Welcome, Providers
Latest updates
- High-cost gene therapy (PDF)
- HEDIS advance notice and FAQ (PDF)
- Discontinuation of skilled nursing facility type of bill 026X (PDF)
- NaviNet® disputes status enhancement (PDF)
- NaviNet® care gap response workflow redesign (PDF)
- Update: Formulary changes (PDF)
- 2026 Preferred Drug List Changes (PDF)
- Winter issue of Connections available online (PDF)
- Utilize the NaviNet Redetermination Report (PDF)
- HEDIS CPT II Code Reminder – Help Close Gaps in Care (PDF)
- New functionality! NaviNet disputes submission (PDF)
- Update: Formulary changes (PDF)
- 2025 – 2026 flu vaccination (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.