Oltl Provider Agreement


The Department of Human Services has established training/information guides to help providers, business partners, and community transition to the new HealthChoices Expansion Program. These have been added to the HealthChoicesPA.com site on the Vendor Information tab. In recent years, the Medicaid HealthChoices program has begun to implement and expand the use of value-based purchasing models in purchase agreements with all physical health care organizations (PH-MCOs). In an effort to increase clinical outcomes, patient satisfaction, and cost management, PH-MCOs have called for increased use of value-based purchasing models like Pay for Performance, Patient Centered Medical Homes, and Bundled Payments. On May 25, the management of the Offices of Medical Assistance Programs (OMAP) and Mental Health and Substance Abuse Services (OMHSAS) conducted a webcast to verify the implementation process used by PH-MCOs and their provider networks in HealthChoices and to introduce the process of extending value-based procurement to health care organizations and their provider networks. The OMHSAS target for the implementation of this enlargement is January 2018, with a focus on integrated and collaborative coordination of behaviours and physical health and care. In order for providers to participate in the Department of Human Services, they must first register. To be able to register, Pennsylvania practitioners must be licensed and are currently registered by the relevant public authority. Non-governmental practitioners must be licensed by the competent authority of their state and are currently registered and must prove that they participate in that state`s Medicaid and/or CHIP programs. Other providers must be licensed, licensed, issued, certified by the relevant public authority or, where applicable, certified under Medicare. As of August 1, 2018, the provider may need to call the Office of Medical Assistance Programs, Provider Enrollment at 1-800-537-8862 to request a paper application when the PDF version of the application is no longer published on the DHS Provider Enrollment website.

Paper applications continue to be accepted for processing….