Last Updated: Mar 28, 2018
Clinicians in Pennsylvania must be enrolled with Pennsylvania’s Department of Human Services (DHS) in order to receive payment for services to children covered by the Children’s Health Insurance Program (CHIP).
Although the deadline for CHIP providers to enroll with DHS was Dec. 31, 2017, DHS says there is still time to enroll and continue receiving payment for services to CHIP children.
If you’ve been delaying the decision to enroll or re-enroll as a CHIP provider, here are 3 key points to remember:
- CHIP providers are not required to accept Medicaid (known as Medical Assistance in Pennsylvania) beneficiaries.
- Physicians and other individual providers are not required to pay an application fee to enroll as a CHIP provider. Only institutional providers such as inpatient facilities, extended care facilities, and CME/medical suppliers are required to pay a $560 application fee.
- The CHIP program is not going away any time soon—Congress has reauthorized CHIP through 2027.
How to Enroll as a CHIP Provider
DHS offers enrollment information, including an online application and a paper option, here. For further details on the enrollment process, read this DHS informational flyer. Keep in mind that each service location must be enrolled separately.
Pennsylvania Medical Society members with questions can also contact our Knowledge Center at 855-PAMED4U (855-726-3348) or KnowledgeCenter@pamedsoc.org.