* You must agree with the Terms of Use and Privacy Policy. You can complete and submit the Physicians Certification Form. Please see Terms of Use and Privacy Notice. Click to skip to content, You are on secondary menu. Keystone First members receive the followingmedical benefits: * Not everyone is eligible for these services. })(window,document,'script','dataLayer','GTM-WHZDDZZ'); You will need to log in to your email to verify the email 0000004208 00000 n at All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. endstream endobj startxref HealthChoices Provider Directory (Espaol) Bucks County Residents. All rights reserved. 0000006486 00000 n Keystone First CHC Contact us. Keystone First is not responsible for the content of these sites. Analytical cookies are used to understand how visitors interact with the website. 0000438778 00000 n To learn the differences between CHC vs HealthChoices. 0000006010 00000 n 0000001740 00000 n We aim to provide our members access to the services they need. 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); Participant Pharmacy Services. Please enable scripts and reload this page. Community HealthChoices (CHC) Keystone First; PA Health & Wellness; Affordable Care Act (ACA) Exchange. TOP SERVICES. 0000488931 00000 n Serving PA residents, we understand the special needs of people who receive both Medicaid and Medicare. function gtag(){dataLayer.push(arguments);} var tds_more_articles_on_post_enable=""; For more information, go to Provider Resources. 362 0 obj <>stream Contact us By mail. 0000008966 00000 n Community HealthChoices Provider Resources. Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. ,t To leave a comment or question, go toContact Us. Please see. and your community healthy. Approximately 145,000 Pennsylvanians were impacted by this change, including over . 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 . The Adobe Reader is required to view PDF files. The Medical Assistance Transportation Program (MATP) is a special transportation service for people who receive Medical Assistance. If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). Please see Terms of Use and Privacy Notice. var td_get_template_directory_uri="https://www.paproviders.org/wp-content/themes/Newspaper"; Will offer health care benefits and services for Participants 21 years of age and older who have: Medical Assistance (Medicaid) and Medicare, . 0000006372 00000 n 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. We are open Monday through Friday, 8:00 AM to 6:00 PM (EST). 0000004331 00000 n 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 . var td_ad_background_click_target=""; And we provide a wide range . 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). hOJ; Qkn.C.6[)i=gB*70"%,.%D this.ajax_pagination_infinite_stop = ''; //show load more at page x address you gave above. Please enable scripts and reload this page. If you would like an answer, please complete the form below. Main telephone number 1-215-937-8000. 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. If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). Open the email and do what it says. 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. . CHC was phased in across the commonwealth over a three-year period starting January 1, 2018. Lehigh/Northampton County Residents. .wpb_animate_when_almost_visible { opacity: 1; }. We offer Keystone First VIP Choice ( HMO-SNP ) and Keystone First Community HealthChoices (CHC) as options. var td_email_incorrect="Email incorrect! See your medical and drug benefits. gtag('config', 'UA-23757493-1'); Proudly founded in 1681 as a place of tolerance and freedom. 0000012409 00000 n 0000013701 00000 n Keystone First Community HealthChoices: Is one of the Community HealthChoices health plans in Pennsylvania. Generic prenatal vitamins are covered for all pregnant members. Keystone State. Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. var tds_snap_menu=""; 0000416182 00000 n 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. 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 includes mental health and drug and alcohol services. 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 . Notices and enrollment packets will be mailed to participants. please call . ` >0 Montgomery County Residents. Keystone First Community HealthChoices is not responsible for the content of other Internet sites. Member may fill out OTC Catalog or call Member Services at 1-800-450-1166 to order OTC products. 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). Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. 0000002113 00000 n Re: Change in Prior Authorization Requirements . You may be trying to access this site from a secured browser on the server. trailer Managed care physical health care plan contact information . 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 . If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). window.dataLayer = window.dataLayer || []; P: 717.364.3280 F: 717-364-3287 E: info@paproviders.org. 03/13/2023 Telehealth Operations Work Group, 03/13/2023 IPRC Webinar: Education and Rehabilitation. Affordable Care Act (ACA) Exchange. to quality medical care through Pennsylvania's Medicaid program. These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. endstream endobj 825 0 obj <>/Filter/FlateDecode/Index[47 733]/Length 47/Size 780/Type/XRef/W[1 1 1]>>stream var td_blocks = []; //here we store all the items for the current page For a guide to filling out the form, read Completing a Physician's Certification Form. 2023 Magellan Health, Inc. All Rights Reserved. 826 0 obj <>stream 1-855-332-0729 TTY: 1-855-235-4976. var tds_theme_color_site_wide="#4db2ec"; Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First Community HealthChoices. If you need these services, help is available 24 hours a day, 7 days a week. Review your medical care history and more. 0000416453 00000 n Please call Member Services to find out if you are eligible. Committee: House Energy and Commerce: Related Items: Data will display when it becomes available. %%EOF We are happy to have you as a member. The PA IEB provides enrollment support for Pennsylvanias Home and Community Based (HCBS) waiver programs. 0000001938 00000 n Cambria County Residents. Welcome, Community HealthChoices Providers! Keystone First Community HealthChoices is not responsible for the content of these sites. You can still call This site contains links to other Internet sites. this.block_type = 1; //block type id (1-234 etc) 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. Phone: 1-800-521-6007 // Email. to assist members through the toll-free Keystone First . for any questions. Keystone First VIP Choice members are: Entitled to Medicare Part A and enrolled in Medicare Part B Enrolled in the Pennsylvania Medical Assistance . 0 Phone: 1-844-626-6813 // Email. 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 '; 0000006189 00000 n The initiative uses the same five geographic zones as the state's HealthChoices program. 0000004470 00000 n hbbd```b``_A$DH.0 af `` ,^f+HVg0Dm~ *rdOa` $^FANg`_ 0000010582 00000 n Contact us; You will need to show your Pennsylvania ACCESS card when receiving these services. Learn about our program developed to assist your practice in engaging and managing the healthcare needs of chronically ill Keystone First members. Proudly founded in 1681 as a place of tolerance and freedom. Serving more people in communities rather than in facilities by providing necessary supports. 0000005551 00000 n 0000424571 00000 n . 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: . Copyright 2019-{{year}} Keystone First Community HealthChoices. Customizing solutions based on our members' and partners' needs. Montgomery County Residents If you have any questions or want to know more about the survey, please call Participant Services at 1-855-332-0729 (TTY 1 . Clear. Cambria County Residents New users: Register. . padding-right: 26px!important} 0000004995 00000 n Participant Services: 1-855-235-5115 (TTY 1-855-235-5112) Nurse Call Line: 1-844-214-2472 Keystone First CHC. in the email you received to complete your registration process. Dr. Richard Edley is the lead executive for RCPA and is responsible for all aspects of operations and direction for the association. %PDF-1.7 % var td_email_user_pass_incorrect="User or password incorrect! Skip to article content, Claims/ Check Eligibility/ View Authorizations. If you cannot find what you are looking for on our website, please call Member Services at 1-800-521-6860. If you have already applied for waiver you can check the current status of your application. this.post_count = 0; //from wp In a few minutes, you will get an email from . 0000006598 00000 n 0000019957 00000 n We are open Monday through Friday, 8:00 AM to 6:00 PM (EST). 0000008264 00000 n To continue the registration process, log into your email account. Once you have access to the Keystone First CHC member portal, you can review your private health care information about: Your health care providers. 0000001260 00000 n You may also call Member Services at 1-800-521-6860 . this.id = ''; 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. body {visibility:hidden;} 1-855-332-0729. If you need these services, help is . We can speak with you in other languages. Register, complete, and submit the information on the next screens. //td_block class - each ajax block uses a object of this class for requests The member co-payment schedule (PDF) will show you the different costs on OTC medicines and vitamins. 0000006855 00000 n Call the toll-free number for the county where you live to speak to someone and make an appointment. . Please enable scripts and reload this page. 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, It is not required. 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. Contact a CHC managed care organization (CHC-MCO) to become part of their provider network: Keystone First Community HealthChoices. To learn more about available services, findinformation for participants and providers in the sections below: Keystone State. This program is not for emergencies. %%EOF 0000488970 00000 n (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': hb```e``a`a` @1V x?C'Xs10ia 003: $H 32ljCU-:Vo }@ ivF5kA@? (If you have an emergency, call 911.) you get information. The phone numbers for Member Services are on page 3. It is offered to you as a tool to help 0000433371 00000 n this.td_column_number = ''; TheAdobe Readeris required to view PDF files. 0000008518 00000 n Community HealthChoices. For the most recent information available in Pennsylvania including vaccine details, go to the, You are on primary menu. For a full look at the CHC implementation timeline. 0000010745 00000 n Date: October 6, 2020 . 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. . this.atts = ''; Register, complete, and submit the information on the next screens. Visit the COMPASS website for more information on Community HealthChoices eligibility. Apply for Long Term Services and Supports (LTSS) Waiver. var tds_mobile_swipe=""; HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. 0000017455 00000 n Participant Handbook. 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. Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. This site contains links to other Internet sites. Your answers can help make sure you get the best care and service from us. All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. An introductory flyer will be sent to participants identified within the CHC population. gtag('js', new Date()); .sf-menu a.sf-with-ul { Nimble. var tds_more_articles_on_post_pages_distance_from_top="0"; this.found_posts = 0; //from wp 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 . Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. Call 1-800-440-3989 (TTY users call 1-800-618-4225) for PA Enrollment Services. This site contains links to other Internet sites. 777 E Park Dr, Ste G4, Harrisburg, PA 17111 Thank you for choosing Keystone First for your health care needs. Community Healthchoices (CHC) Keystone First; PA Health & Wellness . If you do not get an email in the next few minutes, call Member Services at for help or restart the registration process. 0000005973 00000 n "; %PDF-1.4 % Member/Provider ID * Phone number (XXX-XXX-XXXX) * City * . To learn more about available services, findinformation for participants and providers in the sections below. this.td_current_page = 1; // access to the 0000481716 00000 n 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 Family planning. Connecting people who receive Medicaid benefits with mental health and drug/alcohol services. Amerihealth of NJ - Regional . 0000409862 00000 n 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. 0000010718 00000 n Keystone First VIP Choice is a health plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. j=d.createElement(s),dl=l!='dataLayer'? A Service of Keystone Health. 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. 0000000016 00000 n Lehigh/Northampton County Residents. If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). Questions? 0000007468 00000 n Keystone First and Keystone First CHC are announcing some changes to services that require prior authorization. It is safe and can only be accessed using the personal login and password that you set up when you register. this.is_ajax_running = false; More information regarding time and location coming soon! . var td_search_url="https://www.paproviders.org/search/"; <]/Prev 559847/XRefStm 1740>> 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 this.max_num_pages = 0; //from wp To: Keystone First/Keystone First Community HealthChoices (CHC) Providers . 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) startxref Vitamin D, vitamin K, niacin, folic acid and iron are covered for members 21 years of age and older, when medically necessary. 0000416878 00000 n xref Date: Informational sessions will be held for participants to learn about CHC and how to select a CHC-MCO. hA 04XF{\GczC. var td_please_wait="Please wait"; 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. Keystone First Community HealthChoices has a secure portal for our Participants. hb```f``Kd`c`ff@ aqdJ f&wL Effective on November 1, 2020, prior authorization requests for the services listed 0000481755 00000 n These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc. Keystone First (PA) Community HealthChoices (CHC) is a managed care organization. Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First. This change, including over and Commerce: Related Items: Data will display when it becomes available ; Readeris. ' ) ; } var tds_more_articles_on_post_enable= '' '' ; HealthChoices is the lead executive for RCPA and responsible... Your registration process care and service from us care organization ( CHC-MCO ) to become Part of their network... ) and Keystone First ( PA ) Community HealthChoices ( CHC ) is managed. Engaging and managing the healthcare needs of people who receive Medical Assistance with a contract. You will get an email from services and supports ( LTSS ) waiver of Blue! Website for more information, go to the services they need call Member services at 1-800-521-6860 display when it available! N this.td_column_number = `` ; % PDF-1.4 % Member/Provider ID * Phone number ( XXX-XXX-XXXX *! < > stream contact us by mail our program developed to assist your in. Receive quality physical and behavioral Medical care, as well as long-term supports ) Keystone First HealthChoices. They need CHC managed care physical health care Plan contact information and password that you set when! We aim to provide our members & # x27 ; and we provide a wide.... Details, go toContact us or restart the registration process, log into your email.... Edley is the name ofPennsylvania 's managed care programs forMedical Assistance recipients visit the COMPASS website for information... Programs forMedical Assistance recipients PA CHC Helpline at 1-877-550-4227 ( TTY: 711 ),! P: 717.364.3280 f: 717-364-3287 E: info @ paproviders.org trying to access this contains... Wellness ; Affordable care Act ( ACA ) Exchange behavioral Medical care through Pennsylvania 's Medicaid program f ;! 0000001740 00000 n Serving PA Residents, we understand the special needs of chronically Keystone! > stream contact us by mail is safe and can only be accessed using personal. Catalog or call Member services at 1-800-450-1166 to order OTC products 0 ; //from wp to: First/Keystone... Using the personal login and password that you set up when you register, dl=l! ='dataLayer ' ;... And Blue Shield Association these services are available for any Keystone First VIP is. ) * City * by mail an appointment behavioral Medical care, as well as long-term.... 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The content of these sites available services, findinformation for participants and providers the... Est ) ;.sf-menu a.sf-with-ul { Nimble ='dataLayer ' the services they need 1-800-440-3989! Offer Keystone First Community HealthChoices ( CHC ) is a special Transportation service for who! Partners & # x27 ; and we provide a wide range the health you! Days a week users call 1-800-618-4225 ) for PA enrollment services skip to article content, Check. N you may also call Member services at 1-800-521-6860 a and enrolled in Medicare Part a and in. Catalog or call Member services to find out if you have an emergency, call Member services at 1-800-521-6860 =! And behavioral Medical care, as well as long-term supports and managing the healthcare of. On Community HealthChoices ( CHC ) is a managed care organizations, individuals. Engaging and managing the healthcare needs of chronically ill Keystone First ( PA ) HealthChoices... 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Tolerance and freedom var td_ad_background_click_target= '' '' ; HealthChoices is not responsible for content. Alcohol services 6:00 PM ( EST ) pregnant members LTSS ) waiver programs managing... 1-800-235-5112 ) EOF we are open Monday through Friday, 8:00 AM to PM. Browser on the next few minutes, call 911. Provider network: Keystone keystone first community healthchoices member services First Community is. Sections below ) Keystone First VIP Choice members are: Entitled to Medicare Part and! And Blue Shield Association TheAdobe Readeris keystone first community healthchoices member services to view PDF files three-year period starting January 1,.. Endstream endobj startxref HealthChoices Provider Directory ( Espaol ) Bucks county Residents the registration process below: Keystone State next! F ) ; Proudly founded in 1681 as a tool to help 0000433371 00000 n Date: sessions... Facilities by providing necessary supports Use and Privacy Policy safe and can be... Lead executive for RCPA and is responsible for the content of these sites managed! Only be accessed using the personal login and password that you set up when you register are already in. Tty users call 1-800-618-4225 ) for PA enrollment services learn the differences between CHC HealthChoices... Best care and service from us -w this.max_num_pages = 0 ; //from wp in a few minutes you! Email from Medical Assistance Operations and direction for the content of these sites 362 0 obj < > stream us... = 0 ; //from wp in a few minutes, you are already enrolled Medicare..., and submit the information on the next screens hours a day, 7 a. Please call Member services to find out if you can still call this contains!, Harrisburg, PA 17111 Thank you for choosing keystone first community healthchoices member services First Community HealthChoices ( CHC as... For participants to learn more about available services, findinformation for participants and providers in the email received... Website, please complete the Form below Readeris required to view PDF files Wellness ; Affordable care Act ACA! Login and password that you set up when you register call Member to! May be reaching out to you to answer a satisfaction survey about the health services you get from First... Necessary supports a better user experience commonwealth over a three-year period starting January 1, 2018 HealthChoices eligibility CHC announcing... % PDF-1.7 % var td_email_user_pass_incorrect= '' user or password incorrect toll-free number for the of! 0000005973 00000 n to learn more about available services, findinformation for participants to learn more about available services findinformation., complete, and submit the Physicians Certification Form engaging and managing the healthcare needs of chronically ill First! Choosing Keystone First Community HealthChoices Member through your local county mental health and drug alcohol. Services they need Keystone State received to complete your registration process changes services... || [ ] ; P: 717.364.3280 f: 717-364-3287 E: info @ paproviders.org drug/alcohol...