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Welfare Fraud TipLine

Welfare Fraud TipLine 1-800-932-0582

View hot line data here

  • 17,798 complaints received
  • 4,973 Field Investigations
  • $16,837,332 saved
  • November 1, 2013 - October 31, 2014

    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
    If you have any questions, please email us at
    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