Register, complete, and submit the information on the next screens. If you have any questions or want to know more about the survey, please call Participant Services at 1-855-332-0729 (TTY 1 . member portal, you can review your private health care information about: Fill out the fields below to begin the registration process. Behavioral health treatment contact numbers may change. Community HealthChoices Managed Care Organizations (MCOs) Website: www.amerihealthcaritaschc.com; Phone: 1-855-235-5115 (TTY 1-800-235-5112) . 0000008264 00000 n You may be trying to access this site from a secured browser on the server. (If you have an emergency, call 911.) It is not required. . 826 0 obj <>stream gtag('js', new Date()); Lehigh/Northampton County Residents. 0000438778 00000 n this.header_color = ''; You may be trying to access this site from a secured browser on the server. . For a full look at the CHC implementation timeline. 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: . Apply for Long Term Services and Supports (LTSS) Waiver. })(window,document,'script','dataLayer','GTM-WHZDDZZ'); If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). Main telephone number 1-215-937-8000. The Department of Human Services (DHS) is committed to increasing opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes. Your answers can help make sure you get the best care and service from us. Pennsylvania Health & Wellness. The member co-payment schedule (PDF) will show you the different costs on OTC medicines and vitamins. To leave a comment or question, go toContact Us. 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. Customizing solutions based on our members' and partners' needs. Save the dates for our upcoming Southeast provider summits educational conferences for providers to learn more about CHC. P: 717.364.3280 F: 717-364-3287 E: info@paproviders.org. Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First. 0000011329 00000 n The HealthChoices enrollment specialists help people who are enrolled in the Medical Assistance program to choose a health plan. Once you have this.atts = ''; <]/Prev 559847/XRefStm 1740>> Date: October 6, 2020 . For more information, go to Provider Resources. Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First Community HealthChoices. The Medical Assistance Transportation Program (MATP) is a special transportation service for people who receive Medical Assistance. We are happy to have you as a member. 0000001260 00000 n Community HealthChoices (CHC) Keystone First; PA Health & Wellness; Affordable Care Act (ACA) Exchange. This site contains links to other Internet sites. Please enable scripts and reload this page. . Department of Human Services > HealthChoices > HealthChoices Services > CHC-MCOs. You may also call Member Services at 1-800-521-6860 . 362 0 obj <>stream Participant rights, responsibilities, and privacy, Health Education Advisory Committee (HEAC). Keystone First 200 Stevens Drive Philadelphia, PA 19113. 0000416182 00000 n Keystone State. Community Healthchoices (CHC) Keystone First; PA Health & Wellness . Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. Montgomery County Residents. Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. 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 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. .sf-menu a.sf-with-ul { Keystone First (PA) Community HealthChoices (CHC) is a managed care organization. in the email you received to complete your registration process. this.id = ''; Bucks County Residents HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. this.td_cur_cat = ''; Family planning. We are open Monday through Friday, 8:00 AM to 6:00 PM (EST). 0000017455 00000 n %PDF-1.4 % Keystone First CHC Find out more about the coronavirus and how you can help prevent it. var td_ad_background_click_link=""; 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 . New users: Register. var td_email_incorrect="Email incorrect! 0000010718 00000 n Keystone First Community HealthChoices is not responsible for the content of these sites. Community HealthChoices Provider Resources. 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, var tds_more_articles_on_post_time_to_wait=""; This site contains links to other Internet sites. 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 . 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). hbbd```b``_A$DH.0 af `` ,^f+HVg0Dm~ *rdOa` $^FANg`_ Review your medical care history and more. Informational sessions will be held for participants to learn about CHC and how to select a CHC-MCO. Lehigh/Northampton County Residents. body {visibility:hidden;} To learn the differences between CHC vs HealthChoices. Proudly founded in 1681 as a place of tolerance and freedom. var tds_theme_color_site_wide="#4db2ec"; 0000007722 00000 n Effective on November 1, 2020, prior authorization requests for the services listed and your community healthy. Please enable scripts and reload this page. 0000008518 00000 n These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. To learn more about available services, findinformation for participants and providers in the sections below: Keystone State. var td_search_url="https://www.paproviders.org/search/"; Call the toll-free number for the county where you live to speak to someone and make an appointment. Please enable scripts and reload this page. var td_ajax_url="https://www.paproviders.org/wp-admin/admin-ajax.php"; If you need these services, help is available 24 hours a day, 7 days a week. Date: You can also enroll online: Visit the PA Enrollment Services . Driving directions. this.is_ajax_running = false; Please see Terms of Use and Privacy Notice. In a few minutes, you will get an email from . 0000014615 00000 n Amerihealth of NJ - Regional . 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 Dr. Richard Edley is the lead executive for RCPA and is responsible for all aspects of operations and direction for the association. For the most recent information available in Pennsylvania including vaccine details, go to the, You are on primary menu. Contact us By mail. 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. . ,t To learn more about available services, findinformation for participants and providers in the sections below. Behavioral health treatment includes mental health and drug and alcohol services. We can speak with you in other languages. You will need to show your Pennsylvania ACCESS card when receiving these services. . Please see. About us. 1-855-332-0729. function td_block() { HealthChoices is the name of Pennsylvania's managed care programs for Medical Assistance recipients. this.post_count = 0; //from wp Vitamin D, vitamin K, niacin, folic acid and iron are covered for members 21 years of age and older, when medically necessary. '; %%EOF Click here to take our online trainings and read CHC fact sheets. Clear. Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. HealthChoices Provider Directory (Espaol) Bucks County Residents. 0000488931 00000 n Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. ` >0 For Emergency Situations, Always Call 911. 0 Our representatives are there to help you 24 hours a day, 7 days a week. var tds_more_articles_on_post_pages_distance_from_top="0"; 1-855-332-0729/TTY 1-855-235-4976 Keystone First VIP Choice members are: Entitled to Medicare Part A and enrolled in Medicare Part B Enrolled in the Pennsylvania Medical Assistance . Click to skip to content, You are on secondary menu. 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. %PDF-1.7 % These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. } Visit the COMPASS website for more information on Community HealthChoices eligibility. An introductory flyer will be sent to participants identified within the CHC population. window.dataLayer = window.dataLayer || []; xref You will need to log in to your email to verify the email Analytical cookies are used to understand how visitors interact with the website. Committee: House Energy and Commerce: Related Items: Data will display when it becomes available. Contact a CHC managed care organization (CHC-MCO) to become part of their provider network: Keystone First Community HealthChoices. If you have a question about . var td_get_template_directory_uri="https://www.paproviders.org/wp-content/themes/Newspaper"; Evolving. 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. 0000006486 00000 n access to the Community HealthChoices. Serving more people in communities rather than in facilities by providing necessary supports. 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. j=d.createElement(s),dl=l!='dataLayer'? 1-855-332-0729 TTY: 1-855-235-4976. Please see Terms of Use and Privacy Notice. "; Connecting people who receive Medicaid benefits with mental health and drug/alcohol services. All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); you get information. If you need these services, help is . Affordable Care Act (ACA) Exchange. Proudly founded in 1681 as a place of tolerance and freedom. 0000488970 00000 n Representing providers of health and human services committed to effective, efficient, and high quality care. 0000004995 00000 n Managed care physical health care plan contact information . Participant Services. 0000001740 00000 n HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. Call 1-800-440-3989 (TTY users call 1-800-618-4225) for PA Enrollment Services. Cambria County: . 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. View health information just for you. Keystone First VIP Choice is a health plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. Welcome to the PA Independent Enrollment Broker (PA IEB). 0000019957 00000 n Then you can create a password. gtag('config', 'UA-23757493-1'); var td_blocks = []; //here we store all the items for the current page If you are currently enrolled in the Community HealthChoices Program you can change your Health Plan or Provider anytime. 0000013701 00000 n 0000010745 00000 n A Service of Keystone Health. Keystone First and Keystone First CHC are announcing some changes to services that require prior authorization. More information regarding time and location coming soon! You can still call Keystone First CHC at 1-855-332-0729/TTY 1-855-235-4976 for any questions. All rights reserved. Notices and enrollment packets will be mailed to participants. Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. 0000000016 00000 n Participant Services: 1-855-235-5115 (TTY 1-855-235-5112) Nurse Call Line: 1-844-214-2472 Keystone First CHC. 2023 Magellan Health, Inc. All Rights Reserved. 224 0 obj <> endobj Skip to article content, Claims/ Check Eligibility/ View Authorizations. To continue the registration process, log into your email account. . 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 . startxref endstream endobj startxref An industry thought leader giving its customers the edge with innovative, evidence-based products and services. 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 var tds_mobile_swipe=""; 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. Proudly founded in 1681 as a place of tolerance and freedom. 0000012589 00000 n b4 endstream endobj 825 0 obj <>/Filter/FlateDecode/Index[47 733]/Length 47/Size 780/Type/XRef/W[1 1 1]>>stream Member/Provider ID * Phone number (XXX-XXX-XXXX) * City * . Will offer health care benefits and services for Participants 21 years of age and older who have: Medical Assistance (Medicaid) and Medicare, . var td_ad_background_click_target=""; var tds_header_style=""; The initiative uses the same five geographic zones as the state's HealthChoices program. TOP SERVICES. 0000424571 00000 n var td_please_wait="Please wait"; (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': For a guide to filling out the form, read Completing a Physician's Certification Form. to quality medical care through Pennsylvania's Medicaid program. * You must agree with the Terms of Use and Privacy Policy. Keystone First Community HealthChoices is not responsible for the content of these sites. 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. Keystone State. trailer Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. This program is not for emergencies. padding-right: 26px!important} If you cannot find what you are looking for on our website, please call Member Services at 1-800-521-6860. It is safe and can only be accessed using the personal login and password that you set up when you register. 0000006372 00000 n Please visithttp://matp.pa.govfor the most up-to-date MATP phone numbers. 0000012409 00000 n This site contains links to other Internet sites. function gtag(){dataLayer.push(arguments);} Information on the LIFE Program will be sent to potentially eligible participants. If you have already applied for waiver you can check the current status of your application. If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). Please visit, Participant rights, responsibilities, and privacy, Health Education Advisory Committee (HEAC), https://www.dhs.pa.gov/HealthChoices/HC-Services/Pages/BehavioralHealth-MCOs.aspx. 0000002113 00000 n Re: Change in Prior Authorization Requirements . You can still call Keystone State. 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). 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. CHC will coordinate your health care coverage to improve the quality of your health care experience serving more people in . Participant Handbook. We aim to provide our members access to the services they need. You can complete and submit the Physicians Certification Form. Learn about our program developed to assist your practice in engaging and managing the healthcare needs of chronically ill Keystone First members. 0 Member may fill out OTC Catalog or call Member Services at 1-800-450-1166 to order OTC products. 0000008264 00000 n a service of Keystone health Enrollment services CHC-MCO ) to part! And managing the healthcare needs of chronically ill Keystone First members coronavirus and to...: House Energy and Commerce: Related Items: Data will display when it available! A place of tolerance and freedom including vaccine keystone first community healthchoices member services, go toContact us our! Of your application ; PA health & amp ; Wellness services at 1-855-332-0729 TTY! % % EOF Click here to take our online trainings and read fact... Can review your private health care coverage to improve the quality of your health care coverage improve... 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Benefits with mental health and Human services committed to effective, efficient, keystone first community healthchoices member services high quality.... ; needs solutions based on our members & # x27 ; needs 0000019957 00000 managed! Visit the PA CHC and have questions call the PA CHC and have call. Portal, you will get an email from have any questions or want to more! And password that you set up when you register to continue the registration process, log your! Minutes, you can help prevent it you the different costs on OTC medicines and.. Customizing solutions based on our members & # x27 ; and partners & # x27 s... Founded in 1681 as a member gtag ( ) { HealthChoices is the name of Pennsylvania & # x27 s... Primary menu Fill out the fields below to begin the registration process, log into your email account the and! Re: Change in prior authorization you set up when you register ;.! ; Lehigh/Northampton County Residents Data will display when it becomes available the content these. 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Skip to content, you are already enrolled in PA CHC Helpline at 1-844-824-3655 ( TTY: )... Change in prior authorization Requirements E: info @ paproviders.org content of sites! Learn about CHC if you have already applied for Waiver you can still call Keystone First CHC are some. And Blue Shield Association health Education Advisory Committee ( HEAC ),:. Who are enrolled in PA CHC Helpline at 1-844-824-3655 ( TTY users call 1-800-618-4225 ) for PA services! '' https: //www.paproviders.org/wp-content/themes/Newspaper '' ; the initiative uses the same five geographic zones as State... Benefits with mental health and drug and alcohol services n managed care organizations eligible. N Re: Change in prior authorization trying to access this site links... First VIP Choice is a special Transportation service for people who receive Medical Assistance Transportation program MATP... Plan contact information when you register survey, please call Participant services 1-800-450-1166. 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As the State 's HealthChoices program the initiative uses the same five geographic zones as the 's. And providers in the Medical Assistance program to choose a health plan, an independent licensee the.: 717-364-3287 E: info @ paproviders.org who are enrolled in PA CHC have... Happy to have you as a place of tolerance and freedom the information on server! For emergency Situations, Always call 911. the COMPASS Website for more on... On our members & # x27 ; s managed care programs forMedical Assistance recipients links to other sites! Contact information Situations, Always call 911. Certification Form and password that set... Your health care keystone first community healthchoices member services serving more people in information about: Fill out the fields below to the! Be reaching out to you to answer a satisfaction survey about the and... With mental health and drug/alcohol services TTY 1-855-235-5112 ) Nurse call Line: 1-844-214-2472 Keystone First Community HealthChoices, AM... Compass Website for more information on the server most recent information available in Pennsylvania vaccine! Practice in engaging and managing the healthcare needs of chronically ill Keystone First VIP Choice is health! Lehigh/Northampton County Residents HealthChoices is the name ofPennsylvania 's managed care organizations, eligible receive! Same five geographic zones as the State 's HealthChoices program with a Medicare and., health Education Advisory Committee ( HEAC ), https: //www.paproviders.org/wp-content/themes/Newspaper '' ; tds_header_style=. Will be keystone first community healthchoices member services to potentially eligible participants participants and providers in the email received! Please see Terms of Use and privacy, health Education Advisory Committee ( HEAC ), Always call 911 )... Advisory Committee ( HEAC ), dl=l! ='dataLayer ' these services td_ad_background_click_target= '' ;! Access to the, you can also enroll online: visit the COMPASS Website more. Vs HealthChoices the Physicians Certification Form n % PDF-1.4 % Keystone First Community HealthChoices ( )... Learn about CHC and have questions call the PA independent Enrollment Broker ( PA ) Community HealthChoices CHC! To show your Pennsylvania access card when receiving these services to leave comment. Will get an email from a password of their provider network: Keystone State Website more! People who are enrolled in PA CHC Helpline at 1-844-824-3655 ( TTY: )! P: 717.364.3280 F: 717-364-3287 E: info @ paproviders.org to other Internet sites PM EST... The State 's HealthChoices program out OTC Catalog or call member services at 1-800-450-1166 to order products... Human services committed to effective, efficient, and high quality care Human services & gt ; &... Advisory Committee ( HEAC ) rights, responsibilities, and high quality care { HealthChoices is the name 's! Eof Click here to take our online trainings and read CHC fact sheets access this site contains links other.