FFS Provider Service Center Assist with FFS billing questions, including dental inquiries; General non-pharmacy prior authorization questions | 1-800-537-8862![Call: 1-800-537-8862]() Hours of operation: Monday – Friday, 8 a.m.-4:30 p.m.
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Eligibility Verification Provides verification of MA eligibility and plan information | 1-800-766-5387![Call: 1-800-766-5387]() Hours of operation: 24 hours a day, 7 days a week |
Intense Medical Case Management Unit Assistance with individuals with complex needs and case management for catastrophic events and individuals in need of one-on-one support with a registered nurse | 1-800-537-8862![Call: 1-800-537-8862]() Hours of operation: Monday – Friday, 8 a.m.-4:30 p.m. |
Medical Assistance Electronic Health Records Incentive Program Support Center Assists providers with EHR Incentive Program questions, including MAPIR inquires | If you have any questions, please email us at ra-mahealthit@pa.gov |
ODP Customer Service | 1-888-565-9435 (TTY number: 1-866-388-1114 ) Monday - Friday, 8:30 a.m.-4 p.m For all inquiries regarding Provider Enrollment contact the Provider Enrollment Mailbox: ra-odpproviderenroll@pa.gov or fax your inquiries to: 717-783-5141![Call: 717-783-5141]() |
ODP Claims Resolution Section Claims/billing inquiries for the Consolidated Waiver, P/FDS Waiver & ODP Base programs | 1-866-386-8880![Call: 1-866-386-8880]() Hours of operation: Monday - Thursday, 8:30 a.m.-noon and 1-3:30 p.m.
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ODP Provider Enrollment General ODP enrollment programs | Fax: 717-783-5141![Call: 717-783-5141]() Hours of operations: Monday - Friday, 8 a.m- 5 p.m. Provider Enrollment Mailbox: ra-odpproviderenroll@pa.gov |
Office of Long Term Living (OLTL) Provider Call Center Assists with nursing facilities, ICF/MRs, LIFE program billing questions, OLTL waivers billing and general enrollment questions | 1-800-932-0939![Call: 1-800-932-0939]() Hours of operation: Monday – Thursday, 9 a.m.-noon and 1-4 p.m.
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Office of Medical Assistance Programs Enrollment Questions | 1-800-537-8862![Call: 1-800-537-8862]() |
OLTL DME Hotline Assist with LTC billing questions relating to DME | 1-877-299-2918![Call: 1-877-299-2918]() Hours of operation: Monday – Friday, 7:30 a.m.-4 p.m.
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OMHSAS Questions specific to billing, claims, etc. | If you have any questions, please email us at RA-PWSERVICES@pa.gov |
Pharmacy Services Provider Call Center FFS pharmacy billing questions and FFS pharmacy prior authorizations | 1-800-537-8862![Call: 1-800-537-8862]() Hours of operation: Monday – Friday, 8 a.m.-4:30 p.m.
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FFS Prior Authorization For home health, PSR and hyperbaric treatments and for Advanced Radiologic Imaging service | 1-800-537-8862 Option #2, Option #3 and then option #1 Hours of operation: Monday-Friday 7:30 a.m.– noon and 1-4 p.m. |
Provider Assistance Center For provider questions on electronic claims and transaction submissions and the Provider Electronic Submission (PES) software | 1-800-248-2152 or 717-975-4100![Call: 717-975-4100]() Hours of operation: Monday – Friday, 8 a.m.–5 p.m. |
Provider Enrollment Provides assistance regarding MA enrollment processes and MA enrollment file maintenance; General MA enrollment questions | 1-800-537-8862![Call: 1-800-537-8862]() Hours of operation: Monday – Friday, 8 a.m. - 4:30 p.m.
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