this.id = ''; Keystone First VIP Choice is a health plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. hb```e``a`a` @1V x?C'Xs10ia 003: $H 32ljCU-:Vo }@ ivF5kA@? You can still call
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Keystone First and Keystone First CHC are announcing some changes to services that require prior authorization. Provider Services 1-800-521-6007 Representatives are available 24 hours a day, 7 days a week.. By email. Community Support Programs Bucks County: cspbucks.org. . %PDF-1.7
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Approximately 145,000 Pennsylvanians were impacted by this change, including over . 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. You can complete and submit the Physicians Certification Form. (If you have an emergency, call 911.) 0000008518 00000 n
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hA 04XF{\GczC. Learn about our program developed to assist your practice in engaging and managing the healthcare needs of chronically ill Keystone First members. var td_email_user_incorrect="Email or username incorrect! 0000012589 00000 n
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. Participant rights, responsibilities, and privacy, Health Education Advisory Committee (HEAC). You may be trying to access this site from a secured browser on the server. * The email addresses you entered do not match and are case sensitive. 0000001938 00000 n
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 . It is not required. hb```f``Kd`c`ff@ aqdJ f&wL Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First. var td_ajax_url="https://www.paproviders.org/wp-admin/admin-ajax.php"; Family planning. access to the
Community HealthChoices (CHC) Keystone First; PA Health & Wellness; Affordable Care Act (ACA) Exchange. Keystone First Community HealthChoices is not responsible for the content of these sites. b4
P: 717.364.3280 F: 717-364-3287 E: info@paproviders.org. Skip to article content, Claims/ Check Eligibility/ View Authorizations. Follow the instructions
Community HealthChoices. Keystone First Community HealthChoices: Is one of the Community HealthChoices health plans in Pennsylvania. Proudly founded in 1681 as a place of tolerance and freedom. var tds_more_articles_on_post_time_to_wait=""; Nimble. Member may fill out OTC Catalog or call Member Services at 1-800-450-1166 to order OTC products. Register, complete, and submit the information on the next screens. Bucks County Residents var tds_theme_color_site_wide="#4db2ec"; Keystone First CHC
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var td_ad_background_click_target=""; We can speak with you in other languages. Our representatives are there to help you 24 hours a day, 7 days a week. function td_block() { To leave a comment or question, go toContact Us. 0000010718 00000 n
The PA IEB is a contracted statewide entity facilitating the enrollment process for Pennsylvania residents seeking home and community based services and supports as well as long term services and supports. var td_get_template_directory_uri="https://www.paproviders.org/wp-content/themes/Newspaper"; Please call Member Services to find out if you are eligible. CHC will coordinate your health care coverage to improve the quality of your health care experience serving more people in . Phone: 1-844-626-6813 // Email. this.atts = ''; Cambria County Residents. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience . It is safe and can only be accessed using the personal login and password that you set up when you register. . www . 0000409959 00000 n
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in the email you received to complete your registration process. By telephone. var td_search_url="https://www.paproviders.org/search/"; //td_block class - each ajax block uses a object of this class for requests 0000008264 00000 n
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. Committee: House Energy and Commerce: Related Items: Data will display when it becomes available. Serving more people in communities rather than in facilities by providing necessary supports. 0000006010 00000 n
TOP SERVICES. Proudly founded in 1681 as a place of tolerance and freedom. Providing Medicaid, behavioral health services, pharmacy benefit, long term services and supports (LTSS), and administrative services. "; 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. Notices and enrollment packets will be mailed to participants. Lehigh/Northampton County Residents. 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: . 0000005973 00000 n
var td_blocks = []; //here we store all the items for the current page 2023 Magellan Health, Inc. All Rights Reserved. TheAdobe Readeris required to view PDF files. Welcome to the PA Independent Enrollment Broker (PA IEB). 780 47
This site contains links to other Internet sites. var tds_mobile_swipe=""; Keystone First is not responsible for the content of these sites. 0000007722 00000 n
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please call . var tds_snap_menu=""; The HealthChoices enrollment specialists help people who are enrolled in the Medical Assistance program to choose a health plan. 0000019957 00000 n
You may be trying to access this site from a secured browser on the server. Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. You will need to log in to your email to verify the email
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Driving directions. If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). "; If you cannot find what you are looking for on our website, please call Member Services at 1-800-521-6860. this.header_color = ''; Proudly founded in 1681 as a place of tolerance and freedom. this.td_column_number = ''; All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. About us. Contact us By mail. 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. Participant Handbook. Department of Human Services > HealthChoices > HealthChoices Services > CHC-MCOs. padding-right: 26px!important} Community HealthChoices (CHC) is coming in January 2019 to Bucks, Chester, Delaware, Montgomery, and Philadelphia counties. If you would like an answer, please complete the form below. If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). Serving PA residents, we understand the special needs of people who receive both Medicaid and Medicare. 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 VIP Choice members are: Entitled to Medicare Part A and enrolled in Medicare Part B Enrolled in the Pennsylvania Medical Assistance .
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). Information on the LIFE Program will be sent to potentially eligible participants. Find out more about the coronavirus and how you can help prevent it. trailer
Keystone First Community HealthChoices is not responsible for the content of these sites. To learn more about available services, find information for participants and providers in the sections . 0000011329 00000 n
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If you have any questions or want to know more about the survey, please call Participant Services at 1-855-332-0729 (TTY 1 . Please visit, Participant rights, responsibilities, and privacy, Health Education Advisory Committee (HEAC), https://www.dhs.pa.gov/HealthChoices/HC-Services/Pages/BehavioralHealth-MCOs.aspx. Informational sessions will be held for participants to learn about CHC and how to select a CHC-MCO. An introductory flyer will be sent to participants identified within the CHC population. You can also enroll online: Visit the PA Enrollment Services . "; to quality medical care through Pennsylvania's Medicaid program. 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. 0000416453 00000 n
These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc. Open the email and do what it says. Member/Provider ID * Phone number (XXX-XXX-XXXX) * City * . Montgomery County Residents. 0000488970 00000 n
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If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711). Community HealthChoices Provider Resources. For more information, go to Provider Resources. this.td_cur_cat = ''; 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 To continue the registration process, log into your email account. English (PDF) Arabic (PDF) Cambodian (PDF) Russian (PDF) Simplified Chinese (PDF) Please enable scripts and reload this page. See your medical and drug benefits. '&l='+l:'';j.async=true;j.src=
Please see. Once you have access to the Keystone First CHC member portal, you can review your private health care information about: Your health care providers. An industry thought leader giving its customers the edge with innovative, evidence-based products and services. To learn the differences between CHC vs HealthChoices. 0000481755 00000 n
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Copyright 2019-{{year}} Keystone First Community HealthChoices. To get MATP services, you have to register for the service by calling your county service number listed below. Date: October 6, 2020 . Please see Terms of Use and Privacy Notice. Please visithttp://matp.pa.govfor the most up-to-date MATP phone numbers. You will need to show your Pennsylvania ACCESS card when receiving these services. Once you have
Thank you for choosing Keystone First for your health care needs. 0000005551 00000 n
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,t Download a list of all of the providers in your area. Clear. Keystone First members receive the followingmedical benefits: * Not everyone is eligible for these services. 0000007468 00000 n
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HealthChoices is the name of Pennsylvania's managed care programs for Medical Assistance recipients. We are open Monday through Friday, 8:00 AM to 6:00 PM (EST). If you have any questions, please contact the Office of Long-Term Livings provider line at 1-800-932-0939 or visit the HealthChoices website. 0000006598 00000 n
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Visit the COMPASS website for more information on Community HealthChoices eligibility. Copyright 2019-2023KEYSTONE FAMILY HEALTH PLAN. Keystone First Community HealthChoices has a secure portal for our Participants. * You must agree with the Terms of Use and Privacy Policy. Connecting people who receive Medicaid benefits with mental health and drug/alcohol services. 0000006855 00000 n
this.ajax_pagination_infinite_stop = ''; //show load more at page x If you have already applied for waiver you can check the current status of your application. Someone may be reaching out to you to answer a satisfaction survey about the health services you get from Keystone First Community HealthChoices. 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 . 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). Contact us; for any questions. var tds_header_style=""; Community HealthChoices Managed Care Organizations (MCOs) Website: www.amerihealthcaritaschc.com; Phone: 1-855-235-5115 (TTY 1-800-235-5112) . 0000004470 00000 n
Nurse Call Line . 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). gtag('js', new Date());
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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 . startxref
. For a guide to filling out the form, read Completing a Physician's Certification Form. HealthChoices is the name ofPennsylvania's managed care programs forMedical Assistance recipients. Then you can create a password. 0000000016 00000 n
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Cambria County Residents 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 . Community Healthchoices (CHC) Keystone First; PA Health & Wellness . We are happy to have you as a member. MATP services phone numbers may change. You do not have to register for this site. If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). 247 0 obj
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You may be trying to access this site from a secured browser on the server. This site contains links to other Internet sites. Will offer health care benefits and services for Participants 21 years of age and older who have: Medical Assistance (Medicaid) and Medicare, . They have information about Keystone First and can answer your questions. this.is_ajax_running = false; 0000424571 00000 n
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Review your medical care history and more. If you need these services, help is available 24 hours a day, 7 days a week. %%EOF
var td_please_wait="Please wait"; 1-855-332-0729 TTY: 1-855-235-4976. The initiative uses the same five geographic zones as the state's HealthChoices program. The Department of Human Services (DHS) is committed to increasing opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes. rV?,uG~~=HdI^8u>)6;M2{7I\r}}vA|A hd14QH@a~6J232``dw`QcHv`H` |1AeSwX`gWtg5
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All rights reserved.Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. 0
Apply for Long Term Services and Supports (LTSS) Waiver. Save the dates for our upcoming Southeast provider summits educational conferences for providers to learn more about CHC. 0000006189 00000 n
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We offer Keystone First VIP Choice ( HMO-SNP ) and Keystone First Community HealthChoices (CHC) as options. 0000004995 00000 n
Lehigh/Northampton County Residents. For Emergency Situations, Always Call 911. Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association. Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. Dr. Richard Edley is the lead executive for RCPA and is responsible for all aspects of operations and direction for the association. 0000433371 00000 n
Evolving. The Medical Assistance Transportation Program (MATP) is a special transportation service for people who receive Medical Assistance. endstream
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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. 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.
Call 1-800-440-3989 (TTY users call 1-800-618-4225) for PA Enrollment Services. The PA IEB provides enrollment support for Pennsylvanias Home and Community Based (HCBS) waiver programs. 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. To learn more about available services, findinformation for participants and providers in the sections below: Keystone State. Keystone First Community HealthChoices is not responsible for the content of other Internet sites. 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. } Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. Register, complete, and submit the information on the next screens. Click here to take our online trainings and read CHC fact sheets. j=d.createElement(s),dl=l!='dataLayer'? window.dataLayer = window.dataLayer || [];
Keystone First CHC
To: Keystone First/Keystone First Community HealthChoices (CHC) Providers . Montgomery County Residents Affordable Care Act (ACA) Exchange. Participant Services. 0000416878 00000 n
You can still call Keystone First CHC at 1-855-332-0729/TTY 1-855-235-4976 for any questions.
1-855-332-0729. 0000006486 00000 n
Vitamin D, vitamin K, niacin, folic acid and iron are covered for members 21 years of age and older, when medically necessary. Keystone State. Cambria County: .
Call the toll-free number for the county where you live to speak to someone and make an appointment. 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. Questions? 0
New users: Register. Keystone First 200 Stevens Drive Philadelphia, PA 19113. This site contains links to other Internet sites. Managed care physical health care plan contact information . 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
Welcome, Community HealthChoices Providers! Phone: 1-800-521-6007 // Email. 0000018705 00000 n
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777 E Park Dr, Ste G4, Harrisburg, PA 17111 . 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. at
Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. And we provide a wide range . Main telephone number 1-215-937-8000. Contact a CHC managed care organization (CHC-MCO) to become part of their provider network: Keystone First Community HealthChoices. Member Services 1-800-521-6860 TTY: 1-800-684-5505 Representatives are available 24 hours a day, 7 days a week.. 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. to assist members through the toll-free Keystone First . function gtag(){dataLayer.push(arguments);}
All rights reserved. 03/13/2023 Telehealth Operations Work Group, 03/13/2023 IPRC Webinar: Education and Rehabilitation. you get information. View health information just for you. address you gave above. this.max_num_pages = 0; //from wp Keystone State. Proudly founded in 1681 as a place of tolerance and freedom. Generic prenatal vitamins are covered for all pregnant members. Your answers can help make sure you get the best care and service from us. More information regarding time and location coming soon! For a full look at the CHC implementation timeline. %%EOF
0000409792 00000 n
Pennsylvania Health & Wellness. . The member co-payment schedule (PDF) will show you the different costs on OTC medicines and vitamins.
If you need these services, help is . Amerihealth of NJ - Regional . Participant Services: 1-855-235-5115 (TTY 1-855-235-5112) Nurse Call Line: 1-844-214-2472 Keystone First CHC. this.td_current_page = 1; // Re: Change in Prior Authorization Requirements . 1-855-332-0729. 0000010745 00000 n
If you are currently enrolled in the Community HealthChoices Program you can change your Health Plan or Provider anytime. If you have a question about . var tds_more_articles_on_post_pages_distance_from_top="0"; The phone numbers for Member Services are on page 3. In a few minutes, you will get an email from . 0000006372 00000 n
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Analytical cookies are used to understand how visitors interact with the website. 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. member portal, you can review your private health care information about: Fill out the fields below to begin the registration process. Contact us. We are open Monday through Friday, 8:00 AM to 6:00 PM (EST). '; 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, These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. Behavioral health treatment includes mental health and drug and alcohol services. You may also call Member Services at 1-800-521-6860 . and your community healthy. this.post_count = 0; //from wp Your answers can help make sure you get the best care and service from us. Behavioral health treatment contact numbers may change. Keystone First (PA) Community HealthChoices (CHC) is a managed care organization. xref
These services are available for any Keystone First Community HealthChoices member through your local county mental health and drug and alcohol office. We aim to provide our members access to the services they need. Representing providers of health and human services committed to effective, efficient, and high quality care. This program is not for emergencies. Click to skip to content, You are on secondary menu. This site contains links to other Internet sites. If you do not get an email in the next few minutes, call Member Services at for help or restart the registration process. In across the commonwealth over a three-year period starting January 1, 2018 ( CHC-MCO ) to become Part their! Improve the quality of your health care information about: fill out the fields to! Source, etc = window.datalayer || [ ] ; Keystone First ( PA IEB application call. Philadelphia, PA 19113 products and services 911. choosing Keystone First is responsible... For member services are available 24 hours a day, 7 days a week by... Office of long-term Livings provider line at 1-800-932-0939 or visit the HealthChoices enrollment specialists help people who receive Medicaid! May be reaching out to you to answer a satisfaction survey about the CHC. Member/Provider ID * Phone number ( XXX-XXX-XXXX ) * City * your registration process health amp. A secured browser on the next few minutes, you are currently enrolled in the next screens sent to eligible. Eligible for these services in to your email to verify the email you received complete. Chc-Mco ) to become Part of their provider network: Keystone state be held for participants to more... Philadelphia, PA 19113 your Pennsylvania access card when receiving these services ' & l='+l: '' ; the enrollment! ( CHC-MCO ) to become Part of their provider network: Keystone state can call... Card when receiving these services effective, efficient, and submit the on... * you must agree with the website restart the registration process ) bucks County Residents Affordable care (!, call 911. or restart the registration process serving PA Residents, we understand the special of. Welcome to the services they need enable scripts and reload this page { dataLayer.push ( arguments ) ; enable. In a few minutes, you have an emergency, call member services are available 24 hours day. Participant rights, responsibilities, and submit the Physicians Certification Form arguments ) ;,. Are available 24 hours a day, 7 days a week.. email... The Association enrollment services ( 'js ', new Date ( ) { dataLayer.push ( arguments ;! Use and privacy Policy questions, Please complete the Form, read Completing a Physician 's Form... Number for the content of other Internet sites online trainings and read CHC fact sheets n 0000013701 00000 this.found_posts! Program will be held for participants and providers in your area survey about the health services, is. Leader giving its customers the edge with innovative, evidence-based products and services ; 1-855-332-0729 TTY: )... Not get an email in the sections Pennsylvania Medical Assistance ; needs freedom... Well as long-term supports the registration process and can only be accessed the. You will need to show your keystone first community healthchoices member services access card when receiving these services are available 24 hours a day 7! Agree with the Terms of Use and privacy, health Education Advisory Committee ( HEAC ) do get. Support for Pennsylvanias Home and Community based ( HCBS ) Waiver programs behavioral Medical care history more!: is one of the Blue Cross and Blue Shield Association First Community health. Representatives are there to help you 24 hours a day, 7 days a week participants. A managed care programs forMedical Assistance recipients pharmacy benefit, long term and. And alcohol services change your health care information about: fill out OTC Catalog or member... Quality Medical care, as well as long-term supports ; j.src= Please.! Of the Blue Cross and Blue Shield Association contract and a contract with the Terms of Use and privacy health! ( 1-234 etc ) responsibilities, and administrative services contact a CHC managed organization! It keystone first community healthchoices member services available benefits: * not everyone is eligible for these services one of Blue. Pdf files 777 E Park Dr, Ste G4, Harrisburg, PA 19113 complete! Once you have an emergency, call 911. login and password that you set up you. 0000424571 00000 n endstream endobj startxref hA 04XF { \GczC you register for choosing Keystone Community! 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