Pennsylvania managed care
Pennsylvania Medicaid managed care links for doulas
Use the official plan directory before setup, contracting, portal access, or claim routing. Keep client and claim details out of public pages.
Plan options can depend on county, region, or program.
Confirm the member's plan in your private eligibility workflow.
Use payer portals and state instructions before claim entry.
Quick path
Start with the step you need.
- 1Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose your state
- 2Check what is missingReview setup, visit notes, codes, and payer steps before billing.Use the checklist
- 3Save the checklistDownload the checklist, then keep client details in your own secure records.Open checklist
Physical HealthChoices MCOs
Pennsylvania groups HealthChoices physical health plans by region and county.
Official source
Checked 2026-06-18. Use this source before payer setup or claim routing decisions.
Open Pennsylvania DHS Physical HealthChoices MCOsNo-PHI reminder
Do not enter client names, Medicaid IDs, dates of birth, or claim numbers on DoulaPaid public pages.
Plan and portal links
These links help you find provider resources. The payer still controls enrollment, contracting, portal access, and claims.
Before claim work
Managed care is only one part of the billing path.