Welcome, Providers
Public health emergency ending: What you need to know
As you know, the Pennsylvania Department of Human Services (DHS) was able to keep Medical Assistance (MA) coverage open for most people during the COVID-19 Public Health Emergency (PHE) even if they were no longer eligible for MA. DHS is now in the process of making sure that everyone who is receiving MA is still eligible by reviewing each person’s information.
Latest Updates
- Supporting documentation for prior authorization requests (PDF)
- Summer issue of Connections available online (PDF)
- Updated Respiratory Pathogen Panel Reimbursement Policy (PDF)
- Risk Adjustment Program — new vendor, UST HealthProof (PDF)
- Provider manual announcement (PDF)
- Save The Date! Improvements to the claims overpayment response process are on the way (PDF)
- 2025 Dental Supplement announcement (PDF)
- Statewide Preferred Drug List (PDL) changes, effective July 7, 2025 (PDF)
- Rite Aid pharmacy closure notice (PDF)
- Consider prescribing preferred adalimumab biosimilar products (PDF)
- Doula services available (PDF)
- The 2025 Medical Provider Claims Filing Instructions are now available online. (PDF)
Coronavirus (COVID-19)
Let Us Know
Learn about our program developed to assist your practice in engaging and managing the health care needs of chronically ill AmeriHealth Caritas Pennsylvania members.
Quick Contact Information
- Provider Services: 1-800-521-6007
- Credentialing: 1-866-546-7972