Pennsylvania Network Management Systems Agreement

State:
Multi-State
Control #:
US-CP1026-AM
Format:
Word; 
Rich Text
Instant download

Description

This sample form, a detailed Network Management Systems Agreement document, is for use in the computer, internet and/or software industries. Adapt to fit your circumstances. Available in Word format.
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FAQ

?Enrollment Information. In order for providers to participate with the Department of Human Services (DHS), they must first enroll. To be eligible to enroll, practitioners in Pennsylvania must be licensed and currently registered by the appropriate state agency.

If you have questions about obtaining a PROMISe ID or if your PROMISe ID has expired, contact PA DHS at 1-800-537-8862, select option 2, then option 4, and then option 2 for provider enrollment or revalidation questions.

Typically it takes up to 30 days to get a decision once a Medical Assistance (MA) application is submitted. However, if the applicant is experiencing a medical emergency, the County Assistance Office (CAO) can speed up the proceeding of the application.

Please fill out the below form or contact us at 1-844-626-6813 (TTY 711).

The Bureau of Managed Care Operations is responsible for the administration and oversight of mandatory managed care program known as HealthChoices that provides Medical Assistance benefits to eligible recipients in Pennsylvania.

Q: WHAT IS THE PROMISe ID? A: The PROMISe, or Provider Reimbursement and Operations Management Information System, ID is an identification number issued by the Pennsylvania Department of Human Services (Department or DHS).

Income & Asset Limits for Eligibility 2023 Pennsylvania Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleIncome LimitAsset LimitInstitutional / Nursing Home Medicaid$2,742 / month*$2,000?Medicaid Waivers / Home and Community Based Services$2,742 / month?$2,000?1 more row ?

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Pennsylvania Network Management Systems Agreement