Special Notice to CHIP Providers

The Pennsylvania Department of Human Services (DHS) is implementing the Affordable Care Act (ACA) Provider Screening and Enrollment provisions which require all providers who render services to CHIP enrollees to enroll with DHS.  Federal regulations require states to screen CHIP providers the same as it does Medical Assistance (MA) providers.  The deadline of is approaching!
 
To enroll, providers must complete an enrollment application appropriate for their provider type and submit all required documents. If a provider is already enrolled in the MA program, the provider does not need to enroll again in CHIP. 
 
CHIP-only providers will receive a provider ID number but they will not in any way be identified as MA providers. DHS officials warn that CHIP-only providers who wait to enroll until close to the December 31, 2017, deadline run the risk of disrupting services to patients and claim submission and reimbursement. CHIP-only providers are strongly encouraged to submit an enrollment application as soon as possible, so DHS staff has time to process the application before the deadline.