There’s Still Time to Enroll as a CHIP Provider in Pennsylvania

Last Updated: Mar 28, 2018

Doc-Child-ArticleClinicians 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:

  1. CHIP providers are not required to accept Medicaid (known as Medical Assistance in Pennsylvania) beneficiaries.
  2. 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.
  3. 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.

2 comments

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  1. Susan Wigger | Apr 03, 2018

    Thank you for your question: DHS’s online PROMISe portal offers a look up tool in ePEAP, an application you can use to verify or make changes to your enrollment status. If you are logged in and looking at the “Active Service Location” page, there is a screen which discloses indicators. There is an indicator if the provider is enrolled in CHIP only. If a provider’s indicator lists “Medical Assistance,” please note that the provider will also be able to accept CHIP patients.

  2. Bonnie Stauffer | Mar 30, 2018
    Is there any place I can go to make sure my providers are enrolled for CHIP.  I have tried going to the individual insurance websites and can not get any help.

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