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Parental Notice for PA Medical Assistance Billing - Pennsylvania Only

State:
Pennsylvania
Control #:
PA-70356NMS
Format:
Word; 
Rich Text
Instant download

Description

Notice that has been sent to parents or guardians of a child for Medical Assistance Billing in Pennsylvania.

Parental Notice for PA Medical Assistance Billing — Pennsylvania Only is a requirement set by the Pennsylvania Department of Human Services (DHS) for all providers of medical assistance billed to the Pennsylvania Medical Assistance Program. This requirement states that all providers must provide written parental notification to the parents of a minor child prior to providing medical assistance services that are billed to the Pennsylvania Medical Assistance Program. This written notification must include the name of the provider, the service to be provided, the cost of the service, the terms of payment, and the signature of the representative of the provider. The types of Parental Notice for PA Medical Assistance Billing — Pennsylvania Only are: Prior Authorization, Co-Payment and Deductible Notice, and Third Party Liability Notice.

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FAQ

My COMPASS. Account. Log in to your account to view benefit information, report changes, or view the status of an application.Check Application Status. Log in to your My COMPASS Account to view the status of your application. If you do not have a My COMPASS Account, click Continue.Search for. Child Care.

Pennsylvania Department of Human Services. Last accessed 7/27/2021. See also: Pennsylvania Medicaid Program. Published by Benefits.gov.

Do you need more information or have a question? Please fill out the below form or contact us at 1-844-626-6813 (TTY 711). Once your inquiry is reviewed, a PA Health and Wellness representative may contact you regarding your inquiry.

For Department of Human Services programs such as: Medical Assistance, Cash Assistance, SNAP, LIHEAP, Long Term Living Services ? report changes online through your My COMPASS Account or call the Statewide Customer Service Center toll free number at 1-877-395-8930, in Philadelphia call 215-560-7226.

What is the time limit for submitting claims to Medical Assistance? The original claim must be received by the department within a maximum of 180 days after the date the services were rendered or compensable items provided.

Telephone: Call the Consumer Service Center for Health Care Coverage at 1-866-550-4355. In-Person: You can contact your local county assistance office (CAO).

More info

This form offers assistance and guidance to parents and early intervention providers. The PA Medical Assistance Billing Parental Notice.​FAQ: Billing and Claims Status. 1. How can I check the status of my Medical Assistance claims? MA provides a comprehensive benefit package and has very little cost-sharing. The CAO must let the recipient know that he or she must get medical services from providers who are enrolled in the MA program. Aetna brings 30 years of experience managing and serving the full range of Medical. Assistance and CHIP beneficiaries. Department of Human Services Medical Assistance Program Services . Who is responsible for providing medical support for the child?

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Parental Notice for PA Medical Assistance Billing - Pennsylvania Only