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Get Pa Healthchoices Behavioral Health Supplemental Services Provider Enrollment Application 2014-2024

R 4, 2014, OMHSAS will only accept the current version of the Supplemental Service Provider Enrollment Application. If OMHSAS receives an outdated version of any enrollment application, the BH-MCO will be contacted to let them know the enrollment application will not be processed and will be shredded. Please Note the following important information:             Applications will be scanned – please do not staple; Please return pages 5, 7-as applicable, 9 th.

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