Appendix J: Points of Contact

Admission Certification - Acute Care Hospitals

Emergency: 800-558-4374
Elective: 1-800-537-8862

Aids Drug Assistance Program (ADAP) see: Special Pharmaceutical Benefits Program

AIDS Factline

800-662-6080

AIDS Waiver Program

717- 772-2525

Child Abuse Hotline/Childline

800-932-0313

Concurrent Hospital Review

800-558-4247

Connect Hotline

800-692-7288

DOE, Bureau of Community and Student Services

717-772-2813

DOE, National School Lunch and Breakfast Program/Child Nutrition Program/Summer Food Service

717-787-3186

DOH, Division of Children's Special Health Care Needs

800-852-4453

DOH, Division of Maternal and Child Health

717-772-2762

DOH, Division of Treatment, Bureau of Drug and Alcohol Program

717-787-2712

DOH, Division of Prevention, Bureau of Drug and Alcohol Program

717-787-2606

DOH, Bureau of Drug and Alcohol Programs

717-783-8200

DHS, Division of Outpatient Operations

Fax:

1-800-537-8862
717-772-6331

DHS, Division of Outpatient Programs

717-772-6140

DHS, Division of Outpatient Programs, Primary Care Case Management

717-772-6341

DHS Inquiry Units (Questions prior to submitting claims)

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Outpatient Provider Types

800-537-8862

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Inpatient Providers:

1-800-537-8862
800-537-8862

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Long Term Care Providers:
Long Term Care Clients:

800-932-0939
717-772-2525

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Pharmacies and Ancillary

1-800-537-8862
1-800-537-8862

DHS, Office of Income Maintenance, HELPLINE

800-692-7462

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DHS, Office of Mental Health, Bureau of Children’s Services

717-787-3458 or
717-787-3459

EDS Provider Assistance Center
(To order EVS PC Software and POS Devices)

800-248-2152

Eligibility Verification System (EVS)

800-766-5387

Enrollment Call Answering Service

717-772-6456

EVS Point of Sale Device Supplies (DataCard)
(Part ID#s: POS Terminal printer is a Model 562 Citizen printer, ribbon part number is 537039001. The one-ply paper roll part number is 536707002.

800-826-0490

Healthy Beginnings Plus Program

800-986-2229
717-772-6826 or
1-800-537-8862

Pennsylvania Breast & Cervical Cancer Early Detection Program (for the BCCPT program)

1-800-215-7494

Lancaster Community Health Program

Providers:
Clients:

800-478-5287
800-478-5247
717-293-1687

MH/MR Case Management Provider Inquiry Line
(Provider Types 32 and 48)

800-537-8862

Medical Assistance Call Center

1-800-537-8862

Michael Dallas Waiver

717-772-6227 or
717-772-6230

Prior Authorization - Pharmacy

1-800-537-8862

Prior Authorization - Exception Requests and Benefit Limit Requests

Providers:

1-800-537-8862

Prior Authorization - Home Health Services

1-800-537-8862

Prior Authorization - Questions Only

Clients:

1-800-537-8862

Project Success

717-763-1661

PROMISe Provider Inquiry Unit

The link for the complete listing of telephone numbers is located in the Provider Section of the OMAP website at services.dpw.state.pa.us/omap.

Practitioner Unit
Pharmacy Unit
Ancillary Unit
Inpatient Unit
Long Term Care
Behavioral Health

800-537-8862
1-800-537-8862
1-800-537-8862
1-800-537-8862
800-932-0939
800-537-8862

Provider Enrollment :
Inpatient & Outpatient
(M-F 8:30 - 12:00)
Long Term Care
(M-F 8:30 – 5:00)

717-772-6140

717-772-2571

Place of Service Review (PSR) Certification

1-800-537-8862

Recipient Restriction Unit

866-400-5843

Rural Opportunities

800-692-7450

School Health Services

717-787-2390

Special Pharmaceutical Benefits Program (HIV and AIDS Drugs, Mental Health Drugs/Schizophrenia

Providers/Clients
CAO

800-922-9384
717-772-6228 (local)
717-772-6057

Targeted Case Management – Prior Authorization (medical necessity for children under age 21)

717-772-6190

Targeted Case Management (AIDS)

717-772-6295

Veterans Affairs - Philadelphia

Phila. Area

800-827-1000
215-842-2000

Veterans Affairs - Pittsburgh

412-281-4233
800-827-1000

Welfare Fraud and Abuse

800-932-0582

Women, Infants and Children Program (WIC)

800-942-9467