Special Notice to CHIP Providers

Provider Enrollment Reminder

The Pennsylvania Department of Human Services (DHS) implemented the Affordable Care Act (ACA) provision requiring all CHIP network providers to be screened and enrolled with DHS. Thus far provider enrollment has been gradual at best.

Providers may have been reluctant to enroll for several reasons. Some providers have raised questions about the application fee. Individual providers are not required to pay a fee. The application fee of $560 applies to institutional providers such as Inpatient Facilities, Extended Care Facilities and DME/Medical Suppliers. The uncertainty regarding the federal reauthorization of CHIP may have been another concern. We have good news – CHIP has been reauthorized for the next 10 years!

The deadline for CHIP providers to enroll with DHS was December 31, 2017. However, there is still time to enroll and continue receiving payment for services to CHIP children.

Remember: registering as a CHIP-only provider does not mean providers must accept Medical Assistance beneficiaries.

Enrollment information and the ability to enroll electronically are available at the following website: https://www.dhs.pa.gov/CHIP/Eligibility-and-Benefits/Pages/Apply-For-CHIP.aspx.  

Providers are encouraged to enroll electronically.

If you have any questions or issues with the enrollment process, contact the Provider Enrollment Hotline at 1-800-537-8862, select options 3, 1, 1, and finally option 4 to speak to a representative.