Pennsylvania Department of Health


Please Note

We are a service company that can help you file with the Pennsylvania Department of Health. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Mailing address:
Health and Welfare Building 8th Floor West
625 Forster Street
Harrisburg, PA 17120

Phone: 1-877-724-3258

Web: Home

Licenses

We track the following licenses with the Pennsylvania Department of Health in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

A laptop placed on a desk with our License Manager software on display

Pennsylvania Utilization Review Entity Certification

Type of Review:

Medical Utilization Review

Agency:Pennsylvania Department of Health
Law:

40 PA Stat. § 991.2151

Fact Checked:2/19/21

Initial Registration

Form:

Certified Review Entity (CRE) Application

Agency Fee:

$1,000 for managed care plan utilization review, $2,000 for utilization review and external grievance appeal reviews.

Required Attachments:

See the application form for a detailed list of required attachments.

Fact Checked:2/19/21

Registration Renewal

Form:

Certified Review Entity (CRE) Application (Renewal)

Agency Fee:

$500 for managed care plan utilization review, $1,000 for utilization review and external grievance appeal reviews.

Due:

Triennially by the date of initial registration.

Notes:

Renewals must be submitted at least 60 days prior to the expiration of the certification period.

Fact Checked:2/19/21

Related Government Agencies

Explore other Pennsylvania government agencies we can help you stay compliant with:


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