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.
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:
- PA Health and Wellness
- Allwell from PA Health and Wellness
- Ambetter from PA Health and Wellness
- Medicare: Model of Care 2020
- Required Model of Care Attestation (PDF)
Revisit our 2020 Special Topic Trainings
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
Register for the New Provider Orientation:
On Demand Webinar
Training at your finger tips! Access Ambetter from PA Health & 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 Allwell from PA Health and Wellness webinars anytime, anywhere by visiting our On Demand website.
Allwell from PA Health and Wellness 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 Allwell from PA Health and Wellness New Provider Orientation:
Special Topics Webinars
- February 24, 2021 @ 10 am Critical Incident (CI) Management and Enterprise Incident Management (EIM) System Training
- March 24, 2021 @ 10 am PA Health and Wellness Administrative Other Processes
- April 28, 2021 @ 10 am Cultural Awareness and Sensitivity
- July 28, 2021 @ 10 am Quality Management Processes and Issues and Provider Relations Issues
- August 25, 2021 @ 10 am PA Health and Wellness Administrative Other Processes
- September 22, 2021 @ 10 am Understanding the Basics of Dementia
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.
Below is the link to the upcoming session:
Payspan Provider Webinar - How to Register and Use the Provider Portal
Wednesday, August 19, 2020, 12:30 pm, Eastern Daylight Time
Audio conference information
To receive a callback, provide your phone number when you join the event, or call the number below and enter the access code.
+1 3148881153 United States Toll
8662055379 United States Toll-Free
Global call-in numbers | Toll-free dialing restrictions (PDF)
PA Health and Wellness Prescriber Lunch and Learn Series
In 2021 our PA Health and Wellness (PHW) Pharmacy Team will be virtually “opening our offices” to our Network Prescribers to offer educational “Lunch and Learns.” We will use these forums to update you on pharmacy benefits, program changes, and facilitate open discussion! We invite you to also ask any questions that you might have during these forums so we may better assist you in providing high-quality care to your Patients, our Participants.
Our Prescriber Lunch and Learns will occur on the 4th Tuesday of each month in 2021 starting on February 23, 2021. Register online today.
PHW is committed to providing appropriate, high-quality, and cost-effective drug therapy to all PA Health & Wellness Participants. We, at PHW, want to help you navigate our plan pharmacy benefits in order to better explain to our Participants what they need to do in order to obtain care they need without unnecessary barriers. This will include all PA Health and Wellness products: PA Health and Wellness (Community HealthChoices), Allwell from PA Health and Wellness (Medicare D-SNP and Advantage Plan), and Ambetter from PA Health and Wellness (Commercial Exchange).
Other Training Resources
Pennsylvania Department of Human Services
- Pennsylvania Department of Human Services
- Community HealthChoices
- Report Abuse
- Adult Protective Services
- MA Provider Compliance Hotline: Response Form
Health and Human Services Department
- U.S. Department of Health and Human Services
- Think Cultural Health
- Office of Inspector General
- Office of Inspector General Medicaid Fraud Control Units
- Office of Inspector General Compliance Education Materials
- Office of Inspector General Continuing Medical Education
- Government Fraud Complaint Form