In the News

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Secretary Ted Dallas sent a notice out on April 20 highlighting the changes resulting from the Affordable Care Act (ACA). If you enrolled on or before March 25, 2011, you must be revalidated by March 24, 2016; if you enrolled after March 25, 2011, your revalidation must occur on or before five years from the date of initial enrollment. The Pennsylvania Office of Medical Assistance Programs issued a Bulletin on Provider Revalidation on March 7, 2014.

Information is available on the DHS website regarding the requirements and process of revalidation (also called re-enrollment). Also included is a link to the Quick Tip 155 to view each service location revalidation due date.

Access the most current Pennsylvania PROMISe™ Provider Enrollment base application, dated March 2.

Two program offices have issued additional information:

The Office of Long Term Living required all of their providers to re-enroll as Provider Type 59 by December 31, 2014.
*Information provided by Joan Martin, senior associate, S.R. Wojdak & Associates

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The Department of Human Services has prepared training/informational guides to help providers, business and community partners in the transition to the new HealthChoices Expansion Program. These were added to the HealthChoicesPA.com website under the Provider Information tab.

Included are the following:

  • Eligibility Verification System
  • Benefit Package Coverage and Limits
  • Transition Plans
  • Continuity of Care
  • Template for Resources
  • Recipient Benefit Package
  • Copayments
  • Health Screening