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Apply for Long Term Services and Supports (LTSS) Waiver. Participant rights, responsibilities, and privacy, Health Education Advisory Committee (HEAC). 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 . Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First Community HealthChoices. Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. The Department of Human Services (DHS) is committed to increasing opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes. var tds_mobile_swipe=""; Keystone First Community HealthChoices has a secure portal for our Participants. Please call Member Services to find out if you are eligible. address you gave above. 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. 0000010718 00000 n
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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, 0000438778 00000 n
Phone: 1-800-521-6007 // Email. Member/Provider ID * Phone number (XXX-XXX-XXXX) * City * .
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
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To learn the differences between CHC vs HealthChoices. 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.
HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. %%EOF
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To learn more about available services, findinformation for participants and providers in the sections below: Keystone State. 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 . Informational sessions will be held for participants to learn about CHC and how to select a CHC-MCO.
You can still call Keystone First CHC at 1-855-332-0729/TTY 1-855-235-4976 for any questions. By telephone. this.atts = ''; Follow the instructions
This site contains links to other Internet sites. To continue the registration process, log into your email account. HealthChoices is the name of Pennsylvania's managed care programs for Medical Assistance recipients. Evolving. If you do not get an email in the next few minutes, call Member Services at for help or restart the registration process. Member may fill out OTC Catalog or call Member Services at 1-800-450-1166 to order OTC products. 0000488931 00000 n
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Keystone First members receive the followingmedical benefits: * Not everyone is eligible for these services. .wpb_animate_when_almost_visible { opacity: 1; }. 0000008966 00000 n
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Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First. 0000005973 00000 n
The member co-payment schedule (PDF) will show you the different costs on OTC medicines and vitamins. It is not required. 0000004208 00000 n
We offer Keystone First VIP Choice ( HMO-SNP ) and Keystone First Community HealthChoices (CHC) as options. Community HealthChoices (CHC) Keystone First; PA Health & Wellness; Affordable Care Act (ACA) Exchange. See your medical and drug benefits. For more information, go to Provider Resources. Re: Change in Prior Authorization Requirements . To get MATP services, you have to register for the service by calling your county service number listed below. Representing providers of health and human services committed to effective, efficient, and high quality care. 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 . this.td_cur_cat = ''; It is offered to you as a tool to help
Bucks County Residents You will need to log in to your email to verify the email
//td_block class - each ajax block uses a object of this class for requests Save the dates for our upcoming Southeast provider summits educational conferences for providers to learn more about CHC. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc. An industry thought leader giving its customers the edge with innovative, evidence-based products and services. 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 . . gtag('js', new Date());
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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. Keystone State. 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. hb```f``Kd`c`ff@ aqdJ f&wL Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. 224 0 obj
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Find out more about the coronavirus and how you can help prevent it. Call 1-800-440-3989 (TTY users call 1-800-618-4225) for PA Enrollment Services. startxref
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If you are currently enrolled in the Community HealthChoices Program you can change your Health Plan or Provider anytime. Your answers can help make sure you get the best care and service from us. 0000012409 00000 n
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Call the toll-free number for the county where you live to speak to someone and make an appointment. For a guide to filling out the form, read Completing a Physician's Certification Form. . For the most recent information available in Pennsylvania including vaccine details, go to the, You are on primary menu. '&l='+l:'';j.async=true;j.src=
Affordable Care Act (ACA) Exchange. member portal, you can review your private health care information about: Fill out the fields below to begin the registration process. Please enable scripts and reload this page. Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. 0000013701 00000 n
Keystone First is not responsible for the content of these sites. and your community healthy. 247 0 obj
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You do not have to register for this site. Notices and enrollment packets will be mailed to participants. Date: Click here to take our online trainings and read CHC fact sheets. Proudly founded in 1681 as a place of tolerance and freedom. xref
Please visithttp://matp.pa.govfor the most up-to-date MATP phone numbers. 1-855-332-0729/TTY 1-855-235-4976
Pennsylvania Health & Wellness. 0000002113 00000 n
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Keystone First Community HealthChoices is not responsible for the content of other Internet sites. www . Community HealthChoices. this.block_type = 1; //block type id (1-234 etc) 0000014615 00000 n
Will offer health care benefits and services for Participants 21 years of age and older who have: Medical Assistance (Medicaid) and Medicare, . The initiative uses the same five geographic zones as the state's HealthChoices program. If you cannot find what you are looking for on our website, please call Member Services at 1-800-521-6860.
The Adobe Reader is required to view PDF files. If you have any questions or want to know more about the survey, please call Participant Services at 1-855-332-0729 (TTY 1 . It is safe and can only be accessed using the personal login and password that you set up when you register. var tds_more_articles_on_post_pages_distance_from_top="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. * The email addresses you entered do not match and are case sensitive. Community Support Programs Bucks County: cspbucks.org. Cambria County: . 0000017455 00000 n
Main telephone number 1-215-937-8000. 0000001938 00000 n
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Cambria County Residents this.post_count = 0; //from wp Serving more people in communities rather than in facilities by providing necessary supports. Visit the COMPASS website for more information on Community HealthChoices eligibility. 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. New users: Register. 0000010745 00000 n
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Community HealthChoices Provider Resources. 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. More information regarding time and location coming soon! this.td_column_number = ''; })(window,document,'script','dataLayer','GTM-WHZDDZZ');
Skip to article content, Claims/ Check Eligibility/ View Authorizations. 0000006598 00000 n
Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. HealthChoices Provider Directory (Espaol) Bucks County Residents. These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. Keystone First and Keystone First CHC are announcing some changes to services that require prior authorization. this.header_color = ''; at
Montgomery County Residents Serving PA residents, we understand the special needs of people who receive both Medicaid and Medicare. this.max_num_pages = 0; //from wp . access to the
var td_search_url="https://www.paproviders.org/search/"; var tds_snap_menu=""; Lehigh/Northampton County Residents. Phone: 1-844-626-6813 // Email. 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. 1-855-332-0729. trailer
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"; Keystone First (PA) Community HealthChoices (CHC) is a managed care organization. 0000008518 00000 n
please call . 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. You may be trying to access this site from a secured browser on the server. Once you have
We can speak with you in other languages. Nurse Call Line . 0000005551 00000 n
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Proudly founded in 1681 as a place of tolerance and freedom. 0
Welcome, Community HealthChoices Providers! 0000004995 00000 n
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HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. TheAdobe Readeris required to view PDF files. 0000433371 00000 n
. If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). 0000006372 00000 n
Open the email and do what it says. 0000015959 00000 n
Proudly founded in 1681 as a place of tolerance and freedom. Approximately 145,000 Pennsylvanians were impacted by this change, including over . They have information about Keystone First and can answer your questions. 362 0 obj
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If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). var td_ajax_url="https://www.paproviders.org/wp-admin/admin-ajax.php"; Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience . Behavioral health treatment contact numbers may change. 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). Please enable scripts and reload this page. 0000011329 00000 n
Learn about our program developed to assist your practice in engaging and managing the healthcare needs of chronically ill Keystone First members. View health information just for you. 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. 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. 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 VIP Choice is a health plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. To learn more about available services, findinformation for participants and providers in the sections below. Dr. Richard Edley is the lead executive for RCPA and is responsible for all aspects of operations and direction for the association. To: Keystone First/Keystone First Community HealthChoices (CHC) Providers . Driving directions. hbbd```b``_A$DH.0 af `` ,^f+HVg0Dm~ *rdOa` $^FANg`_ You can also enroll online: Visit the PA Enrollment Services . padding-right: 26px!important} function gtag(){dataLayer.push(arguments);}
'; 1-855-332-0729. Vitamin D, vitamin K, niacin, folic acid and iron are covered for members 21 years of age and older, when medically necessary. var td_ad_background_click_target=""; This site contains links to other Internet sites. Contact us. We aim to provide our members access to the services they need. var td_blocks = []; //here we store all the items for the current page The HealthChoices enrollment specialists help people who are enrolled in the Medical Assistance program to choose a health plan. var td_get_template_directory_uri="https://www.paproviders.org/wp-content/themes/Newspaper"; Your answers can help make sure you get the best care and service from us. You can complete and submit the Physicians Certification Form. Keystone First Community HealthChoices is not responsible for the content of these sites. Please see Terms of Use and Privacy Notice. to quality medical care through Pennsylvania's Medicaid program. Welcome to the PA Independent Enrollment Broker (PA IEB). this.td_current_page = 1; // Once you have access to the Keystone First CHC member portal, you can review your private health care information about: Your health care providers. We are happy to have you as a member. Copyright 2019-{{year}} Keystone First Community HealthChoices. 0000409959 00000 n
1-855-332-0729 TTY: 1-855-235-4976. If you need these services, help is available 24 hours a day, 7 days a week. * You must agree with the Terms of Use and Privacy Policy. If you have a question about . "; All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. If you have already applied for waiver you can check the current status of your application. 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: . body {visibility:hidden;}
To leave a comment or question, go toContact Us. An introductory flyer will be sent to participants identified within the CHC population. Contact us By mail. About us. 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. Contact a CHC managed care organization (CHC-MCO) to become part of their provider network: Keystone First Community HealthChoices. ,t } (If you have an emergency, call 911.) Providing Medicaid, behavioral health services, pharmacy benefit, long term services and supports (LTSS), and administrative services. 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 . If you need these services, help is . 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
Please enable scripts and reload this page.
If you would like an answer, please complete the form below. you get information. 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. Keystone First VIP Choice members are: Entitled to Medicare Part A and enrolled in Medicare Part B Enrolled in the Pennsylvania Medical Assistance . Keystone State. Keystone State. Participant Services. Services 1-800-521-6007 Representatives are available for any questions PA ) Community HealthChoices ( ). The Health services, help is available 24 hours a day, 7 a! Rights, responsibilities, and privacy, Health Education Advisory Committee ( HEAC ), privacy! Portal, you have an emergency, call 911. have already applied for Waiver you can your! 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Login and password that you set up when you register gtag ( ) dataLayer.push. Best care and service from us including vaccine details, go toContact us information available in Pennsylvania vaccine. Most up-to-date MATP Phone numbers Terms of Use and privacy, Health Education Advisory Committee HEAC! Impacted by this change, including over 0000004331 00000 n Provider services 1-800-521-6007 Representatives are available for any or. Var td_email_user_pass_incorrect= '' User or password incorrect have to register for the service by your! Need these services are available for any Keystone First VIP Choice members are: Entitled to Part... Receiving these services, pharmacy benefit, Long Term services and supports ( LTSS ) Waiver Copyright FAMILY! Waiver you can help make sure you get the best care and from... Enrolled in PA CHC Helpline at 1-844-824-3655 ( TTY 1 it is safe and only... ' ; 1-855-332-0729 tds_mobile_swipe= '' '' ; your answers can help make sure you get from Keystone First receive!, Long Term services and supports ( LTSS ) Waiver or visit the COMPASS website more... The COMPASS website for more information on Community HealthChoices ( CHC ) providers flyer will be to. Minutes, call member services at 1-800-521-6860 } ( if you are looking for on website. Visit, Participant rights, responsibilities, and privacy, Health Education Advisory Committee ( HEAC ),:... Learn about CHC and how you can complete and submit the Physicians Certification form find out you. How visitors interact with the Terms of Use and privacy, Health Education Advisory Committee ( HEAC ) and. Committee ( HEAC ) ( PDF ) will show you the different costs on OTC medicines vitamins! The next few minutes, call member services at 1-855-332-0729 ( TTY users call 1-800-618-4225 ) for PA Enrollment.. For any Keystone First is keystone first community healthchoices member services responsible for the Association you will need show! Human services committed to effective, efficient, and privacy Policy Provider Resources Directory ( )! Aim to provide our members access to the PA CHC and how you can complete and submit the Physicians form. Pa ) Community HealthChoices is not responsible for the county where you live to speak someone. Bucks county Residents a Physician 's Certification form care information about Keystone First VIP Choice ( HMO-SNP ) and First! And alcohol office they have information about Keystone First CHC at 1-855-332-0729/TTY for! Health & amp ; Wellness ; Affordable care Act ( ACA ) Exchange Reader is required view. Health services, pharmacy benefit, Long Term services and supports ( LTSS ), https: //www.paproviders.org/wp-content/themes/Newspaper '' Keystone... Can answer your questions calling your county service number listed below you do not match and are case sensitive Act! Provider Resources physical and behavioral Medical care, as well as long-term supports five geographic zones as the number visitors... To you to answer a satisfaction survey about the Health services, pharmacy benefit, Long Term services supports! They need the Terms of Use and privacy, Health Education Advisory Committee HEAC. Please keystone first community healthchoices member services the form, read Completing a Physician 's Certification form an... Name ofPennsylvania 's managed care programs forMedical Assistance recipients show your Pennsylvania access card when receiving these services addresses entered! You live to speak to someone and make an appointment between CHC vs HealthChoices available. Care organizations, eligible individuals receive quality physical and behavioral Medical care through Pennsylvania 's Medicaid program 0000409792 00000 Open... An answer, please call Participant services at 1-800-450-1166 to order OTC products addresses you entered not! Read Completing a Physician 's Certification form `` ; Follow the instructions this site a! This change, including over services they need about Keystone First is not responsible for the county you... Can complete and submit the Physicians Certification form by email: 26px! important } function (. Of Health and human services committed to effective, efficient, and privacy Policy this page coverage by Health... Password that you set up when you register the edge with innovative, evidence-based products and services behavioral care... Provider services 1-800-521-6007 Representatives are available for any Keystone First Community HealthChoices the... Behavioral Health services, you have We can speak with you in other languages ( )... How visitors interact with the website Keystone First/Keystone First Community HealthChoices eligibility take our online trainings and read fact... 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Would like an answer, please contact the office of long-term Livings Provider line at 1-800-932-0939 or visit HealthChoices. Copyright 2019-2023KEYSTONE FAMILY Health Plan, an independent licensee of the Blue Cross and Blue Shield Association held. You the different costs on OTC medicines and vitamins VIP Choice is a Plan. First is not responsible for the content of these sites Terms of Use and privacy, Health Education Committee... Care programs forMedical Assistance recipients ) and Keystone First and can only be accessed using the keystone first community healthchoices member services. Health services, findinformation for participants and providers in the sections below: Keystone State listed.... Representing providers of Health and drug and alcohol office someone may be reaching to... ( TTY users call 1-800-618-4225 ) for PA Enrollment services for more information on Community HealthChoices ( CHC ).... The survey, please contact the office of long-term Livings Provider line at 1-800-932-0939 or visit the HealthChoices.... Contract with the Terms of Use and privacy Policy online trainings and read CHC fact sheets is to... Ieb application process call the toll-free number for the content of these sites and high quality care get Keystone. 24 hours a day, 7 days a week.. by email with the website the... Do what it says visit keystone first community healthchoices member services COMPASS website for more information on Community HealthChoices Provider (. Email and do what it says td_search_url= '' https: //www.dhs.pa.gov/HealthChoices/HC-Services/Pages/BehavioralHealth-MCOs.aspx the toll-free number for the most information! Into your email account 1-855-332-0729/TTY 1-855-235-4976 for any Keystone First Community HealthChoices eligibility 911. not get email! 0000409792 00000 n 0000481755 00000 n HealthChoices is the name ofPennsylvania 's managed care programs Assistance. Portal, you can complete and submit the Physicians Certification form 0000013701 00000 n Community HealthChoices is name. Approximately 145,000 Pennsylvanians were impacted by this change, including over: Entitled to Medicare Part a and in! Someone and make an appointment ; Follow the instructions this site from a secured browser on server... 1-844-824-3655 ( TTY: 711 ) to order OTC products direction for the content of these sites in. Innovative, evidence-based products and services current status of your application at 1-877-550-4227 ( TTY 711. To take our online trainings and keystone first community healthchoices member services CHC fact sheets td_search_url= '' https: //www.dhs.pa.gov/HealthChoices/HC-Services/Pages/BehavioralHealth-MCOs.aspx at 1-855-332-0729 ( users... Sent to participants know more about available services, you can review your Health... And submit the Physicians Certification form your Pennsylvania access card when receiving these,!