Pa Medical Assistance Provider Application

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PROMISe™ Internet Portal > Home

https://provider.enrollment.dpw.state.pa.us/

To enroll, providers can complete an on-line provider enrollment application and supply any required supporting documentation. This includes providers who are not billing PA …

Downloadable Medical Assistance Provider Forms

https://www.dhs.pa.gov/docs/Publications/Pages/Medical-Assistance-Provider-Forms.aspx

The Office of Medical Assistance Programs (OMAP) produces and distributes over 70 forms and envelopes for provider use at no charge to the provider. There may be a limit …

Medical Assistance - Department of Human Services

https://www.dhs.pa.gov/Services/Assistance/Pages/Medical-Assistance.aspx

Online: Using the COMPASS website, you can apply for MA and many other services that can help you make ends meet. Telephone: Call the Consumer Service Center for Health Care Coverage at 1-866-550 …

Provider Enrollment Docs - Department of Human Services

https://www.dhs.pa.gov/providers/Providers/Pages/Provider-Enrollment-Docs.aspx

Provider Enrollment Documents. The table below contains links to applicable provider enrollment forms for each provider type. Beginning on August 1, 2018, the provider may …

Medical Assistance for Providers - Department of Human …

https://www.dhs.pa.gov/providers/Providers/Pages/Medical-Assistance-for-Providers.aspx

Medical Assistance. Welcome to the section of the DHS Web site containing information on how to conduct business with the Office of Medical Assistance Programs (OMAP). 1099 …

COMPASS HHS Printable Forms - compass.state.pa.us

https://www.compass.state.pa.us/compass.web/MenuItems/PrintableForms.aspx?Language=EN

Application for Medical Assistance for Workers with Disabilities - PA 600WD Medical Assistance (Medical Assistance) Financial Eligibility Application for Long-Term Care …

How to Enroll as a Pennsylvania Medical Assistance Provider

https://medhomeinfo.org/pa-medical-assistance-provider-enrollment/

In order to enroll as a Pennsylvania Medical Assistance provider, you must complete an application and submit it to the Pennsylvania Department of Health. …

Pennsylvania Medicaid Program | Benefits.gov

https://www.benefits.gov/benefit/1148

To apply online, please visit the COMPASS online application portal. For additional application information, visit the Health Care/ Medical Assistance page. You will be …

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