Provider Resources

Keystone First Community HealthChoices (CHC) values our partnership with Pennsylvania's health care providers. Our user-friendly tools and resources are designed to support you and your staff in giving Participants excellent and efficient health care.

Communications

• Fast Facts
• Provider newsletters
• Department of Human Services (DHS) bulletins and news

Provider resources

• Alzheimer’s disease and dementia resources (PDF)
• Behavioral health services
• Bright Start^® program
• Clinical resources
• Culturally competent care
• Dental program
• Domestic violence resources (PDF)
• Fraud, waste, abuse, and mandatory screening information
• HIPAA
• Long-term services and supports (LTSS)
• Medical record standards
• NaviNet®
• National Imaging Associates (NIA) radiology
• Nursing facility Service Coordinator (SC) contact list (PDF)
• Opioid treatment
• Prior authorizations
• Provider Reference Guide (PDF)
• Reimbursement policies
• Social determinants of health
• State resources
• Value-Based Programs

Participant information 

• Copay schedule (PDF)
• Covered benefits and services (PDF)
• Handbook
• Rights and responsibilities (PDF)

If you need more information or can't find an answer to your question, check your provider manual (PDF). You can also call Keystone First Community HealthChoices Provider Services at 1-800-521-6007.