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Contact Information/Help for MA Providers
Provider Contact Information Desk Reference (pdf download)
Behavioral Health Provider Hotline | 1-800-433-4459 |
FFS Provider Service Center | 1-800-537-8862 |
| Eligibility Verification Provides verification of MA eligibility and plan information | 1-800-766-5387 Hours of operation: 24 hours a day, 7 days a week |
| Intense Medical Case Management Unit Assistance with individuals with complex needs and case management for catastrophic events and individuals in need of one-on-one support with a registered nurse | 1-800-537-8862 Hours of operation: Monday – Friday, 8 AM-4:30 PM |
Medical Assistance Electronic Health Records Incentive Program Support Center Assists providers with EHR Incentive Program questions, including MAPIR inquires | If you have any questions, please email us at |
| ODP Customer Service | 1-888-565-9435 TTY number: 1-866-388-1114 Monday - Friday, 8:30 AM - 4:00 PM For all inquiries regarding Provider Enrollment contact the Provider Enrollment Mailbox: ra-odpproviderenroll@pa.gov or fax your inquiries to: 717-783-5141 |
| ODP Claims Resolution Section Claims/billing inquiries for the Consolidated Waiver, P/FDS Waiver & ODP Base programs | 1-866-386-8880 Hours of operation: Monday - Thursday, 8:30 am -12 PM & 1 PM-3:30PM |
ODP Provider Enrollment General ODP enrollment programs | Fax: 717-783-5141 Hours of operations: Monday - Friday, 8 AM - 5 PM Provider Enrollment Mailbox: ra-odpproviderenroll@pa.gov |
| Office of Long Term Living (OLTL) Provider Call Center Assists with nursing facilities, ICF/MRs, LIFE program billing questions, OLTL waivers billing and general enrollment questions | 1-800-932-0939 Hours of operation: Monday – Thursday, 9 AM - 12 PM & 1 PM - 4 PM |
| OLTL DME Hotline Assist with LTC billing questions relating to DME | 1-877-299-2918 Hours of operation: Monday – Friday, 7:30 AM-4:00 PM |
| Pharmacy Services Provider Call Center FFS pharmacy billing questions and FFS pharmacy prior authorizations | 1-800-537-8862 Hours of operation: Monday – Friday, 8 AM-4:30 PM |
FFS Prior Authorization For home health, PSR and hyperbaric treatments For Advanced Radiologic Imaging service | 1-800-537-8862, option #1, option #3, option #2 Hours of operation: Monday - Friday, 7:30 AM – 4:00 PM 1-800-537-8862, option #1, then #3, then #3 Hours of operation: Monday - Friday, 7:30 AM - 4:00 PM |
| Provider Assistance Center For provider questions on electronic claims and transaction submissions and the Provider Electronic Submission (PES) software | 1-800-248-2152 or 717-975-4100 Hours of operation: Monday – Friday, 8 AM – 5 PM |
| Provider Enrollment Provides assistance regarding MA enrollment processes and MA enrollment file maintenance; General MA enrollment questions | 1-800-537-8862 Hours of operation: Monday – Friday, 8 AM-4:30 PM |
