Providers
To our providers and their staff: Thank you for your dedication, bravery, and commitment to the care of our Participants during this difficult time.
Coronavirus (COVID-19)
Important information regarding COVID-19 vaccines
- COVID-19 vaccine reimbursement April update (PDF)
- MAB 01-21-03: Fee increase for the administration of SARS-CoV-2 vaccines (PDF)
- Updated CPT codes for the administration of SARS-CoV-2 vaccines (PDF)
- Pennsylvania Department of Health COVID-19 vaccination information
Important information for providers regarding COVID-19.
- Prior authorization requirements reinstated for certain services (PDF)
- MAB 99-21-03: Reinstatement of Prior Authorization Requirements for Certain Services (PDF)
- Teledentistry billing update during COVID-19 (PDF)
- Reminder for dental providers: Providers may not charge Participants for Medicaid-covered services (PDF)
- Therapy telemedicine date extension (PDF)
- COVID-19 telemedicine update (PDF)
- DHS Quick Tip: Telemedicine guidelines related to COVID-19 (PDF)
- AmeriHealth Caritas Pennsylvania (PA) Community HealthChoices (CHC) to follow DHS Provider Quick Tips #241 and #243 during COVID-19 pandemic (PDF)
- DHS Quick Tip: Prior authorization changes for some services during COVID-19 emergency (PDF)
- DHS Quick Tip: Use of the CR modifier and DR condition code for COVID-19 related claims (PDF)
- DHS guidelines for DME prior authorization during COVID-19 outbreak (PDF)
- Personal protective equipment regional contact list (PDF)
- DHS guidelines for CT scans during COVID-19 pandemic (PDF)
- FCC telehealth funding notice (PDF)
- Therapy telemedicine April notice (PDF)
- Ranitidine recall and hydroxychloroquine limits (PDF)
- Telemedicine care for coronavirus (COVID-19) (PDF)
- Quest Diagnostics COVID-19 testing information and instructions
- CDC information and alerts
- Coronavirus (COVID-19) ICD-10-CM coding guidelines from CDC (PDF)
- AmeriHealth Caritas Pennsylvania CHC COVID-19 provider announcement (PDF)
- Coronavirus (COVID-19) Account Executive notice (PDF)
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As an AmeriHealth Caritas Pennsylvania (PA) Community HealthChoices (CHC) provider, you’re essential to quality Participant care. Working with qualified providers like you, we can have a positive impact on health outcomes for Pennsylvania’s CHC Participants. Together, we can deliver person-centered physical health services and long-term services and supports (LTSS) to our AmeriHealth Caritas Pennsylvania Community HealthChoices Participants.
Latest updates
- Prior authorization requirements reinstated for certain services (PDF)
- Important requirements for nursing facilities effective August 1, 2021 (PDF)
- Prior authorization requirements: therapeutic duplication and safety edits (PDF)
- Additional HCPCS medication codes requiring prior authorization (PDF)
- Providers can now run NaviNet reports at the Tax ID Number (TIN) level (PDF)
Important information
- Provider reference guide (PDF)
- News and updates
- Training and education
- Claims and billing
- Provider resources
- Not yet a provider?
- What you need to know about CHC
Quick contact information
- Provider Services: 1-800-521-6007
- Credentialing: 1-800-642-3510
- Email: providercommunicationschc@amerihealthcaritas.com
- Account Executive Territories (PDF)
- Ancillary provider account executives (PDF)
- LTSS account executives — Southwest region (PDF)
- LTSS account executives — Lehigh/Capital, Northeast, and Northwest regions (PDF)
- Medical provider account executives (PDF)