July 1, 2026

To ensure the highest quality of care, and in accordance with the Pennsylvania Department of Human Services and CMS requirements, our Quality Management department must identify, track and follow up on the following:

• Preventable Serious Adverse Events (PSAE)
• Healthcare Acquired Conditions (HCAC)
• Other Provider Preventable Conditions (OPPC)

We offer a toll-free anonymous provider reporting line to identify and track such events that are deemed preventable, serious and adverse. To report an event, call 1-855-218-2314 with the following information:

• Member name, health plan ID# and/or date of birth
• Date of event
• Description of event
• Location where event occurred

All calls will remain confidential and will be followed up by Quality Management for verification. Our policy is to reasonably track and isolate identified events and account for payments that may have been made in association with them. Jefferson Health Plans reserves the right to retract payments made for what are deemed preventable events.