Application Checklist for Facilities - AmeriHealth Caritas VIP Care Plus 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your facility information, including the legal business name and practice name. Ensure that you check the appropriate product options: Medicaid, Medicare, or both.
  3. Fill in the tax ID number and NPI numbers. If necessary, attach an additional sheet for multiple NPI numbers.
  4. Complete the credentialing contact details, including name, email address, and phone number.
  5. Proceed to provide all required documents listed in the checklist section. This includes licenses, accreditation certificates, and insurance policy details.
  6. Review your entries for accuracy before submitting. You can easily modify any field directly within our platform.

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The AmeriHealth Caritas payer ID (77002) must be used for electronic billing along with the ECHO Health payer ID (58379). If you have additional questions regarding your payment options, please contact ECHO Health at 1-888-492-5579.
AmeriHealth Caritas Pennsylvania, a part of AmeriHealth Caritas, is a Medical Assistance (Medicaid) managed care health plan. Our mission is to help our members get care, stay well, and build healthy communities.
You can apply online, in-person, on the phone, or through the mail. Apply Online. Use our quick, easy, and secure COMPASS website. Apply by Telephone. Call the Consumer Service Center for Health Care Coverage at 1-866-550-4355. Apply In-Person. Apply by Mail.
Community HealthChoices is Pennsylvanias Medical Assistance managed care program that includes physical health benefits and long-term services and supports (LTSS). Headquartered in Harrisburg, Pennsylvania, AmeriHealth Caritas PA CHC offers all the benefits and services of the Community HealthChoices program.
You can talk to an enrollment specialist by calling 1-800-440-3989 (TTY users call 1-800-618-4225). You can also enroll online. The enrollment specialist can help you with enrolling new family members or answering questions about your choices of health plans. They can also help if you decide to change health plans.

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Initial claims: 180 days from date of service. Resubmissions and corrections: 365 days from date of service.

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