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.

Choose your state Open free tools

Plan options can depend on county, region, or program.

Confirm the member's plan in your payer portal or approved billing system.

Use payer portals and state instructions before claim entry.

Physical HealthChoices MCOs

Pennsylvania groups HealthChoices physical health plans by region and county.

Official source

Checked 2026-06-18. Check this source before payer setup or claim routing.

Open Pennsylvania DHS Physical HealthChoices MCOs

Client privacy 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 enrollmentProvider enrollmentProvider enrollment is the process of being approved by Medicaid or a Medicaid plan before billing. It can include IDs, attestations, portal setup, and state-specific documents., contracting, portal access, and claims.

DHS HealthChoices MCO region table

Before claim work

Managed careManaged care / MCOManaged care means a Medicaid health plan handles some or all coverage and billing steps for a member. MCO stands for managed care organization. is only one part of the billing path.

Open state billing guide Check provider setup Review official sources