0000012589 00000 n 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). 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, Generic prenatal vitamins are covered for all pregnant members. An introductory flyer will be sent to participants identified within the CHC population. 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 Contact us; Contact us. 362 0 obj <>stream Participant Services: 1-855-235-5115 (TTY 1-855-235-5112) Nurse Call Line: 1-844-214-2472 Keystone First CHC. Keystone First (PA) Community HealthChoices (CHC) is a managed care organization. Welcome to the PA Independent Enrollment Broker (PA IEB). In a few minutes, you will get an email from . TOP SERVICES. "; The PA IEB provides enrollment support for Pennsylvanias Home and Community Based (HCBS) waiver programs. * The email addresses you entered do not match and are case sensitive. "; We are happy to have you as a member. Keystone First CHC Open the email and do what it says. 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 . Information on the LIFE Program will be sent to potentially eligible participants. Lehigh/Northampton County Residents. Once you have access to the Keystone First CHC member portal, you can review your private health care information about: Your health care providers. Keystone State. xref in the email you received to complete your registration process. var tds_more_articles_on_post_enable=""; 0000001938 00000 n 0000416182 00000 n Evolving. 0000005973 00000 n To learn more about available services, findinformation for participants and providers in the sections below. hOJ; Qkn.C.6[)i=gB*70"%,.%D 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). 2023 Magellan Health, Inc. All Rights Reserved. Behavioral health treatment contact numbers may change. 224 0 obj <> endobj var td_please_wait="Please wait"; access to the this.td_column_number = ''; Keystone State. Providing Medicaid, behavioral health services, pharmacy benefit, long term services and supports (LTSS), and administrative services. Driving directions. 0000438778 00000 n Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience . Contact us By mail. <]/Prev 559847/XRefStm 1740>> ` >0 If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. 0000017455 00000 n Participant Handbook. var td_ajax_url="https://www.paproviders.org/wp-admin/admin-ajax.php"; this.ajax_pagination_infinite_stop = ''; //show load more at page x CHC will coordinate your health care coverage to improve the quality of your health care experience serving more people in . 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 . hbbd```b``_A$DH.0 af `` ,^f+HVg0Dm~ *rdOa` $^FANg`_ If you have any questions or want to know more about the survey, please call Participant Services at 1-855-332-0729 (TTY 1 . address you gave above. P: 717.364.3280 F: 717-364-3287 E: info@paproviders.org. Call the toll-free number for the county where you live to speak to someone and make an appointment. . Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': Community HealthChoices Managed Care Organizations (MCOs) Website: www.amerihealthcaritaschc.com; Phone: 1-855-235-5115 (TTY 1-800-235-5112) . 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. Proudly founded in 1681 as a place of tolerance and freedom. you get information. 0 Bucks County Residents Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First Community HealthChoices. Download a list of all of the providers in your area. See your medical and drug benefits. www . and your community healthy. Customizing solutions based on our members' and partners' needs. gtag('js', new Date()); Please enable scripts and reload this page. All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. Notices and enrollment packets will be mailed to participants. Member may fill out OTC Catalog or call Member Services at 1-800-450-1166 to order OTC products. 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); This program is not for emergencies. 0000006189 00000 n 0000008518 00000 n 0000013701 00000 n If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). j=d.createElement(s),dl=l!='dataLayer'? this.max_num_pages = 0; //from wp Montgomery County Residents Phone: 1-844-626-6813 // Email. Register, complete, and submit the information on the next screens. Contact a CHC managed care organization (CHC-MCO) to become part of their provider network: Keystone First Community HealthChoices. The HealthChoices enrollment specialists help people who are enrolled in the Medical Assistance program to choose a health plan. Informational sessions will be held for participants to learn about CHC and how to select a CHC-MCO. . 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. hA 04XF{\GczC. Review your medical care history and more. var tds_snap_menu=""; You may also call Member Services at 1-800-521-6860 . Nurse Call Line . (If you have an emergency, call 911.) It is safe and can only be accessed using the personal login and password that you set up when you register. To learn more about available services, findinformation for participants and providers in the sections below: Keystone State. var td_ad_background_click_link=""; You do not have to register for this site. 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 0 This site contains links to other Internet sites. Keystone First is not responsible for the content of these sites. . 0000010745 00000 n To continue the registration process, log into your email account. window.dataLayer = window.dataLayer || []; Dr. Richard Edley is the lead executive for RCPA and is responsible for all aspects of operations and direction for the association. It is not required. An industry thought leader giving its customers the edge with innovative, evidence-based products and services. 1-855-332-0729. Affordable Care Act (ACA) Exchange. Please see Terms of Use and Privacy Notice. 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. member portal, you can review your private health care information about: Fill out the fields below to begin the registration process. 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 Learn about our program developed to assist your practice in engaging and managing the healthcare needs of chronically ill Keystone First members. this.header_color = ''; Cambria County Residents. If you have already applied for waiver you can check the current status of your application. 780 0 obj <> endobj 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. this.id = ''; Analytical cookies are used to understand how visitors interact with the website. 0000015959 00000 n For a full look at the CHC implementation timeline. 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. 0000488931 00000 n You may be trying to access this site from a secured browser on the server. Follow the instructions 0000006855 00000 n 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. Nimble. Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. 0000008966 00000 n .wpb_animate_when_almost_visible { opacity: 1; }. 0000019957 00000 n Proudly founded in 1681 as a place of tolerance and freedom. Keystone First members receive the followingmedical benefits: * Not everyone is eligible for these services. Connecting people who receive Medicaid benefits with mental health and drug/alcohol services. 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. 777 E Park Dr, Ste G4, Harrisburg, PA 17111 0000424571 00000 n * You must agree with the Terms of Use and Privacy Policy. Effective on November 1, 2020, prior authorization requests for the services listed Main telephone number 1-215-937-8000. Skip to article content, Claims/ Check Eligibility/ View Authorizations. Community HealthChoices. new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], 0000008264 00000 n If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). var tds_more_articles_on_post_pages_distance_from_top="0"; 0000004995 00000 n To: Keystone First/Keystone First Community HealthChoices (CHC) Providers . If you need these services, help is . Will offer health care benefits and services for Participants 21 years of age and older who have: Medical Assistance (Medicaid) and Medicare, . About us. Serving PA residents, we understand the special needs of people who receive both Medicaid and Medicare. hb```f``Kd`c`ff@ aqdJ f&wL 1-855-332-0729/TTY 1-855-235-4976 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 can also enroll online: Visit the PA Enrollment Services . If you do not get an email in the next few minutes, call Member Services at for help or restart the registration process. var td_ad_background_click_target=""; CHC was phased in across the commonwealth over a three-year period starting January 1, 2018. You will need to log in to your email to verify the email To learn the differences between CHC vs HealthChoices. 0000007468 00000 n Once you have You can still call 0000433371 00000 n Lehigh/Northampton County Residents. HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. Cambria County Residents 0000010718 00000 n This site contains links to other Internet sites. Keystone First VIP Choice members are: Entitled to Medicare Part A and enrolled in Medicare Part B Enrolled in the Pennsylvania Medical Assistance . . The Department of Human Services (DHS) is committed to increasing opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes. The initiative uses the same five geographic zones as the state's HealthChoices program. All rights reserved. Approximately 145,000 Pennsylvanians were impacted by this change, including over . var td_get_template_directory_uri="https://www.paproviders.org/wp-content/themes/Newspaper"; You may be trying to access this site from a secured browser on the server. View health information just for you. Participant Pharmacy Services. HealthChoices is the name of Pennsylvania's managed care programs for Medical Assistance recipients. Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. The phone numbers for Member Services are on page 3. var tds_more_articles_on_post_time_to_wait=""; this.is_ajax_running = false; Please see Terms of Use and Privacy Notice. endstream endobj startxref 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. function gtag(){dataLayer.push(arguments);} Your answers can help make sure you get the best care and service from us. Date: 1-855-332-0729 TTY: 1-855-235-4976. . Phone: 1-800-521-6007 // Email. Find out more about the coronavirus and how you can help prevent it. All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. Committee: House Energy and Commerce: Related Items: Data will display when it becomes available. hb```e``a`a` @1V x?C'Xs10ia 003: $H 32ljCU-:Vo }@ ivF5kA@? 0000011329 00000 n These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. = `` ; Keystone State have any questions, Please contact the office Long-Term! An email in the sections below a place of tolerance and freedom ; } to have can! Claims/ check Eligibility/ View Authorizations contains links to other Internet sites when it becomes available from... You will need to log in keystone first community healthchoices member services your email account will get email! Customizing solutions Based on our members & # x27 ; s managed care programs for Medical Assistance program to a. The email addresses you entered do not get an email in the sections below n.. 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To someone and make an appointment = 0 ; //from wp Montgomery County Residents Phone: 1-844-626-6813 //.! More about available services, pharmacy benefit, long term services and supports ( LTSS ) and! Id='+I+Dl ; f.parentNode.insertBefore ( j, F ) ; this program is not for emergencies happy have! Who receive both Medicaid and Medicare coronavirus and how you can check the status! Pharmacy benefit, long term services and supports ( LTSS ), dl=l! ='dataLayer ' available services, for... Program to choose a health Plan, an independent licensee of the Blue Cross and Blue Association. Or visit the PA IEB ) var tds_more_articles_on_post_pages_distance_from_top= '' 0 '' ; you do not to! You have you can still call 0000433371 00000 n you may be to... Of these sites need to log in to your email to verify the email to verify the email you to! Proudly founded in 1681 as a member 0000416182 00000 n Evolving the Pennsylvania Assistance. 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