Keystone First Community Health Choices Keystone First Community Health Choices
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Welcome, Providers

Latest updates

  • New Functionality! NaviNet® Claims Investigation Attachments (PDF)
  • Personal assistance services — start date reminder (PDF)
  • Update: Formulary Changes (PDF)
  • SUCRALFATE RECALL NOTICE: Nostrum Laboratories, Inc. issues a voluntary nationwide recall (PDF)
  • Improvements to the claims overpayment response process are on the way (PDF)
  • Supporting documentation for prior authorization requests (PDF)
  • Summer issue of Connections available online (PDF)
 
 

Important reminders

  • J Code Prior Authorization Transition Update (PDF)
  • Frequently Asked Questions — Service Authorizations, HHA eXchange, Reporting Critical Incidents, and Billing (PDF)

Important information

  • Claims and billing
  • Not yet a provider?
  • Provider reference guide (PDF)
  • Provider resources
  • Training and education
  • What you need to know about CHC

Quick contact information

  • Provider Services: 1-800-521-6007
  • Credentialing: 1-800-642-3510, Option 1
  • LTSS providers email: chcproviders@keystonefirstchc.com
  • Medical providers email: provider.communications@keystonefirstchc.com
  • Ancillary Account Executives (PDF)
  • Community Based Account Executives (PDF)
  • Hospital Account Executives (PDF)
  • Long-term services and supports (LTSS) Account Executives (PDF)

For additional information on Community HealthChoices, visit the Department of Human Services’ Community HealthChoices information page and list of publications.

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Coverage by Vista Health Plan, an independent licensee of the Blue Cross and Blue Shield Association.

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