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TO: Office of Long-Term Living (OLTL) Community HealthChoices (CHC) Providers

RE: Systemic Issue Causing CHC Disenrollment


This notice is to advise CHC providers that a systemic issue was identified for some CHC enrolled participantsProviders processing eligibility checks via the PROMISe™ Eligibility Verification System (EVS) will not see the CHC-MCO eligibility or plan information for EVS processing dates 7/1/2018 forward. Claims with dates of service 7/1/2018 forward are also impacted by this issue.


The Department has identified a resolution and anticipates the records will be corrected no later than Wednesday 7/4/2018.


In order to ensure continuity of care for impacted participants, please continue to render services based upon CHC eligibility as of 6/30/18. In order to avoid claims processing denials, please hold submission of your impacted claims until 7/5/2018.


If you have any questions regarding this notification, please contact the OLTL Provider Inquiry Unit at [log in to unmask] or 1-800-932-0939.


A listserv has been established for ongoing updates on the CHC program. It is titled OLTL-COMMUNITY-HEALTHCHOICES, please visit the ListServ Archives page at to update or register your email address.


Please share this email with other members of your organization as appropriate. Also, it is imperative that you notify the Office of Long-Term Living for changes that would affect your provider file, such as addresses and telephone numbers. Mail to/pay to addresses, email addresses, and phone numbers may be updated electronically through ePEAP, which can be accessed through the PROMISe™ provider portal. For any other provider file changes please notify the Bureau of Quality and Provider Management Enrollment and Certification Section at 1-800-932-0939 Option #1.

To ensure you receive email communications distributed from the Office of Long-Term Living, please visit the ListServ Archives page at to update or register your email address.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.