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2018 Provider Manual - pahealthwellness.com

2018 Provider Manual Provider services: 1-844-626-6813 TDD/TTY 1-844-349-8916 2017 PA Health & Wellness. All rights reserved. Welcome .. 6. About Us .. 6. About this Manual .. 6. Key Contacts .. 7. Populations Served .. 8. Verifying Eligibility .. 9. Participant Identification Card .. 9. Online Resources .. 10. Secure 10. Functionality .. 11. Secure Portal Disclaimer .. 11. Guidelines for Providers .. 11. Medical Home Model .. 11. Referrals .. 12. Self-Referral .. 13. Non-Covered Services .. 13. Appointment Availability and Access Standards .. 14. Covering Providers .. 16. Telephone Arrangements .. 16. 24-Hour Access .. 17. Confidentiality 18. Cultural Competency .. 19. Americans with Disabilities Act (ADA) .. 22. Reporting Suspected Abuse and Neglect .. 22. Mainstreaming .. 23. Advance Directives .. 23. Primary Care Practitioner (PCP) .. 25. Specialist Responsibilities.

2 Long-Term Services and Supports Provider Responsibilities ..... 29 Voluntarily Leaving the Network..... 29

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