Paieb.com

PA Independent Enrollment Broker (PA IEB) Home Page

WEBIf you have questions about the PA IEB application process call the PA IEB Helpline at 1-877-550-4227 (TTY: 711).. If you are already enrolled in PA CHC and have questions …

Actived: 4 days ago

URL: https://www.paieb.com/en

signed by an MD or DO. On the form, please indicate your …

WEBPhysician Certification Form MA 570 7/20 THIS SECTION MUST BE COMPLETED IF YOUR PATIENT’S IDENTIFIED LEVEL OF CARE IS ICF/ORC INSTRUCTIONS: …

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Completing a Physician’s Certification Form

WEBUse this guide to learn more about how to complete a Physician’s Certification Form. The guide will help you make sure your form is complete and correct. If this form is …

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PA Independent Enrollment Broker

WEBReferral Guidelines. To refer an individual, please complete this form and return it to Pennsylvania Independent Enrollment Broker (PA IEB) via fax or secure email. To …

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Abuse, Neglect and Exploitation

WEBIf you are OVER 60: Call 911 if your life is in danger. Call the elder abuse hotline at 1-800-490-8505. Call your local Area Agency on Aging. Call your service coordinator. Contact …

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Long-Term Services and Supports Pending Documentation

WEBThe client must provide semi-annual inancial statements for the additional three years of the look-back period of 9/25/2014-9/24/2017. 12. For all married applicants, inancial …

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Act 150 Application Form

WEBTitle: Act 150 Application Form Author: Pennsylvania Independent Enrollment Broker Subject: The Act 150 Application Form is used to apply to be considered for Act 150 if …

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