The PROMISe Eligibility Verification System (EVS) enables providers to determine a participant’s Medical Assistance eligibility and scope of coverage. It is vital for providers to check EVS to verify a participant’s eligibility each time services are provided because a participant’s eligibility is subject to change. EVS methods, inquiries, and response formats will not change with the implementation of Community HealthChoices (CHC).
The attached fact sheet illustrates EVS return codes for participants enrolled in each of the CHC-MCOs and provides examples of the CHC-MCO participant identification cards. If you have any questions, please visit www.HealthChoices.pa.gov or email RA-PWCHC@pa.gov.