padding-right: 26px!important} "; If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). address you gave above. Re: Change in Prior Authorization Requirements . Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. Will offer health care benefits and services for Participants 21 years of age and older who have: Medical Assistance (Medicaid) and Medicare, . You do not have to register for this site. We are open Monday through Friday, 8:00 AM to 6:00 PM (EST). By telephone. K"^k}@[78yKBgqa"\p+A7 (M\ 0NLXHf`H7_~^oxOYS,'o~6t-Kv"7 $q:/&v}%*^8)S6:F_W1$[,WQ|zHWgY`;;`(eY\^Qb4.xVN=33. You can still call Participant rights, responsibilities, and privacy, Health Education Advisory Committee (HEAC). Please visithttp://matp.pa.govfor the most up-to-date MATP phone numbers. For more information, go to Provider Resources. 0000416878 00000 n Community HealthChoices (CHC) is Pennsylvania's mandatory managed care program for individuals who are dually eligible for both Medical Assistance and Medicare, older adults, and individuals with physical disabilities serving more people in communities while giving them the opportunity to work, spend more time with their families, and . You may be trying to access this site from a secured browser on the server. Please see Terms of Use and Privacy Notice. Community HealthChoices Provider Resources. 780 0 obj <> endobj Click to skip to content, You are on secondary menu. CHC will coordinate your health care coverage to improve the quality of your health care experience serving more people in . Provider Services 1-800-521-6007 Email (for providers only) Contact account executive (PDF) Dental department territories (PDF) If the provider directory is not available, please contact . var tds_header_style=""; Copyright 2019-{{year}} Keystone First Community HealthChoices. Download a list of all of the providers in your area. The HealthChoices enrollment specialists help people who are enrolled in the Medical Assistance program to choose a health plan. 0000006486 00000 n Please see. Phone: 1-800-521-6007 // Email. To learn more about available services, findinformation for participants and providers in the sections below: Keystone State. . Family planning. This program is not for emergencies. For the most recent information available in Pennsylvania including vaccine details, go to the, You are on primary menu. These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. . please call . Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. Proudly founded in 1681 as a place of tolerance and freedom. Contact us; Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience . This site contains links to other Internet sites. Nimble. Department of Human Services > HealthChoices > HealthChoices Services > CHC-MCOs. this.td_cur_cat = ''; 0000006598 00000 n Proudly founded in 1681 as a place of tolerance and freedom. })(window,document,'script','dataLayer','GTM-WHZDDZZ'); Apply for Long Term Services and Supports (LTSS) Waiver. Keystone First, coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania. 0000001938 00000 n Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. Driving directions. All rights reserved. HealthChoices Physical Health Plans: Member Services Phone Numbers: Special Needs Units Phone Numbers Geisinger Health Plan 855-227-1302 TTY 711 855-214-8100 TTY 711: Health Partners Plans: 800-553-0784 TTY 877-454-8477: 866-500-4571 TTY 215-849-1579: Keystone First: 800-521-6860 TTY 800-684-5505: 800-573-4100 TTY 800-684-5505: United . Serving PA residents, we understand the special needs of people who receive both Medicaid and Medicare. Connecting people who receive Medicaid benefits with mental health and drug/alcohol services. 0000004995 00000 n If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). 777 E Park Dr, Ste G4, Harrisburg, PA 17111 var tds_more_articles_on_post_pages_distance_from_top="0"; Date: If you have already applied for waiver you can check the current status of your application. The Adobe Reader is required to view PDF files. 224 0 obj <> endobj Amerihealth of NJ - Regional . gtag('js', new Date()); this.atts = ''; Community Healthchoices (CHC) Keystone First; PA Health & Wellness . var td_get_template_directory_uri="https://www.paproviders.org/wp-content/themes/Newspaper"; Keystone First 200 Stevens Drive Philadelphia, PA 19113. You may also call Member Services at 1-800-521-6860 . hb```f``Kd`c`ff@ aqdJ f&wL You can also enroll online: Visit the PA Enrollment Services . 0000019957 00000 n 0000004470 00000 n Participant Pharmacy Services. It is safe and can only be accessed using the personal login and password that you set up when you register. Behavioral health treatment includes mental health and drug and alcohol services. var td_ajax_url="https://www.paproviders.org/wp-admin/admin-ajax.php"; b4 this.block_type = 1; //block type id (1-234 etc) You will need to log in to your email to verify the email Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. This site contains links to other Internet sites. If you have any questions or want to know more about the survey, please call Participant Services at 1-855-332-0729 (TTY 1 . //td_block class - each ajax block uses a object of this class for requests Community HealthChoices Managed Care Organizations (MCOs) Website: www.amerihealthcaritaschc.com; Phone: 1-855-235-5115 (TTY 1-800-235-5112) . Cambria County: . Keystone First CHC Learn about our program developed to assist your practice in engaging and managing the healthcare needs of chronically ill Keystone First members. 0000001260 00000 n They have information about Keystone First and can answer your questions. His professional career began in 1988 and most recently he was president and CEO of PerformCare/Community Behavioral HealthCare Network of Pennsylvania, Inc., a national, full-service, behavioral health managed care organization. Community Support Programs Bucks County: cspbucks.org. trailer %PDF-1.7 % 0000424571 00000 n Keystone State. Find out more about the coronavirus and how you can help prevent it. .sf-menu a.sf-with-ul { We can speak with you in other languages. 0000010718 00000 n 0000481755 00000 n 826 0 obj <>stream Your answers can help make sure you get the best care and service from us. This site contains links to other Internet sites. 1-855-332-0729 TTY: 1-855-235-4976. Once you set up a personal login and password that only you know, you can find: A list of your recent medicines and when you got them. You may be trying to access this site from a secured browser on the server. Your answers can help make sure you get the best care and service from us. Visit the COMPASS website for more information on Community HealthChoices eligibility. gtag('config', 'UA-23757493-1'); . About us. hbbd```b``_A$DH.0 af `` ,^f+HVg0Dm~ *rdOa` $^FANg`_ The Medical Assistance Transportation Program (MATP) is a special transportation service for people who receive Medical Assistance. Call 1-800-440-3989 (TTY users call 1-800-618-4225) for PA Enrollment Services. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc. Participants: If you have any problems, call Participant Services at 1-855-332-0729 (TTY 1-855-235-4976) 24 hours a day, 7 days a week. 0000018705 00000 n Providing Medicaid, behavioral health services, pharmacy benefit, long term services and supports (LTSS), and administrative services. . Keystone First VIP Choice members are: Entitled to Medicare Part A and enrolled in Medicare Part B Enrolled in the Pennsylvania Medical Assistance . CHC will coordinate your health care coverage to improve the quality of your health care experience serving more people in communities rather than in facilities, giving them the opportunity to work, spend more time with their families, and experience an overall better quality of life. Follow the instructions Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First. %PDF-1.4 % Skip to article content, Claims/ Check Eligibility/ View Authorizations. P: 717.364.3280 F: 717-364-3287 E: info@paproviders.org. var tds_mobile_swipe=""; It is not required. (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': To learn more about available services, findinformation for participants and providers in the sections below. Keystone First VIP Choice is a health plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. this.header_color = ''; "; Information on the LIFE Program will be sent to potentially eligible participants. Please enable scripts and reload this page. Contact a CHC managed care organization (CHC-MCO) to become part of their provider network: Sign up and encourage your peers to subscribe to CHC emails. To leave a comment or question, go toContact Us. hb```e``a`a` @1V x?C'Xs10ia 003: $H 32ljCU-:Vo }@ ivF5kA@? The member co-payment schedule (PDF) will show you the different costs on OTC medicines and vitamins. Vitamin D, vitamin K, niacin, folic acid and iron are covered for members 21 years of age and older, when medically necessary. 0000012409 00000 n 0000006372 00000 n If you need these services, help is available 24 hours a day, 7 days a week. 0000416453 00000 n If you're 21 or older and have both Medicare and Medicaid, or receive long-term supports through Medicaid because you need help with everyday personal tasks, you will be covered by Community HealthChoices (CHC). www . . 1-855-332-0729/TTY 1-855-235-4976 Contact us. To: Keystone First/Keystone First Community HealthChoices (CHC) Providers . xref hOJ; Qkn.C.6[)i=gB*70"%,.%D hA 04XF{\GczC. 0000006189 00000 n These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. 780 47 in the email you received to complete your registration process. New users: Register. We offer Keystone First VIP Choice ( HMO-SNP ) and Keystone First Community HealthChoices (CHC) as options. Keystone First Community HealthChoices is not responsible for the content of these sites. An introductory flyer will be sent to participants identified within the CHC population. %%EOF window.dataLayer = window.dataLayer || []; To continue the registration process, log into your email account. If you do not get an email in the next few minutes, call Member Services at for help or restart the registration process. 247 0 obj <>/Filter/FlateDecode/ID[<6F18B0FC480F32429041B084B2E4CDFE><4F54F1E5C1CD7242A707F08BF5FA5480>]/Index[224 139]/Info 223 0 R/Length 119/Prev 84841/Root 225 0 R/Size 363/Type/XRef/W[1 3 1]>>stream 0000010582 00000 n Welcome to the PA Independent Enrollment Broker (PA IEB). Review your medical care history and more. The Department of Human Services (DHS) is committed to increasing opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes. Representing providers of health and human services committed to effective, efficient, and high quality care. Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. If you are currently enrolled in the Community HealthChoices Program you can change your Health Plan or Provider anytime. 0000416182 00000 n Community HealthChoices (CHC) Keystone First; PA Health & Wellness; Affordable Care Act (ACA) Exchange. 0000007722 00000 n ` >0 If youre 21 or older and have both Medicare and Medicaid, or receive long-term supports through Medicaid because you need help with everyday personal tasks, you will be covered by Community HealthChoices (CHC). Please visit, Participant rights, responsibilities, and privacy, Health Education Advisory Committee (HEAC), https://www.dhs.pa.gov/HealthChoices/HC-Services/Pages/BehavioralHealth-MCOs.aspx. Montgomery County Residents. Community HealthChoices (CHC) is coming in January 2019 to Bucks, Chester, Delaware, Montgomery, and Philadelphia counties. endstream endobj 825 0 obj <>/Filter/FlateDecode/Index[47 733]/Length 47/Size 780/Type/XRef/W[1 1 1]>>stream endstream endobj startxref Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First Community HealthChoices. Affordable Care Act (ACA) Exchange. 0000433371 00000 n } Contact us By mail. startxref this.max_num_pages = 0; //from wp 0000005551 00000 n TheAdobe Readeris required to view PDF files. Once you have access to the Keystone First CHC member portal, you can review your private health care information about: Your health care providers. For Emergency Situations, Always Call 911. var td_search_url="https://www.paproviders.org/search/"; It is offered to you as a tool to help this.td_column_number = ''; Participant Handbook. If you need these services, help is . See your medical and drug benefits. var td_email_incorrect="Email incorrect! 0000005973 00000 n Save the dates for our upcoming Southeast provider summits educational conferences for providers to learn more about CHC. Cambria County Residents If you would like an answer, please complete the form below. Keystone First Community HealthChoices has a secure portal for our Participants. The PA IEB provides enrollment support for Pennsylvanias Home and Community Based (HCBS) waiver programs. Nurse Call Line . Dr. Richard Edley is the lead executive for RCPA and is responsible for all aspects of operations and direction for the association. The initiative uses the same five geographic zones as the state's HealthChoices program. "; If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). This site contains links to other Internet sites. The phone numbers for Member Services are on page 3. In a few minutes, you will get an email from . Serving more people in communities rather than in facilities by providing necessary supports. If you have any questions or want to know more about the survey, please call Member Services at 1-800-521-6860 (TTY 1-800-684-5505), 24 hours a day . HealthChoices Provider Directory (Espaol) Bucks County Residents. 0000004208 00000 n You may be trying to access this site from a secured browser on the server. 2021 - Rehabilitation & Community Providers Association, Intellectual & Developmental Disabilities, House Republican Appropriations Chair to Lead Discussion With MA MCOs on Feb. 7, Shapiro Appoints Inspector General, Nominates General Services Secretary, Governor Shapiro Signs Executive Order to Improve Commonwealth Licensing & Certification Processes, Biden Administration Announces Intent to End Public Health Emergency on May 11, 2023, Feds Seek to Limit Telehealth Prescriptions for Some Drugs, Time in Nature May Help Older Adults With Improved Health, Purpose in Life, Shapiro Admin Can Do More as Rollbacks to Food and Health Benefits Loom in PA, Experts Say, Social Security Proposes Change To SSI Benefits, Community HealthChoices Southeast PA Provider Information, Governor Wolf Announces Progress, Renewal of Opioid Disaster Declaration, Keystone Crisis Intervention Teams Community Crisis Conference May 24, Developmental Disabilities Awareness Month, Regional Accountable Health Councils Program Updates. this.td_current_page = 1; // at Approximately 145,000 Pennsylvanians were impacted by this change, including over . 2023 Magellan Health, Inc. All Rights Reserved. new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], If you cannot find what you are looking for on our website, please call Member Services at 1-800-521-6860. Long-term services and supports (LTSS) help eligible individuals to perform daily activities in their home such as bathing, dressing, preparing meals, and administering medications. HealthChoices is the name of Pennsylvania's managed care programs for Medical Assistance recipients. Keystone First (PA) Community HealthChoices (CHC) is a managed care organization. Montgomery County Residents 0000002113 00000 n j=d.createElement(s),dl=l!='dataLayer'? this.is_ajax_running = false; Keystone State. Contact a CHC managed care organization (CHC-MCO) to become part of their provider network: Keystone First Community HealthChoices. Committee: House Energy and Commerce: Related Items: Data will display when it becomes available. you get information. Once you have to quality medical care through Pennsylvania's Medicaid program. 0 var td_email_user_pass_incorrect="User or password incorrect! A Service of Keystone Health. If you have any questions, please contact the Office of Long-Term Livings provider line at 1-800-932-0939 or visit the HealthChoices website. for any questions. Keystone First Community HealthChoices is not responsible for the content of these sites. All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. Informational sessions will be held for participants to learn about CHC and how to select a CHC-MCO. Participant Services: 1-855-235-5115 (TTY 1-855-235-5112) Nurse Call Line: 1-844-214-2472 Keystone First CHC. 0000438778 00000 n If you cannot find the information you are looking for on the website or in the member handbook, you can: Call Member Services at 1-800-521-6860 (TTY 1-800-684-5505) to talk to a Member Services Representative 24 hours a day, 7 days a week, or, Please contact the member services department of your insurance company for specific details before receiving services, as our hospitals may participate in some, but not all, products offered by a health plan. * You must agree with the Terms of Use and Privacy Policy. Bucks County Residents Managed care physical health care plan contact information . Community HealthChoices (CHC)is Pennsylvanias mandatory managed care program for individuals who are dually eligible for both Medical Assistance and Medicare, older adults, and individuals with physical disabilities serving more people in communities while giving them the opportunity to work, spend more time with their families, and experience an overall better quality of life. var td_email_user_incorrect="Email or username incorrect! Keystone First Community HealthChoices is not responsible for the content of other Internet sites. 0000008966 00000 n Call the toll-free number for the county where you live to speak to someone and make an appointment. rV?,uG~~=HdI^8u>)6;M2{7I\r}}vA|A hd14QH@a~6J232``dw`QcHv`H` |1AeSwX`gWtg5 lo0`j\Am7 \x03 Ha_.Wisw*=. -w To get MATP services, you have to register for the service by calling your county service number listed below. Our representatives are there to help you 24 hours a day, 7 days a week. Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. this.ajax_pagination_infinite_stop = ''; //show load more at page x Keystone First is not responsible for the content of these sites. '; 0 Member/Provider ID * Phone number (XXX-XXX-XXXX) * City * . 0000000016 00000 n You can complete and submit the Physicians Certification Form. Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. An industry thought leader giving its customers the edge with innovative, evidence-based products and services. '&l='+l:'';j.async=true;j.src= Participants: If you have any problems, call Participant Services at 1-855-332-0729 (TTY 1-855-235-4976) 24 hours a day, 7 days a week. var tds_theme_color_site_wide="#4db2ec"; CHC is improving services for hundreds of thousands of Pennsylvanians.CHC was developed to enhance access to and improve coordination of medical care, while at the same time creating a person-driven, long-term support system in which people have choice, control and access to a full array of quality services that provide independence, health, and quality of life. Evolving. We aim to provide our members access to the services they need. Behavioral health treatment contact numbers may change. Member may fill out OTC Catalog or call Member Services at 1-800-450-1166 to order OTC products. Welcome, Community HealthChoices Providers! Cambria County Residents. If you have a question about . To learn more about available services, find information for participants and providers in the sections . 0000013701 00000 n 0000014615 00000 n Community HealthChoices. 0000008264 00000 n .wpb_animate_when_almost_visible { opacity: 1; }. <]/Prev 559847/XRefStm 1740>> Generic prenatal vitamins are covered for all pregnant members. Pennsylvania Health & Wellness. and your community healthy. 0000010745 00000 n this.found_posts = 0; //from wp (If you have an emergency, call 911.) Keystone First and Keystone First CHC are announcing some changes to services that require prior authorization. Shqip|||||Franais|Kreyl Ayisyen||||Portugus||Espaol|Ting Vit, Tips for choosing a primary care practitioner, Completing a Physician's Certification Form, To begin the waiver application process, go to, To check the status of your application, go to, To learn about Community HealthChoices, go to, To find a provider or compare health plans, go to theChoose menu, To download a Waiver Application packet, click. Please see Terms of Use and Privacy Notice. 0000015959 00000 n TOP SERVICES. 0000409792 00000 n var td_ad_background_click_target=""; Please enable scripts and reload this page. . Keystone State. var td_please_wait="Please wait"; 1-855-332-0729. 0000409862 00000 n Effective on November 1, 2020, prior authorization requests for the services listed English (PDF) Arabic (PDF) Cambodian (PDF) Russian (PDF) Simplified Chinese (PDF) var tds_more_articles_on_post_time_to_wait=""; this.post_count = 0; //from wp Register, complete, and submit the information on the next screens. View health information just for you. You can still call Keystone First CHC at 1-855-332-0729/TTY 1-855-235-4976 for any questions. Experience in Community HealthChoices-SE CHC Plan Member Services Keystone First 1-855-332-0729 PA Health & Wellness 1-844-626-6813 UPMC Community HealthChoices 1-844-833-0523 Consumers should be calling their plan directly if they: did not get a Plan ID card want to change their PCP want a Member Handbook need help finding providers var tds_snap_menu=""; body {visibility:hidden;} Phone: 1-844-626-6813 // Email. Main telephone number 1-215-937-8000. Proudly founded in 1681 as a place of tolerance and freedom. Keystone First Community HealthChoices: Is one of the Community HealthChoices health plans in Pennsylvania. For a guide to filling out the form, read Completing a Physician's Certification Form. . Please call Member Services to find out if you are eligible. 362 0 obj <>stream Thank you for choosing Keystone First for your health care needs. Clear. 0000007468 00000 n 0000481716 00000 n Open the email and do what it says. 0000488931 00000 n You will need to show your Pennsylvania ACCESS card when receiving these services. Lehigh/Northampton County Residents. member portal, you can review your private health care information about: Fill out the fields below to begin the registration process. Lehigh/Northampton County Residents. . 0000409959 00000 n 0000004331 00000 n To learn the differences between CHC vs HealthChoices. 0000006855 00000 n 0000006010 00000 n Please enable scripts and reload this page. And we provide a wide range . 1-855-332-0729. access to the Customizing solutions based on our members' and partners' needs. Keystone Health is a public, non-profit organization employing more than 400 caring and compassionate physicians, nurses and staff members who provide quality health care to individuals and families with and without health insurance.. Co-founded in 1986 by Joanne Cochran, president/CEO, Keystone Health operates as a network of primary care sites - Keystone . function td_block() { Notices and enrollment packets will be mailed to participants. to assist members through the toll-free Keystone First . MATP services phone numbers may change. HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. Then you can create a password. Analytical cookies are used to understand how visitors interact with the website. Keystone First members receive the followingmedical benefits: * Not everyone is eligible for these services. We are open Monday through Friday, 8:00 AM to 6:00 PM (EST). If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). Keystone First CHC endstream endobj 225 0 obj <>/Metadata 10 0 R/OpenAction 226 0 R/Outlines 270 0 R/PageLayout/OneColumn/PageMode/UseOutlines/Pages 222 0 R/StructTreeRoot 23 0 R/Type/Catalog/ViewerPreferences 249 0 R>> endobj 226 0 obj <> endobj 227 0 obj <>/MediaBox[0 0 612 792]/Parent 222 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 1/Tabs/S/Type/Page>> endobj 228 0 obj <>stream 0000001740 00000 n More information regarding time and location coming soon! We are happy to have you as a member. Register, complete, and submit the information on the next screens. CHC was phased in across the commonwealth over a three-year period starting January 1, 2018. Questions? Participant Services. var td_blocks = []; //here we store all the items for the current page 0000017455 00000 n Date: October 6, 2020 . function gtag(){dataLayer.push(arguments);} this.id = ''; Community HealthChoices (CHC) and how it works with Keystone First VIP Choice The Community HealthChoices (CHC) plan is designed for individuals 21 and older who: . Proudly founded in 1681 as a place of tolerance and freedom. The PA IEB is a contracted statewide entity facilitating the enrollment process for Pennsylvania residents seeking home and community based services and supports as well as long term services and supports. 0000011329 00000 n * The email addresses you entered do not match and are case sensitive. 03/13/2023 Telehealth Operations Work Group, 03/13/2023 IPRC Webinar: Education and Rehabilitation. ,t For a full look at the CHC implementation timeline. 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); 0000012589 00000 n Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. Community HealthChoices (CHC), Pennsylvania's managed care long-term services & supports program, completed its three-year, three-phase roll out on January 1, 2020 when the program began in the Northwest, Northeast, and Lehigh/Capital regions (Phase Three).
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