For a guide to filling out the form, read Completing a Physician's Certification Form. 0000409862 00000 n
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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). Apply for Long Term Services and Supports (LTSS) Waiver. 1-855-332-0729 TTY: 1-855-235-4976. //td_block class - each ajax block uses a object of this class for requests Contact us By mail. Keystone State. hA 04XF{\GczC. Information on the LIFE Program will be sent to potentially eligible participants. 0000001740 00000 n
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var tds_more_articles_on_post_pages_distance_from_top="0"; 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 . Please enable scripts and reload this page. var td_get_template_directory_uri="https://www.paproviders.org/wp-content/themes/Newspaper"; Phone: 1-844-626-6813 // Email. Participant Pharmacy Services. Community HealthChoices (CHC) is coming in January 2019 to Bucks, Chester, Delaware, Montgomery, and Philadelphia counties. This site contains links to other Internet sites. Lehigh/Northampton County Residents. this.is_ajax_running = false; 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 call Member Services to find out if you are eligible. 0000416182 00000 n
var td_email_incorrect="Email incorrect! 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. Member/Provider ID * Phone number (XXX-XXX-XXXX) * City * . An industry thought leader giving its customers the edge with innovative, evidence-based products and 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. 0000488931 00000 n
To continue the registration process, log into your email account. They have information about Keystone First and can answer your questions. 0000019957 00000 n
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Committee: House Energy and Commerce: Related Items: Data will display when it becomes available. hOJ;
Qkn.C.6[)i=gB*70"%,.%D Member may fill out OTC Catalog or call Member Services at 1-800-450-1166 to order OTC products. 0000005973 00000 n
var tds_more_articles_on_post_enable=""; Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First. The HealthChoices enrollment specialists help people who are enrolled in the Medical Assistance program to choose a health plan. To learn the differences between CHC vs HealthChoices. The member co-payment schedule (PDF) will show you the different costs on OTC medicines and vitamins. Questions? More information regarding time and location coming soon! 0000010718 00000 n
Generic prenatal vitamins are covered for all pregnant members. 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. Nurse Call Line . 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. Welcome, Community HealthChoices Providers! Click to skip to content, You are on secondary menu. This site contains links to other Internet sites. To: Keystone First/Keystone First Community HealthChoices (CHC) Providers . body {visibility:hidden;}
And we provide a wide range . '; Please visithttp://matp.pa.govfor the most up-to-date MATP phone numbers. * You must agree with the Terms of Use and Privacy Policy. Amerihealth of NJ - Regional . Community HealthChoices. Keystone First CHC
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Representing providers of health and human services committed to effective, efficient, and high quality care. . Cambria County Residents. this.id = ''; (If you have an emergency, call 911.) "; xref
Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. This program is not for emergencies. 0000004995 00000 n
See your medical and drug benefits. 0000008966 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, access to the
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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. Proudly founded in 1681 as a place of tolerance and freedom. <]/Prev 559847/XRefStm 1740>>
.sf-menu a.sf-with-ul { The phone numbers for Member Services are on page 3. To learn more about available services, find information for participants and providers in the sections . Keystone First and Keystone First CHC are announcing some changes to services that require prior authorization. If you have any questions or want to know more about the survey, please call Participant Services at 1-855-332-0729 (TTY 1 .
To learn more about available services, findinformation for participants and providers in the sections below. j=d.createElement(s),dl=l!='dataLayer'? Will offer health care benefits and services for Participants 21 years of age and older who have: Medical Assistance (Medicaid) and Medicare, . 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. 0000488970 00000 n
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Our representatives are there to help you 24 hours a day, 7 days a week. Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports.
please call . var tds_snap_menu=""; 0000002113 00000 n
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If you would like an answer, please complete the form below. 0000481755 00000 n
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. Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. We offer Keystone First VIP Choice ( HMO-SNP ) and Keystone First Community HealthChoices (CHC) as options. %PDF-1.4
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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). 0000006010 00000 n
P: 717.364.3280 F: 717-364-3287 E: info@paproviders.org. Connecting people who receive Medicaid benefits with mental health and drug/alcohol services. 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 All rights reserved. Pennsylvania Health & Wellness. Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. Keystone First Community HealthChoices is not responsible for the content of these sites. 0000000016 00000 n
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We aim to provide our members access to the services they need. Affordable Care Act (ACA) Exchange. Keystone First Community HealthChoices has a secure portal for our Participants. You will need to show your Pennsylvania ACCESS card when receiving these services. 0000481716 00000 n
It is not required. 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 . 780 47
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HealthChoices Provider Directory (Espaol) Bucks County Residents. 0000433371 00000 n
Copyright 2019-{{year}} Keystone First Community HealthChoices. Providing Medicaid, behavioral health services, pharmacy benefit, long term services and supports (LTSS), and administrative services. In a few minutes, you will get an email from . To get MATP services, you have to register for the service by calling your county service number listed below. Evolving. this.post_count = 0; //from wp Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. .
Open the email and do what it says. You may be trying to access this site from a secured browser on the server. 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). The PA IEB provides enrollment support for Pennsylvanias Home and Community Based (HCBS) waiver programs.
this.max_num_pages = 0; //from wp To learn more about available services, findinformation for participants and providers in the sections below: Keystone State. HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. We are open Monday through Friday, 8:00 AM to 6:00 PM (EST). for any questions. "; Download a list of all of the providers in your area. Community HealthChoices (CHC) Keystone First; PA Health & Wellness; Affordable Care Act (ACA) Exchange. Then you can create a password. For the most recent information available in Pennsylvania including vaccine details, go to the, You are on primary menu. You can also enroll online: Visit the PA Enrollment Services . Welcome to the PA Independent Enrollment Broker (PA IEB). All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. Please enable scripts and reload this page. gtag('config', 'UA-23757493-1');
. If you need these services, help is available 24 hours a day, 7 days a week. About us. Please see Terms of Use and Privacy Notice. 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. If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
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Proudly founded in 1681 as a place of tolerance and freedom. 0000008264 00000 n
Register, complete, and submit the information on the next screens. . Approximately 145,000 Pennsylvanians were impacted by this change, including over . Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First Community HealthChoices. Behavioral health treatment contact numbers may change. Register, complete, and submit the information on the next screens. trailer
www . 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. address you gave above. function td_block() { Save the dates for our upcoming Southeast provider summits educational conferences for providers to learn more about CHC. Learn about our program developed to assist your practice in engaging and managing the healthcare needs of chronically ill Keystone First members. 0000015959 00000 n
Proudly founded in 1681 as a place of tolerance and freedom. The Medical Assistance Transportation Program (MATP) is a special transportation service for people who receive Medical Assistance. Keystone First VIP Choice members are: Entitled to Medicare Part A and enrolled in Medicare Part B Enrolled in the Pennsylvania Medical Assistance . 777 E Park Dr, Ste G4, Harrisburg, PA 17111 0000416878 00000 n
Thank you for choosing Keystone First for your health care needs. For Emergency Situations, Always Call 911. 247 0 obj
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Please enable scripts and reload this page. Skip to article content, Claims/ Check Eligibility/ View Authorizations. You can still call Keystone First CHC at 1-855-332-0729/TTY 1-855-235-4976 for any questions. Contact us; An introductory flyer will be sent to participants identified within the CHC population. this.found_posts = 0; //from wp 780 0 obj
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The initiative uses the same five geographic zones as the state's HealthChoices program. Bucks County Residents var tds_header_style=""; If you need these services, help is . Please see.
Keystone First Community HealthChoices is not responsible for the content of these sites. Serving PA residents, we understand the special needs of people who receive both Medicaid and Medicare. 0000424571 00000 n
var td_email_user_pass_incorrect="User or password incorrect! Notices and enrollment packets will be mailed to participants. Call 1-800-440-3989 (TTY users call 1-800-618-4225) for PA Enrollment Services. 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 . var td_ad_background_click_link=""; 0000409959 00000 n
03/13/2023 Telehealth Operations Work Group, 03/13/2023 IPRC Webinar: Education and Rehabilitation. Community HealthChoices Managed Care Organizations (MCOs) Website: www.amerihealthcaritaschc.com; Phone: 1-855-235-5115 (TTY 1-800-235-5112) . 0000416453 00000 n
The Department of Human Services (DHS) is committed to increasing opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes. } Participant Services: 1-855-235-5115 (TTY 1-855-235-5112) Nurse Call Line: 1-844-214-2472 Keystone First CHC. Keystone First is not responsible for the content of these sites. TheAdobe Readeris required to view PDF files. var tds_mobile_swipe=""; English (PDF) Arabic (PDF) Cambodian (PDF) Russian (PDF) Simplified Chinese (PDF) Review your medical care history and more. If you are currently enrolled in the Community HealthChoices Program you can change your Health Plan or Provider anytime. Serving more people in communities rather than in facilities by providing necessary supports. var td_ad_background_click_target=""; var tds_theme_color_site_wide="#4db2ec"; window.dataLayer = window.dataLayer || [];
1-855-332-0729.
A Service of Keystone Health. Click here to take our online trainings and read CHC fact sheets. Once you have
.wpb_animate_when_almost_visible { opacity: 1; }. It is safe and can only be accessed using the personal login and password that you set up when you register. Contact us. hbbd```b``_A$DH.0 af `` ,^f+HVg0Dm~ *rdOa` $^FANg`_ Keystone First CHC
You may be trying to access this site from a secured browser on the server. Community Healthchoices (CHC) Keystone First; PA Health & Wellness . Keystone First VIP Choice is a health plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. 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. 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. Managed care physical health care plan contact information . Date: Driving directions. Community HealthChoices Provider Resources. If you do not get an email in the next few minutes, call Member Services at for help or restart the registration process. Follow the instructions
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Your answers can help make sure you get the best care and service from us. hb```f``Kd`c`ff@ aqdJ f&wL Montgomery County Residents Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. . Nimble. We can speak with you in other languages. to assist members through the toll-free Keystone First . Effective on November 1, 2020, prior authorization requests for the services listed hb```e``a`a` @1V x?C'Xs10ia 003: $H 32ljCU-:Vo }@ ivF5kA@? Call the toll-free number for the county where you live to speak to someone and make an appointment. Re: Change in Prior Authorization Requirements . Participant Handbook. . 2023 Magellan Health, Inc. All Rights Reserved. Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. Lehigh/Northampton County Residents. 224 0 obj
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* The email addresses you entered do not match and are case sensitive. You can still call
you get information. If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). CHC will coordinate your health care coverage to improve the quality of your health care experience serving more people in . Vitamin D, vitamin K, niacin, folic acid and iron are covered for members 21 years of age and older, when medically necessary. 0000006855 00000 n
Please see Terms of Use and Privacy Notice. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc. this.ajax_pagination_infinite_stop = ''; //show load more at page x Visit the COMPASS website for more information on Community HealthChoices eligibility. 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
Cambria County Residents . Department of Human Services > HealthChoices > HealthChoices Services > CHC-MCOs. Proudly founded in 1681 as a place of tolerance and freedom. If you have a question about . Informational sessions will be held for participants to learn about CHC and how to select a CHC-MCO. Analytical cookies are used to understand how visitors interact with the website. By telephone. 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. Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. You will need to log in to your email to verify the email
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If you cannot find what you are looking for on our website, please call Member Services at 1-800-521-6860. You can complete and submit the Physicians Certification Form. 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. Contact a CHC managed care organization (CHC-MCO) to become part of their provider network: Keystone First Community HealthChoices. Behavioral health treatment includes mental health and drug and alcohol services. You may be trying to access this site from a secured browser on the server. this.td_column_number = ''; CHC was phased in across the commonwealth over a three-year period starting January 1, 2018. 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 . You may also call Member Services at 1-800-521-6860 . 0000409792 00000 n
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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: . Customizing solutions based on our members' and partners' needs. MATP services phone numbers may change. For more information, go to Provider Resources. ,t Keystone First (PA) Community HealthChoices (CHC) is a managed care organization. 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. var td_blocks = []; //here we store all the items for the current page 0000010582 00000 n
padding-right: 26px!important} Please visit, Participant rights, responsibilities, and privacy, Health Education Advisory Committee (HEAC), https://www.dhs.pa.gov/HealthChoices/HC-Services/Pages/BehavioralHealth-MCOs.aspx. New users: Register. We are happy to have you as a member. 1-855-332-0729. 1-855-332-0729/TTY 1-855-235-4976
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 . This site contains links to other Internet sites. '&l='+l:'';j.async=true;j.src=
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Community Support Programs Bucks County: cspbucks.org. this.td_current_page = 1; // Main telephone number 1-215-937-8000. If you have already applied for waiver you can check the current status of your application. 0000010745 00000 n
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Montgomery County Residents. 0000001938 00000 n
Once you have access to the Keystone First CHC member portal, you can review your private health care information about: Your health care providers. to quality medical care through Pennsylvania's Medicaid program. Dr. Richard Edley is the lead executive for RCPA and is responsible for all aspects of operations and direction for the association. Participant rights, responsibilities, and privacy, Health Education Advisory Committee (HEAC). member portal, you can review your private health care information about: Fill out the fields below to begin the registration process. These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. function gtag(){dataLayer.push(arguments);}
Keystone First 200 Stevens Drive Philadelphia, PA 19113. Cambria County: . var td_email_user_incorrect="Email or username incorrect! Find out more about the coronavirus and how you can help prevent it. 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. (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
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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. 826 0 obj
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We are open Monday through Friday, 8:00 AM to 6:00 PM (EST). Participant Services. For a full look at the CHC implementation timeline. 0000007468 00000 n
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var td_ajax_url="https://www.paproviders.org/wp-admin/admin-ajax.php"; Date: October 6, 2020 . Keystone First Community HealthChoices: Is one of the Community HealthChoices health plans in Pennsylvania. If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). Phone: 1-800-521-6007 // Email. 0000012589 00000 n
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. It is offered to you as a tool to help
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! ='dataLayer ' } Keystone First and can only be accessed using the personal login and password that set... Copyright 2019- { { year } } Keystone First ( PA ) Community program... Chc was phased in across the commonwealth over a three-year period starting January 1, 2018 the dates our. N View health information just for you find information for participants and providers in the Community HealthChoices is not for... The Association Medicare contract and a contract with the Terms of Use and Privacy health! Phone numbers 0000005551 00000 n if you are already enrolled in the Community HealthChoices has a secure for... For RCPA and is responsible for the County where you live to speak to and... Var td_email_user_pass_incorrect= '' User or password incorrect log into your email account our representatives are available 24 a. Days a week.. by email ; Download a list of all of the Blue Cross and Blue Association. Like an answer, please call member services are available 24 hours a day, 7 days a week questions. Currently enrolled in Medicare Part B enrolled in Medicare Part a and enrolled in Medicare Part enrolled... Survey about the health services you get from Keystone First members receive the followingmedical:... As options at the CHC implementation timeline 1-800-521-6007 representatives are there to 0000011329... Affordable care Act ( ACA ) Exchange reload this page experience serving people. Pdf-1.7 % HealthChoices provider Directory ( Espaol ) Bucks County Residents var tds_header_style= '' '' ; 0000002113 n... To services that require prior authorization will get an email in the next screens changes to services that prior. Engaging and managing the healthcare needs of chronically ill Keystone First Community HealthChoices ( CHC ) options! Where you live to speak to someone and make an appointment 145,000 Pennsylvanians were impacted by this change including... Scripts and reload this page n we aim to provide our members #. ) to become Part of their provider network: Keystone First/Keystone First Community HealthChoices ( CHC ) providers our. ; Affordable care Act ( ACA ) Exchange, read Completing a Physician Certification..., complete, and Philadelphia counties us by mail were impacted by change! Provider summits educational conferences for providers to learn more about available services, findinformation for participants to more! See your Medical and drug and keystone first community healthchoices member services Office can also enroll online: Visit the HealthChoices website the Phone.. Are open Monday through Friday, 8:00 AM to 6:00 PM ( EST ) some changes services! And Medicare quality physical and behavioral Medical care through Pennsylvania 's Medicaid.... F.Parentnode.Insertbefore ( j, F ) ; } will get an email in the you. Password incorrect can Check the current status of your health care coverage to improve the quality of your application managed..., find information for participants to learn more about the survey, please the! We offer Keystone First VIP Choice members are: Entitled to Medicare Part enrolled. The registration process review your private health care coverage to improve the quality of your application 0000488931 n. Your local County mental health and human services & gt ; HealthChoices & gt ; CHC-MCOs drug and Office! Montgomery, and Privacy, health Education Advisory Committee ( HEAC ) at 1-855-332-0729 ( 1-855-235-5112. Receive the followingmedical benefits: * not everyone is eligible for these services this page Use and Privacy.... Pennsylvanians were impacted by this change, including over Part a and enrolled in the Pennsylvania program. Be trying to access this site from a secured browser on the LIFE program will be to. 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