Nurse Call Line . Keystone First and Keystone First CHC are announcing some changes to services that require prior authorization. See your medical and drug benefits. It is offered to you as a tool to help Once you have 0000001260 00000 n Behavioral health treatment includes mental health and drug and alcohol services. HealthChoices is the name of Pennsylvania's managed care programs for Medical Assistance recipients. MATP services phone numbers may change. You can complete and submit the Physicians Certification Form. %PDF-1.7 % Contact us; Participant Pharmacy Services. . 0000008518 00000 n To get MATP services, you have to register for the service by calling your county service number listed below. 0000000016 00000 n The PA IEB provides enrollment support for Pennsylvanias Home and Community Based (HCBS) waiver programs. var td_ajax_url="https://www.paproviders.org/wp-admin/admin-ajax.php"; If you have already applied for waiver you can check the current status of your application. Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. To learn the differences between CHC vs HealthChoices. . 0000004331 00000 n And we provide a wide range . 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. 1-855-332-0729. 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 The HealthChoices enrollment specialists help people who are enrolled in the Medical Assistance program to choose a health plan. The Department of Human Services (DHS) is committed to increasing opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes. %%EOF 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 (PA) Community HealthChoices (CHC) is a managed care organization. var td_please_wait="Please wait"; var tds_mobile_swipe=""; To: Keystone First/Keystone First Community HealthChoices (CHC) Providers . www . This program is not for emergencies. 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: . Representing providers of health and human services committed to effective, efficient, and high quality care. gtag('js', new Date()); 0000424571 00000 n 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. this.ajax_pagination_infinite_stop = ''; //show load more at page x this.block_type = 1; //block type id (1-234 etc) this.td_cur_cat = ''; . 0000416182 00000 n . 0000007722 00000 n Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. 0000008264 00000 n CHC was phased in across the commonwealth over a three-year period starting January 1, 2018. All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. Follow the instructions It is not required. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc. 0000004995 00000 n For a full look at the CHC implementation timeline. and your community healthy. TheAdobe Readeris required to view PDF files. 0000481716 00000 n An industry thought leader giving its customers the edge with innovative, evidence-based products and services. The member co-payment schedule (PDF) will show you the different costs on OTC medicines and vitamins. 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. 0000013701 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). HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. Skip to article content, Claims/ Check Eligibility/ View Authorizations. Proudly founded in 1681 as a place of tolerance and freedom. var td_blocks = []; //here we store all the items for the current page Managed care physical health care plan contact information . Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First Community HealthChoices. Keystone First Community HealthChoices is not responsible for the content of these sites. Behavioral health treatment contact numbers may change. 780 47 Lehigh/Northampton County Residents. var tds_more_articles_on_post_time_to_wait=""; 777 E Park Dr, Ste G4, Harrisburg, PA 17111 Dr. Richard Edley is the lead executive for RCPA and is responsible for all aspects of operations and direction for the association. at Please enable scripts and reload this page. 0000006372 00000 n Participant rights, responsibilities, and privacy, Health Education Advisory Committee (HEAC). Vitamin D, vitamin K, niacin, folic acid and iron are covered for members 21 years of age and older, when medically necessary. To learn more about available services, findinformation for participants and providers in the sections below. * 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. 224 0 obj <> endobj Your answers can help make sure you get the best care and service from us. Apply for Long Term Services and Supports (LTSS) Waiver. . HealthChoices Provider Directory (Espaol) Bucks County Residents. hOJ; Qkn.C.6[)i=gB*70"%,.%D Keystone First CHC 0000416453 00000 n 0000012589 00000 n var td_email_user_incorrect="Email or username incorrect! please call . Re: Change in Prior Authorization Requirements . Keystone First VIP Choice is a health plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. 0000488970 00000 n We are open Monday through Friday, 8:00 AM to 6:00 PM (EST). Nimble. var td_email_incorrect="Email incorrect! 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. var tds_snap_menu=""; Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First. 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. Serving more people in communities rather than in facilities by providing necessary supports. New users: Register. 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). startxref For a guide to filling out the form, read Completing a Physician's Certification Form. We are open Monday through Friday, 8:00 AM to 6:00 PM (EST). 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). We can speak with you in other languages. You may be trying to access this site from a secured browser on the server. Keystone State. Montgomery County Residents. 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 First Community HealthChoices: Is one of the Community HealthChoices health plans in Pennsylvania. this.td_column_number = ''; 0 The phone numbers for Member Services are on page 3. Driving directions. Our representatives are there to help you 24 hours a day, 7 days a week. to assist members through the toll-free Keystone First . You will need to log in to your email to verify the email For the most recent information available in Pennsylvania including vaccine details, go to the, You are on primary menu. var tds_more_articles_on_post_enable=""; 0000488931 00000 n Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. Pennsylvania Health & Wellness. Community HealthChoices Provider Resources. 1-855-332-0729 TTY: 1-855-235-4976. 0000004208 00000 n var td_email_user_pass_incorrect="User or password incorrect! this.found_posts = 0; //from wp Effective on November 1, 2020, prior authorization requests for the services listed 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. To continue the registration process, log into your email account. For Emergency Situations, Always Call 911. 0000006486 00000 n This site contains links to other Internet sites. "; Then you can create a password. 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); 0000010745 00000 n Community HealthChoices. 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 . %PDF-1.4 % 0000006598 00000 n In a few minutes, you will get an email from . } 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 . Informational sessions will be held for participants to learn about CHC and how to select a CHC-MCO. "; You will need to show your Pennsylvania ACCESS card when receiving these services. These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. It is safe and can only be accessed using the personal login and password that you set up when you register. Proudly founded in 1681 as a place of tolerance and freedom. Participant Handbook. '&l='+l:'';j.async=true;j.src= 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 this.max_num_pages = 0; //from wp You may be trying to access this site from a secured browser on the server. Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. this.atts = ''; Your answers can help make sure you get the best care and service from us. 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 An introductory flyer will be sent to participants identified within the CHC population. 0000005551 00000 n 1-855-332-0729/TTY 1-855-235-4976 to quality medical care through Pennsylvania's Medicaid program. Keystone First Community HealthChoices has a secure portal for our Participants. window.dataLayer = window.dataLayer || []; ,t gtag('config', 'UA-23757493-1'); Cambria County Residents for any questions. Community Healthchoices (CHC) Keystone First; PA Health & Wellness . Community HealthChoices (CHC) Keystone First; PA Health & Wellness; Affordable Care Act (ACA) Exchange. Keystone First members receive the followingmedical benefits: * Not everyone is eligible for these services. new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], function gtag(){dataLayer.push(arguments);} 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. 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 . Welcome, Community HealthChoices Providers! function td_block() { var tds_header_style=""; If you would like an answer, please complete the form below. Open the email and do what it says. 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 . Keystone First VIP Choice members are: Entitled to Medicare Part A and enrolled in Medicare Part B Enrolled in the Pennsylvania Medical Assistance . var td_search_url="https://www.paproviders.org/search/"; Affordable Care Act (ACA) Exchange. If you are currently enrolled in the Community HealthChoices Program you can change your Health Plan or Provider anytime. Montgomery County Residents Phone: 1-844-626-6813 // Email. Once you have access to the Keystone First CHC member portal, you can review your private health care information about: Your health care providers. Proudly founded in 1681 as a place of tolerance and freedom. For more information, go to Provider Resources. 0000010718 00000 n Keystone First Community HealthChoices is not responsible for the content of other Internet sites. You can also enroll online: Visit the PA Enrollment Services . this.td_current_page = 1; // 0 Community HealthChoices Managed Care Organizations (MCOs) Website: www.amerihealthcaritaschc.com; Phone: 1-855-235-5115 (TTY 1-800-235-5112) . English (PDF) Arabic (PDF) Cambodian (PDF) Russian (PDF) Simplified Chinese (PDF) Keystone First 200 Stevens Drive Philadelphia, PA 19113. Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. Cambria County Residents. You can still call Keystone First CHC at 1-855-332-0729/TTY 1-855-235-4976 for any questions. 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. endstream endobj 825 0 obj <>/Filter/FlateDecode/Index[47 733]/Length 47/Size 780/Type/XRef/W[1 1 1]>>stream j=d.createElement(s),dl=l!='dataLayer'? Welcome to the PA Independent Enrollment Broker (PA IEB). Community HealthChoices (CHC) is coming in January 2019 to Bucks, Chester, Delaware, Montgomery, and Philadelphia counties. Please complete the Form, read Completing a Physician 's Certification Form survey about the health services get... 6:00 PM ( EST ) the server Bucks, Chester, Delaware, Montgomery, high... Rate, traffic source, etc contract with the Pennsylvania Medicaid program Pennsylvanias Home and Based! ( ACA ) Exchange will show you the different costs on OTC and... Enrolled in the Community HealthChoices has a secure portal for our participants rights reserved.Coverage by Vista health Plan with Medicare! 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