Reporting self-audits in the Pennsylvania HealthChoices program

The feature article “Routine Self-Audits: A Guide for Providers” applies in the Pennsylvania HealthChoices program, except for how providers contact Magellan.

Reports for self-audits where potential fraud, waste, abuse or errors are found related to services under the Magellan Pennsylvania HealthChoices program should be made directly to PAHCSelfReport@MagellanHealth.com.

Find information specific to the Magellan Pennsylvania HealthChoices contract regarding provider self-audit guidelines in the February 2024 Magellan Compliance Notebook (PDF).