletters

Privacy and Security

Compliance

• HIPAA Connect integration
• Privacy Practices documented
• Compliance issue reporting mechanism

Customer Support

Contact Information

• Email: [email protected]
• Portal support for various plan types

Important Notes

• Use Health Trio Provider Portal to access MHK platform
• Comprehensive training guides available
• Regular updates and new resources added

Unprovided Information

While the portal offers extensive resources, specific details about mobile app availability are not mentioned in the provided sources.

The Jefferson Health Plans Provider Portal represents a comprehensive, secure digital platform empowering healthcare providers with efficient tools, resources, and support across multiple healthcare plan types.

Quick Access

• Create Provider Portal Account
• Review Provider Registration Guide
• Explore Available Resources

Note: Always refer to the official Jefferson Health Plans website for the most current information and portal access guidelines.