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  • Pa Ieb Referral Form 2019

Get Pa Ieb Referral Form 2019-2025

PA WEB: WEB REFERRAL FORM 1. To refer an individual, please complete this form and return it to Pennsylvania Independent Enrollment Broker (PA WEB) via fax or secure email. 2. To initiate a secure.

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If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711). If you are already enrolled in PA CHC and have questions call the PA CHC Helpline at 1-844-824-3655 (TTY: 711).

Support Services Waivers — or simply waivers — is a shortened term for Medicaid Home and Community-Based Waiver Programs. These programs provide funding for supports and services to help you to live in your home and community.

Call PA Enrollment Services. We can help! Hours of operation: Monday – Friday, 8:00 a.m. – 6:00 p.m.

If you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711).

The Independent Enrollment Broker is a contracted statewide entity to facilitate and streamline the eligibility/enrollment process for applicants seeking services for several Pennsylvania waivers/programs.

The Pennsylvania Independent Enrollment Broker's phone number is 1-877-550-4227.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232