Questions?
Just call Provider Engagement at 1-866-638-1232 (TTY: 711). We’re here for you Monday through Friday, 8 AM to 5 PM.
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Getting started
When you join our network, we’ll provide an initial orientation. After that, you’ll have ongoing training and education, including webinars, periodic provider newsletters and bulletins, and so much more.
Questions about joining our network? Just visit the join our network page for more information.
You can also check the quick reference guide or the provider manual for answers to many of your questions. Or you can call us at 1-866-638-1232 (TTY: 711).
Availity® training
The Provider Portal is an online tool that lets us communicate health care information directly to providers. In 2021, we transitioned from the Medicaid Web Portal (MWP) to Availity as our Provider Portal.
You need to register for the Availity Provider Portal before you can start using its many features. To learn more about how to register for the Availity Provider Portal, just visit the Provider Portal page.
Training and resources
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Everyone should have a fair and just opportunity to be as healthy as they can be. Learn more about health equity and the obstacles and solutions to this goal on our health equity page.
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Trauma-informed care responds to the impact of trauma through recognition and understanding. We take our members’ safety and ability to make their own choices seriously.
Trauma Informed Care (TIC) An Introduction for providers
Trauma Informed CareIntroduction to Trauma-Informed Care
Trauma-Informed Care in Foster Care
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You can find more information about training on the HEDIS page.
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2026 Webinar Fax Blast (PDF)
Past webinar presentations
- June 2024 : Behavioral Health Webinar (PDF)
- December 2023: Provider Appeals and Disputes (PDF)
- September 2023: Quality Management, Benefits Update (PDF)
- June 2023: MANNA, Pharmacy and Benefits Update (PDF)
- March 2023: Updates and Changes
- August 2022: Medicaid closure and CHIP update
- July 2022: PA Medicaid closure process & CHIP team introductions (PDF)
- June 2022: CHIP expansion and Medicaid closure (PDF)
- May 2022: CHIP expansion and Medicaid closure (PDF)
- April 2022: CHIP expansion and Medicaid closure (PDF)
- March 2022: Provider benefits and CHIP expansion (PDF)
- November/December 2021: Availity tips and cultural competency (PDF)
- October 2021: Provider manual and hot topics (PDF)
- September 2021: Billing requirements, long-term acute care (LTAC) and vendors (PDF)
- August 2021: Prior authorizations (PDF)
- July 2021: Enhanced Member Services Unit (PDF)
- June 2021: Metropolitan Area Neighborhood Nutrition Alliance (MANNA) (PDF)
- May 2021: Provider appeals and disputes (PDF)
- April 2021: Availity (PDF)
- March 2021: Claims and billing tips for successful outcomes (PDF)
- February 2021: Credentialing (PDF)
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You can find more information on our pharmacy benefits page.
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For FAQ's about provider PROMISe ID enrollment, revalidation, ordering and referring, please refer to the provider manual.
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You can find more information on our complaints, grievances and appeals page.
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- Provider Portal
- Provider forms
- Provider notices and newsletters
- Enhanced Member Services Unit
- Telephonic Psychiatric Consultation Service Program (TiPS)
- International Accreditors for Continuing Education and Training (IACET)
- Accreditation Council for Continuing Medical Education (ACCME)
- Case Management Society of America (CMSA)
- Substance Abuse and Mental Health Services Administration (SAMHSA)
- American Society of Addiction Medicine (ASAM)
- Suicide Prevention Resources Center
- Agency for Healthcare Research and Quality (AHRQ)
- Think Cultural Health
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Communication between health care professionals can lead to better outcomes for patients. Not sure where to start? You can check out these FAQs about how to discuss sensitive topics.
HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).