For Pennsylvania Medicaid Providers
PA Health & Wellness gives all Pennsylvania Medicaid providers the tools needed to provide comprehensive care to their patients. Becoming a contracted Pennsylvania Medicaid provider means you will also receive newsletters and alerts on upcoming education opportunities so that you are always providing superior patient care. Learn more below and become a Pennsylvania Medicaid provider today.
If you are a contracted PA Health & Wellness provider, you can register anytime. If you are a non-contracted provider, you will be able to register after you submit your first claim.
Once you have created an account, you can use the PA Health & Wellness provider portal to:
- Verify participant eligibility
- Manage claims
- Manage authorizations
- View participant list/roster
- Care Management and Service Coordination information
PA Health & Wellness offers health insurance programs that fit the unique needs of our participants.
View all of our available programs below.
COMMUNITY HEALTHCHOICES (LONG-TERM SERVICES & SUPPORTS)
Community HealthChoices is a new program to coordinate physical healthcare and long-term services and supports (LTSS) for older persons, persons with disabilities, and Pennsylvanians who are dually eligible for Medicare and Medicaid (dual eligible). Pending regulatory approval, PA Health & Wellness will begin serving participants in the Southwest Zone as of January 1, 2018, the Southeast Zone July 1, 2018, and Lehigh-Capital Zone January 1, 2019.