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Welfare Fraud TipLine

Welfare Fraud TipLine 1-800-932-0582

View hot line data here

  • 18,653 complaints received
  • 3,664 Field Investigations
  • $12,924,678 saved

    • May 1, 2012 - April 30, 2013

    Contact Information/Help for MA Providers

    Provider Contact Information Desk Reference (pdf download)

    Behavioral Health Provider Hotline
    Assistance with technical issues (billing/recipient eligibility) from BH provider, BH MCOs, counties etc.

    1-800-433-4459
    Hours of operation: Monday – Friday, 8:00 AM-3:45 PM

    DPW Provider Service Center
    Assist with MA billing questions, including dental inquiries
    General non-pharmacy prior authorization questions

    1-800-537-8862
    Hours of operation: Monday – Friday, 8 AM-4:30 PM

    Eligibility Verification
    Provides verification of MA eligibility and plan information
    Provides ACCESS Plus recipient PCP assignment 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
    Individuals in need of one-on-one support with a registered nurse    		1-800-537-8862
    Hours of operation: Monday – Friday, 8 AM-4:30 PM
    Medical Assistance Electronic Health Records Incentive Program Support Center
    Assists providers with EHR Incentive Program questions, including MAPIR inquires
    1-800-537-8862
    Hours of operation: Monday - Friday, 8:30 AM-4:30 PM
    If someone is not available, please leave a message and your call will be returned.
    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 am -12 PM & 1 PM-3:30PM
    ODP Provider Enrollment
    General ODP enrollment programs
    1-888-565-9435
    Fax: 717-783-5141
    Hours of operations: Monday - Friday, 8 AM - 5 PM
    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 AM - 12 PM & 1 PM - 4 PM
    OLTL DME Hotline
    Assist with LTC billing questions relating to DME    		1-877-299-2918
    Hours of operation: Monday – Friday, 7:30 AM-4:00 PM
    Pharmacy Services Provider Call Center
    Pharmacy billing questions
    Pharmacy prior authorizations    		1-800-537-8862
    Hours of operation: Monday – Friday, 8 AM-4:30 PM
    Prior Authorization
    For Home health, PET scans, PSR and prospective benefit limit office visits
    For Advanced Radiologic Imaging service
    1-800-537-8862
    Hours of operation: Monday - Friday, 7:30 AM – 4:30 PM
     
    1-800-424-4213
    Hours of operation: Monday - Friday, 8 AM - 5 PM
    Provider Assistance Center
    For provider questions on electronic claims and transaction submissions and the Provider Electronic Submission (PES) software    		1-800-248-2152 or 717-975-4100
    Hours of operation: Monday – Friday, 8 AM – 5 PM
     
    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 AM-4:30 PM

     

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