Contact Information/Help for MA Providers

Provider Contact Information Desk Reference (pdf download)

Behavioral Health Provider Hotline
Assistance with technical issues (billing/recipient eligibility) from BH provider, BH MCOs, counties etc.

1-800-433-4459
Hours of operation: Monday – Friday, 8:00 AM-3:45 PM

FFS Provider Service Center
Assist with FFS billing questions, including dental inquiries;
General non-pharmacy prior authorization questions

1-800-537-8862
Hours of operation: Monday – Friday, 8 AM-4:30 PM

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