Home: HealthChoices Providers

COVID-19 (Coronavirus) Update

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HealthChoices Providers Serve Community Care Members Throughout Pennsylvania

Find important information and resources that support you
in providing quality care to Community Care members.

Provider Alerts

PA24 Jul 31
- Intensive Behavioral Health Services (IBHS) Medical Necessity Guidelines (MNG)
PA23 Jul 31
- Coordination with Single County Authority (SCA) Offices
- North Central SCA Coordinators
PA22 Jul 30
- Coordination with CASSP Coordinators
- North Central CASSP Coordinators
PA21 Jul 24
- Provider Reimbursement Tools for Providers

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Community Care ePortal

Request and receive authorizations, review service locations, download fee schedules, and access other program-specific resource centers.

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Provider OnLine Claims

Providers who serve members in HealthChoices counties or the ALDA program can use Provider OnLine to submit and review claims online.

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UPMC Behavioral Health providers, please use this link:
Provider OnLine Claims for UPMC Behavioral Health Providers

The Provider Line

Volume 8, Issue 1 – June 2020

In this issue

What is HEDIS?
Provider Satisfaction
Naloxone Utilization
Clinical Guidelines
Intimate Partner Violence

Tobacco Cessation Initiative

Our mission is to reduce tobacco use among all Community Care members and employees and to support all efforts to improve overall health and wellness by quitting. The tobacco cessation initiative communicates a message of hope and empowerment: "I Want To & I Can."