Pennsylvania Medicaid Promise





* PA Medical Assistance Promise

Pennsylvania Medicaid Promise

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INSTRUCTIONS FOR COMPLETION OF PENNSYLVANIA PROMISe

Aug 12, 2015 … If you are reactivating a provider number, indicate the PROMISe™ 13 digit …
Enter the names of any Pennsylvania Medicaid Managed Care …

INSTRUCTIONS FOR COMPLETION OF PENNSYLVANIA PROMISe

Jan 17, 2017 … If you are reactivating a provider number, indicate the PROMISe™ 9 digit … Enter
the names of any Pennsylvania Medicaid Managed Care …

PROMISe™ PROVIDER ENROLLMENT BASE APPLICATION

Aug 12, 2015 … If you are reactivating a provider number, indicate the PROMISe™ 13 digit …
Enter the names of any Pennsylvania Medicaid Managed Care …

INSTRUCTIONS FOR COMPLETION OF PENNSYLVANIA …

Jul 1, 2015 … Enter the names of any Pennsylvania Medicaid Managed Care …. PROMISe™
PROVIDER ENROLLMENT FQHC/RHC APPLICATION. 1.

Group Enrollment Application and Requirements – Pennsylvania …

Aug 12, 2015 … If you are reactivating a provider number, indicate the PROMISe™ 13 digit …
Enter the names of any Pennsylvania Medicaid Managed Care …

FQHC – Pennsylvania Department of Human Services – PA.gov

Aug 12, 2015 … Pennsylvania Department of Aging Waiver and Bridge Program … A statement
signed by the Medical Director (licensed physician enrolled with PA Medicaid) …
The Medical Director's 13-digit PROMISe provider number.

MATP ELIGIBLE CATEGORIES – Medical Assistance Transportation …

PA-DHS\\OMAP\\BMCO\\MATP. Both the Eligibility Verification System (EVS) and
this Chart should be used simultaneously when determining MATP Eligibilty.

PA PROMISe' Provider Handbook –

Dec 29, 2016 … Pennsylvania PROMISe … 1.1 PA PROMISe™ Provider Handbook for NCPDP
5.1/Pharmacy … 2.1.1 Office of Medical Assistance Programs .

PROMISe™ Dental Provider Handbook – Pennsylvania Department …

Dec 29, 2016 … Pennsylvania PROMISe™ account of Hewlett Packard Enterprise, and may not
be disclosed …. 2.2 Medical Assistance (MA) Delivery Systems .

Requirements For Provider Type 19 – Pennsylvania Department of …

Mar 2, 2015 … BHRS@pa.gov or 717-705-8289 for additional information or requirements. …
Proof of home state Medicaid participation (out of state providers).

837 Professional – Pennsylvania Department of Human Services

Jan 27, 2017 … Pennsylvania PROMISe. ™ …. 1.1 PA PROMISe™ Provider Handbook for the
837 ….. 2.9.2 Medical Assistance Program Provider Inquiry .

MEDICAL ASSISTANCE BULLETIN – Pennsylvania Department of …

May 26, 2016 … SUBJECT. Revalidation of Medical Assistance (MA) Providers. BY … http://www.
dhs.pa.gov/provider/promise/enrollmentinformation/S_001994.

Bulletin 99-16-07 – Pennsylvania Department of Human Services

Apr 1, 2016 … http://www.dhs.pa.gov/provider/promise/enrollmentinformation/S_001994. …
services to Medical Assistance (MA) beneficiaries be enrolled as …

INSTRUCTIONS FOR COMPLETION OF PENNSYLVANIA PROMISe

Jan 6, 2016 … Proof of home state Medicaid participation (out of state providers only) … be
submitted via fax: 717- 265-8284 or via email ra-provapp@pa.gov.

Table of Contents – Pennsylvania Department of Human Services

Apr 22, 2014 … conformity with the Pennsylvania Medical Assistance FQHC/RHC … instructions
outlined in the PA PROMISe™ Provider Handbook for the 837.

835 Billing Guide – Pennsylvania Department of Human Services

Jul 9, 2015 … Pennsylvania PROMISe™ – 835 Health Care Payment/Advice Companion ….
Pennsylvania Medical Assistance-specific information required to …

PA medical assistance EHR incentive program – Pennsylvania …

Oct 22, 2015 … Part I: Pennsylvania Medical Assistance Electronic Health Record Incentive
Program …. Pennsylvania's PROMISe™ Provider Portal .

General Information

access the provider section of the the PROMISe™. Web site at http://promise.dpw
.state.pa.us. and search all … Medical Assistance (MA) sent through the PES.

CMCS Informational Bulletin – Medicaid

Jul 24, 2013 … We believe that super-utilizer programs also hold strong promise to …
organizations in Pennsylvania, Colorado, Missouri, and California with …

Pennsylvania Access Monitoring Review Plan 2016 – Medicaid

Jun 24, 2016 … was presented to the Pennsylvania Medical Assistance Advisory …. FFS claims
were still being processed in the PROMISe claims system.





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