Remittance Advice Alerts/PROMISe Banner Pages
Subject: Office of Medical Assistance Programs Fee-for-Service Contacts
Banner Date: July 14, 2017
Cycles: 03, 04, 05, 06
Provider Types: All Providers
 
Subject: Office of Medical Assistance Programs Fee-for-Service Contacts
 
As of July 13, 2017, providers calling the Office of Medical Assistance Programs (OMAP) will have new options to choose from when contacting the office.
 
Below is an updated Medical Assistance (MA) Desk Reference list. Please note, the options below are only updated for contacting Fee-For-Service (FFS) call centers. Updates to all other program office phone options will be announced.
 

Pharmacy Serves Provider Call Center

1-800-537-8862 Select option 3, then option 1, option 1, option 2

Mon–Fri 8 am – 4:30 pm

  • FFS Outpatient pharmacy billing questions
  • FFS Outpatient pharmacy prior authorizations

Pharmacy website information: http://www.dhs.pa.gov/provider/pharmacyservices/

Fee-for-Service Provider Service Center (excludes pharmacy)
 
1-800-537-8862 Select option 3, then option 1, option 1, option 3, option 1, option 1

Mon–Fri 8 am – 4:30 pm

  • All inpatient & outpatient billing inquiries including dental
  • General questions about prior authorization including status updates, and billing inquires
Fee-for-Service Prior Authorization:
 
1-800-537-8862 Select option 3, then option 1, option 1, option 5, option 1
(then see various options below)
Option 1 – for home health, hyperbaric, elective inpatient/outpatient procedures, place of service review, or advanced radiologic imaging service
Option 2 – for rehab reviews – (leave a voicemail)
Option 3 – to check status of prior authorizations including dental, shift nursing, PE/PSR, DME/medical supplies, urgent or emergent inpatient admissions, or BCCPT

Mon – Fri 7:30 am – 12 pm, 1 pm – 4 pm

  
Fee-for-Service Provider Enrollment
 
1-800-537-8862 Select option 3, then option 1, option 1, option 4
 
Mon–Fri 8 am – 4:30 pm
  • Assistance with MA and CHIP enrollment, MA and CHIP enrollment file maintenance, and general MA and CHIP enrollment questions
Fax: 717-265-8284
email: RA-PROVAPP@pa.gov
Enrollment website information:
  
Intense Medical Case Management Unit
 
1-800-537-8862 Select option 3, then option 1, option 1, option 6 (for providers)
 
1-800-537-8862 Select option 1, then option 2, option 5, option 2 (for recipients)
 
Mon–Fri 8 am – 4:30 pm
  • Assistance for individuals with complex needs & case management for catastrophic events
  • Individuals in need of one-on-one support with a registered nurse
  
Fee-for-Service Recipient Service Center
 
1-800-537-8862 Select option 1, then option 2, option 5, option 3
 
Mon – Fri 8 am – 4:30 pm
  • Answers to questions about MA coverage, medical bills, finding a dentist or other provider, prior authorization requests, 3rd party liability verification, client reimbursements, and appeals notice
  


 

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