Home | Provider Resources | About Us | Contact Us | Search

Provider Manual and Alerts

The HealthChoices Provider Manual is designed to introduce you to Community Care and provide you with phone numbers as well as instruction regarding authorizations, billing, and quality of service.

The following files are in PDF format. In order to read these files, Adobe Acrobat Reader software must be installed on your computer. If you need the Acrobat Reader, you can download it FREE from the Adobe website by clicking here. If you have any problems opening these files, go to the Adobe website from the link above and download the most recent version of Adobe Acrobat Reader.

Provider Manual
Entire Manual	1.42 MB	491 pages	PDF
Billing Excerpt	148 KB	26 pages	PDF

Chapter 1101 of the Pennsylvania Code sets forth the Medical Assistance regulations and policies which apply to providers. Regulations specific to each type of provider are located in the separate chapters relating to each provider type. View Chapter 1101 of the Pennsylvania Code.

Throughout the year we issue Provider Alerts which are official updates to the main manual. Please print and save these updates and keep them with your manual. Alerts apply to all counties except where noted.

2011 Provider Alerts
PA9	Nov-30	HIPAA 5010 Implementation Reminder	50 KB	PDF
PA8	Oct-28	Guidelines to Ensure Affirmative Environments and Clinically Appropriate Services for LGBTQI Consumers and their Family Members	48 KB	PDF
PA7*	Jan-06	January 6 Letter to Providers	21 KB	PDF
	Jan-06	Assessment and Monitoring of Weight and other Physical Health Indicators	74 KB	PDF
PA6	Sep-22	Provider Screening for Employees and Contractors	464 KB	PDF
PA5	Jun-16	Fraud, Waste, and Abuse Department Update	70 KB	PDF
PA4*	Nov-23	Clarification on Changes Regarding Partial Hospitalization Services [North East]	53 KB	PDF
PA4	Jun-15	Changes Regarding Partial Hospitalization Services [North East]	41 KB	PDF
PA3	Mar-29	New Physical Health/Behavioral Health Monitoring	35 KB	PDF
PA2	Feb-23	Precertification of Psychological and Neuropsychological Testing: Change in Fax/Authorization Procedure	33 KB	PDF
PA1	Feb-23	Enhanced Outpatient Services: Change in Administrative Rules [Allegheny]	40 KB	PDF

The information in Provider Alerts from previous years is included in the 2009 Provider Manual. The archive below is available for your convenience.

Archive of Provider Alerts

2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004 | 2003