Welcome, Providers
Public health emergency ending: What you need to know
As you know, the Pennsylvania Department of Human Services (DHS) was able to keep Medical Assistance (MA) coverage open for most people during the COVID-19 Public Health Emergency (PHE) even if they were no longer eligible for MA. DHS is now in the process of making sure that everyone who is receiving MA is still eligible by reviewing each person’s information.
Latest Updates
- August's electronic visit verification soft launch (PDF)
- Code change notice for pediatric shift care (PDF)
- Sterilization consent notification (PDF)
- Electronic documentation — added transaction functionality for providers (PDF)
- EPSDT ECHO clinic recordings are now available (PDF)
- Connections summer issue (PDF)
- Electronic visit verification system soft launch (PDF)
- Upgrade of the EDI claims compliance to Strategic National Implementation Process (SNIP) Level 4 (PDF)
- NaviNet tools available to view Medical Assistance eligibility redetermination dates (PDF)
- NaviNet HEDIS PCP rollup report (PDF)
Coronavirus (COVID-19)
Let's improve health outcomes for members with diabetes
Diabetes remains a leading cause of death in the United States, with total direct and indirect medical costs estimated at $245 billion, according to the American Diabetes Association (ADA). The ADA reports that an increased number of cases are reported every year.
Learn more about our diabetes programs
Healthy Families, Safe Communities — Keystone First Putting Safety First
We invite you to partner with Keystone First and join us in making a long-term commitment to being anti-violence advocates. We are launching Healthy Families, Safe Communities, an education campaign including materials and resources for both members and providers.
This program will address many issues, including gun safety, dating safety, and prescription medicine abuse.
Healthy Families, Safe Communities
Let Us Know
Learn about our program developed to assist your practice in engaging and managing the healthcare needs of chronically ill Keystone First members.
Quick Contact Information
- Provider Services: 1-800-521-6007
- Email (for providers only)
- Contact your Account Executive (PDF)