Medicaid
Pennsylvania Medical Assistance
Credentialing and enrollment guides for Pennsylvania Medical Assistance across 1 states.
30-60 days
Re-credential every 5 yrs
About Pennsylvania Medical Assistance
Pennsylvania DHS — Medical Assistance (MA)
Portal: Provider Portal
Required Documents
Background Check
CV/Resume
FINGERPRINT_CLEARANCE
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
STATE_CLEARANCE
PA state clearances required for all providers
Enrollment Forms
Pennsylvania Medicaid Provider Enrollment (PROMISe)
Online
Download
Select Your State
Choose your state for Pennsylvania Medical Assistance-specific credentialing details including timelines, contacts, and local requirements.
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