medicaid patient portal pennsylvania

by Melvin Corwin 10 min read

Pennsylvania - Medicaid

24 hours ago has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, designed to facilitate enrollment in Medicaid and CHIP. In federal fiscal year (FFY) 2019, voluntarily reported 15 of 22 frequently reported health care quality measures in the CMS Medicaid/CHIP Child Core Set. These counts do not include the Consumer Assessment of … >> Go To The Portal


What is the best Medicaid plan in PA?

has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, designed to facilitate enrollment in Medicaid and CHIP. In federal fiscal year (FFY) 2019, voluntarily reported 15 of 22 frequently reported health care quality measures in the CMS Medicaid/CHIP Child Core Set. These counts do not include the Consumer Assessment of …

How do you apply for Medicaid in Pennsylvania?

Where can I find information about providers accepting MA patients? If you are eligible for MA, you may call the Fee-for-Service Recipient Service Center at 1-800-537-8862. They will provide you with a list of enrolled providers for MA patients. There is also a fee-for-service provider physician directory available.

What are the requirements for Medicaid in Pennsylvania?

Pennsylvania's Medicaid program is a lifeline for vulnerable populations, including children, people with disabilities, older adults, and people who are battling substance use disorder. When Governor Tom Wolf expanded Medicaid in 2015 , even more Pennsylvanians were able to get covered and get connected to critical health care services.

How do you access Medicaid?

The Commonwealth of Pennsylvania Department of Human Services offers state of the art technology with PROMISe™, the claims processing and management information system. Please take advantage of online training to use the system to its full advantage. This site requires, at minimum, Internet Explorer version 6 with 128-bit encryption.

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Provider Portal

If you are a contracted provider, you can register now. If you are a non-contracted provider, you will be able to register after you submit your first claim. After creating an account within the PA Health & Wellness provider portal you can:

View detailed patient list

The user manual is available on the secure portal, after you successfully complete the log in process. If you are a contracted provider, you can register now. If you are a non-contracted provider, you will be able to register after you submit your first claim.

What is medical assistance?

Medical Assistance (MA), also known as Medicaid, pays for health care services for eligible individuals.

How to contact MA fee for service?

If you are eligible for MA, you may call the Fee-for-Service Recipient Service Center at 1-800-537-8862. They will provide you with a list of enrolled providers for MA patients. There is also a fee-for-service provider physician directory available.

When is the PA medical marijuana law going to be extended?

Extension of Medical Marijuana Temporary Regulations Notice - April 2, 2020. 2020 Act 10 - PA General Assembly. Under the law, Pennsylvania residents who have a serious medical condition as certified by an approved physician are considered medical marijuana patients.

What is a medical marijuana certification?

The certification confirms that you have one of the 23 serious medical conditions, and that medical marijuana may benefit you. You need this certification to get your medical marijuana ID card.

How old do you have to be to be a caregiver?

The law defines a "caregiver" as an individual 21 years of age or older, unless otherwise authorized by the department, who is: Designated by a patient; A parent, legal guardian or spouse of a patient that is under the age of 18; or. Designated to be a caregiver by a parent, legal guardian or spouse.

What is considered a serious medical condition?

A "serious medical condition" under the law is any one of the following: Amyotrophic lateral sclerosis; Anxiety disorders; Autism; Cancer, including remission therapy; Crohn's disease;

Can a patient be a caregiver for a minor?

All caregivers must complete a background check. If you are a caregiver for a minor but not the patient's parent, legal guardian or spouse, you should be designated as a third-party caregiver by the patient or patient's legal guardian or spouse.

Can an adult patient use a medical marijuana card as a caregiver?

Additionally, any adult patient who is registered and gets a medical marijuana ID card is also able to designate a caregiver by sharing their patient ID number with the caregiver before the caregiver registers.

Do minors need a caregiver?

All minors are required to have a caregiver . There are three categories of patients who do not get an ID card, and thus need not enter a dispensary. Instead, a caregiver registers on their behalf and visits the dispensary for them. These categories include: Minors; Adult patients who are home-bound; or.

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