Pennsylvania Provider Resources
PA Health and Wellness equips each of our Medicaid and Medicare providers with the most up-to-date provider resources available in the State . Our Pennsylvania provider resources includes the tools and support you need to deliver the best quality of care. Below is our list of resources for Pennsylvania Medicaid and Medicare providers:
- Manuals, Forms and Resources
- Complaint, Grievance, and DHS Fair Hearing Process
- Electronic Transactions
- Eligibility Verification
- Integrated Care
- National Imaging Associates (NIA)
- Patient Centered Medical Home Model
- Prior Authorization
- Report Fraud, Waste and Abuse
- Reporting Communicable Diseases
- Clinical and Payment Policies
- Behavioral Health Managed Care Organization Assignments (PDF)
- Choosing Wisely
- ASAM National Practice Guideline for Treatment of Opiod Use Disorder (PDF)
- The Department of Human Services’ (DHS) Division of Adult Protective Services (APS) Adult Protective Services Media Toolkit
- Health Literacy: Help Your Patients Understand Their Health and Health Care (PDF)
- Medical Necessity Criteria
- PHW Presents Breast Cancer Prevention (PDF)
- PHW Presents Diabetes Health Initiative (PDF)
PA Health and Wellness is pleased to introduce the Choosing Wisely initiative. The American Board of Internal Medicine (ABIM) Foundation encourages practitioners and patients to "Choose Wisely." This initiative seeks to advance a national dialogue on avoiding unnecessary medical tests, treatments and procedures.
Please visit choosingwisely.org to download informational resources for your patients and clinicians to promote shared-decision making.