Skip to agency navigation
Skip to main content

Official Website

of the Commonwealth of Pennsylvania

    The .gov means its official.

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

     
     

    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 a.m.AM - 4:30 p.m.

    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 a.m.- 4:30 p.m.

    ODP Customer Service

    1-888-565-9435
    TTY number: 1-866-388-1114
    Monday-Friday, 8:30 a.m.-4 p.m.
    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 a.m.-noon and 1-3:30 p.m.

    ODP Provider Enrollment
    General ODP enrollment programs

    Fax: (717) 783-5141
    Hours of operations: Monday-Friday, 8 a.m.-5 p.m.
    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 a.m.- noon and 1-4 p.m.

    Office of Medical Assistance Programs
    Enrollment Questions

    1-800-537-8862

    OLTL DME Hotline
    Assist with LTC billing questions relating to DME

    1-877-299-2918
    Hours of operation: Monday–Friday, 7:30 a.m.-4 p.m.

    OMHSAS
    Questions specific to billing, claims, etc.

    If you have any questions, please email us at
    RA-PWSERVICES@pa.gov

    Pharmacy Services Provider Call Center
    FFS pharmacy billing questions and FFS pharmacy prior authorizations

    1-800-537-8862
    Hours of operation: Monday–Friday, 8 a.m.-4:30 p.m.

    FFS Prior Authorization
    For home health, PSR and hyperbaric treatments and
    for Advanced Radiologic Imaging service

    1-800-537-8862
    Option #2, Option #3 and then option #1
    Hours of operation: Monday - Friday
    7:30 a.m.–noon and 1-4 p.m.

    Provider Assistance Center
    For provider questions on electronic claims and transaction submissions

    1-800-248-2152 or (717) 975-4100
    Hours of operation: Monday–Friday, 8 a.m.–5 p.m.

    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 a.m.-4 p.m.