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Statewide Provider Training/Orientation Webinars

Welcome to PA Health and Wellness. We thank you for being part of our network of participating physicians, hospitals and other healthcare professionals.

Upcoming Provider Training Highlights

Suicide Risk Module 1: Identifying Suicide Risk, Screening, and Prevention

Suicide Risk Module 2: Assessment, Treatment, and Postvention

Integrated Healthcare for all Providers

Cultural Humility: Building Upon the Foundation of Cultural Competency

Administrative and Other Processes

Quality Management Process and Issues and Provider Relations Issues

    Evolent Authorization Training Sessions

    PA Health & Wellness has partnered with Evolent to implement new prior authorization programs. Effective September 1, 2025, select Interventional Pain Management (IPM) procedures, medical oncology and radiation oncology services will require prior authorization through Evolent prior to being rendered in an outpatient setting. Providers are encouraged to attend any of the training sessions beginning in August to learn more about these  programs and the resources available. Additional information can be found here.

    Interventional Pain Management (IPM) Training Sessions

    Medical Oncology - Introductory Group Sessions

    Medical Oncology – In-Service Group Training Sessions

    Upon completion of the registration, you will receive a confirmation email from Evolent for the webinar session you chose to attend.

    New 2025 Annual Training Requirement: Home and Community-Based Service (HCBS) Providers Only

    PA Health and Wellness (PHW) would like to invite you to attend a pre-recorded training. This is an annual training requirement for all Home and Community Based Services (HCBS) Providers contracted with PHW's Community HealthChoices (CHC) Plan. If you are receiving this email, your organization is required to complete this training. *At least one person from each organization (Tax ID#) must complete this training annually and submit completed attestation.* Once registered, you will be sent an email with the link to view the training at any time. This training is approximately 30 minutes long.

    • Adult Daily Living
    • Assistive Technology
    • Behavior Therapy Services
    • Benefits Counseling
    • Career Assessment
    • Cognitive Rehabilitation Therapy Services
    • Community Integration
    • Community Transition Services
    • Counseling Services
    • Employment Skills Development
    • Financial Management Services
    • Home Adaptations
    • Home Delivered Meals
    • Home Health Aid Services
    • Job Coaching
    • Job Finding
    • Non-Medical Transportation
    • Nursing Services
    • Nutritional Consultation Services
    • Occupational Therapy
    • Personal Assistance Services
    • Personal Emergency Response System (PERS)
    • Pest Eradication
    • Physical Therapy
    • Residential Habilitation
    • Respite
    • Specialized Medical Equipment and Supplies
    • Speech and Language Therapy
    • Structured Day Habilitation
    • Telecare
    • Vehicle Modifications

    Evolent Cardiology Solutions Program Webinars:

    To register for any of the below training opportunities, please use the self-registration feature which is available here: Log On (newcenturyhealth.com). Please click on REGISTER NOW.  During the self-registration process, please be sure to search for your practice’s professional (physician group) TIN, this will ensure you have the correct provider portal access. 

    Introductory Group Sessions - Cardiology

    Practices interested in joining one or more of the introductory and/or in-service training sessions below can reach out to: providertraining@evolent.com. 

    Cardiology In-Service Group Training Sessions 

    • Facilitate training for provider group prior authorization team members which includes an in-depth demonstration of Evolent’s provider portal (CarePro) for submission of prior authorization requests as well as exposure to different authorization scenarios. 
    • The training will showcase the following: an overview of clinical questions prompted by CarePro; Evolent’s Preferred Pathways; how to increase your opportunity for an instant auto-approval; how to locate and print a prior authorization request; tracking an authorization through the review process; upload supporting clinical documentation directly to the request; withdrawing a request and discontinuing and resubmitting updated treatment requests.   
    • A facilitated walk-through of the matrix outlining the scope of services Evolent is managing and reviewing the prior authorization process via Evolent’s provider portal (CarePro) and telephonic intake. 
    • A thorough overview of provider resources to assist in navigating the Evolent prior authorization process.   
    • Identification of any workflow issues and concerns from providers related to the program’s overall process. 

    Note: When registering, you must use a valid email address and the TIN should be entered in XX-XXXXXXX format. 

    On Demand Webinars

    Training at your finger tips! Access webinars anytime, anywhere by visiting one of our On Demand websites:

    Identifying and Supporting Individuals at Risk for Suicide

    • 1.50 continuing education credits may be available for those that qualify. 

    2025 PA Health and Wellness Community HealthChoices New Provider Orientation [Simulated] 

    2025 Wellcare By Allwell - New Provider Orientation [SIMULATED]

    2025 Ambetter from PA Health and Wellness New Provider Orientation [Simulated] 

    Clinical Documentation Improvement (CDI)

    Four Strategies to Help Improve HCC Coding Accuracy

    Ins and Outs of Pediatric Risk Adjustment Coding *CEU Approved*

    Top Missed and Confusing HCC Codes: with Case Studies

    How to Select the Proper ICD-10 Code in Just 5 Steps *CEU Approved*

    Enhancing Diabetes Outcomes through Accurate HCC coding *CEU Approved*

    Marketplace Risk Adjustment 101: With Case Studies

    How to Conduct an Internal Risk Adjustment Chart Review with Feedback

    The Coder’s Playbook for Success with Risk Adjustment

    HCC Coding of Neoplasms Made Simple *CEU Approved*

    Medicare Risk Adjustment Overview *CEU Approved*

    Breaking Down HCC Coding for Behavioral Health and Substance Use *CEU Approved*

    Unpacking Healthcare Risk Adjustment *CEU Approved*

    Medicaid Risk Adjustment 101: With Case Studies

    ICD-10 Clinical Concepts for OB/GYN *CEU Approved*

    A Comprehensive Overview of HCC Coding for Diseases of the Respiratory System *CEU Approved*

    Navigating Annual Wellness Visits: Types and Benefits

    Risk Adjustment Documentation and Coding: A Deep Dive *CEU Approved*

    Learning from HCC Coding Mistakes: A Path to Improvement using Case Studies *CEU Approved*

    The Importance of Accurate Documentation & Coding: A Provider’s Perspective *CEU Approved*

    Part 1 – Applying 2025 ICD-10-CM Guidelines: Conventions and General Coding Guidelines *CEU Approved*

    Part 2 – Applying 2025 ICD-10-CM Guidelines: Chapter Specific Guidelines for Chapters 1-14

    Part 3 – Applying 2025 ICD-10-CM Guidelines: Chapter Specific Guidelines for Chapters 15-21 and Diagnostic Coding and Reporting Guidelines for Outpatient Services

     

    Live Webinars

    On Demand Webinar

    Training at your finger tips! Access PA Health and Wellness webinars anytime, anywhere by visiting our On Demand website.

    New Provider Orientation

    • Health Plan Overview
    • Who we are and what we do
    • Value Added Services
    • Community Health Choices Overview
    • Behavioral Health Overview
    • Appropriate Referral Process for Mental Health, Drug, Alcohol, and Substance Abuse Services
    • Member Eligibility Overview
    • Cultural Awareness and Sensitivity
    • Abuse and Neglect
    • Medical Management Overview
    • Prior authorization and Referrals
    • Case Management Programs
    • Pharmacy Overview
    • Claims processing Overview
    • Billing Requirements
    • Electronic funds transfer/electronic remittance advice
    • Clearinghouse Information
    • Appeals, Grievances and Complaints Overview
    • Website Overview
    • Q and A

    On Demand Webinar

    Training at your finger tips! Access Ambetter from PA Health and Wellness webinars anytime, anywhere by visiting our On Demand website.

    Ambetter from PA Health and Wellness New Provider Orientation

    • Overview of the Affordable Care Act
    • The health insurance marketplace
    • Verification of eligibility, benefits and cost share
    • Specialty referrals
    • Prior authorization
    • Claim submission
    • Claim payment
    • Grievances and appeals
    • Specialty companies/vendors
    • Ambetter website
    • Member incentives
    • Fraud, waste and abuse
    • Contact information

    Register for the Ambetter from PA Health and Wellness New Provider Orientation:

    On Demand Webinar

    Training at your finger tips! Access Wellcare by Allwell webinars anytime, anywhere by visiting our On Demand website.

    Wellcare by Allwell New Provider Orientation

    • Plan overview
    • Membership, benefits and additional services
    • Providers and authorizations
    • Preventive care and screenings
    • Model of care
    • Medicare STAR ratings
    • CMS mandatory trainings

    Register for the Wellcare by Allwell New Provider Orientation:

    Payspan Provider Portal Training

    Payspan is now hosting Webinar Wednesdays on a monthly basis from 11:30 am–1:00 pm central time. These sessions are open to any provider as well as to payers who would like to learn more about the provider experience – How to Register and Use the Provider Portal.

    Provider Portal Webinars - Monthly

    Purpose: to help providers register and navigate the Payspan system.

    Registration Required