Important!
Jefferson Health Plans is currently investigating an issue that is causing some eligibility transactions to fail in the mPulse Provider Portal and Experian. We are working closely to resolve the problem and minimize any impact. We will continue to provide updates as they become available.
Action is Needed!
Effective January 1, 2027, a new federal law will change Medical Assistance eligibility requirements. Click here for more information on what your office can do to prevent your patients from losing their medical coverage.
Welcome Providers!
Welcome to Jefferson Health Plans
Thank you for your interest in joining our provider network. Please complete the Provider Recruitment Form by clicking the link below. A representative will reach out to you with more information and next steps on becoming a network provider.
Jefferson Health Plans EverWell
Provides health coverage for individuals with limited financial resources or meet other eligibility criteria as required by the Pennsylvania Department of Human Services.
Jefferson Health Plans CHIP
Insurance coverage for Pennsylvania children and teens under 19 years old who are uninsured and not eligible for Medicaid.
Jefferson Health Plans Medicare Advantage
Provides the full benefits of original Medicare plus additional benefits including dental, vision, prescription drug coverage, and much more.
Jefferson Health Plans Individual and Family Plans
Coverage provided through the Affordable Care Act (ACA) for those that do not have coverage through an employer, Medicaid, Medicare, or CHIP.
Credentialing/
Recredentialing
Important Note: To access the MHK platform to submit prior authorization requests, please sign into the Health Trio Provider Portal. Once signed in, go to the Prior Authorizations page to access MHK. Additionally, a FAQ document and a comprehensive training guide is available on the Provider Portal Page.
Feel free to contact us if you have additional questions or need assistance.