Medical Assistance for Providers | Department of Human Services | Commonwealth of Pennsylvania

Medical Assistance for Providers | Department of Human Services | Commonwealth of Pennsylvania
Information for Providers
​Medicaid / Medical Assistance
Welcome to the section of the DHS Web site containing information on how to conduct business with the Office of Medical Assistance Programs (OMAP).
If you are having difficulty finding the information you need, please
Contact DHS.
1099 Information
Advances and Innovations - An Introduction
ASC-SPU - Medicare HMO Billing Instructions - UB-04
Billing Information
Contact Information/Help for MA Providers
Dental Care Provider Information
Electronic Funds Transfer (Direct Deposit) Information
Error Status Codes and Descriptions
EVS Error Codes
Fraud and Abuse Information and Prevention
Gainwell EDI as a Service (EDIaaS)
Healthy Beginnings Plus Program
HIPAA Privacy
Inpatient - Medicare HMO Billing Instructions - UB-04
Long Term Care Case Mix Information
Medical Assistance Program Vaccine Desk Reference
Medical Provider Decisions
National Provider Identifier (NPI) Information
Outpatient Hospital - Medicare HMO Billing Instructions - UB-04
Pharmacy Services
Professional - Medicare HMO Billing Instructions - CMS-1500
Provider Type Specialty Codes
School-Based ACCESS Program (SBAP)
Technology Assessment Group
Telephonic Psychiatric Consultation Service Program (TiPS)
Third Party Liability Coordination of Benefits
Additional Resources
Health Insurance Premium (HIPP) Program
Remittance Advice (RA) Mailing Dates/Electronic Remittance Advice (ERA) Delivery Dates
What's New at OMAP