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Provider Resources

DD Provider FAQ
& Reference Guide

For additional questions or assistance from the Network Development and Provider Relations team, please visit the Provider Assistance page and complete a Provider Ticket Submission Form.

Frequently Asked Questions

How does a provider know when a member enrolls with PHP or disenrolls from PHP?

PHP will notify all DD providers that are associated with an enrolling or disenrolling member based on the member’s TABS report. An email will be sent to your agency before the first of the month in which the member is enrolling or disenrolling.

This notification will also provide helpful information about the members’ PHP plan and billing information for your agency. If you believe your organization is not receiving these notices, please contact Provider Relations for assistance here.

What should I do if a Care Manager is not responsive to my requests?

Please allow Care Managers reasonable time to respond to requests. For routine, non-urgent issues, expectations are that you should receive a response within 2 business days. If you do not receive a response within the expected time frame, please use the Care Management chain of command.

All Care Managers have their supervisor’s name and contact information listed in their email signature for ease of knowing who to contact.

I do not know who a person’s Care Manager is, how can I figure this out?

You can call PHP’s Provider Services line at 855-747-5483 for this information.

How does my organization know when a person we support changes Care Managers?

PHP has a warm handoff process which includes the new Care Manager reaching out to providers to introduce themselves and connect with the team supporting the person supported. If you are unsure if a Care Manager change has occurred, please contact PHP's Provider Services line for assistance in identifying the current Care Manager.

Am I able to reach Care Management for support after typical business hours?

PHP Care Managers are not available after business hours. Please wait for the following business day or call PHP's Nursing Advice Line at 1-855-769-2507 regarding any behavioral or medical concerns. The nursing advice line is available 24 hours a day, 365 days a year.

How do I contact PHP’s Regional Leadership team?

Partners Health Plan has 3 Regional Care Manager Directors:

Renata Goldman (Westchester, Rockland, and Bronx)
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Giselle Peter (Brooklyn, Manhattan, Staten Island, and Queens)
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Jennifer Rechner (Nassau and Suffolk)
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How often should a Care Manager be in contact with a person I support?

PHP Care Managers will contact the member and/or their advocate monthly.

Where can I access PHP Life Plans?

We encourage all providers to request Medisked portal access to view and approve plans. To request access please email This email address is being protected from spambots. You need JavaScript enabled to view it.

How do I assist a person in finding a healthcare provider that is in-network with PHP?

PHP’s Provider Search Tool is available on the PHP website. This search tool allows a person to search for healthcare providers, dentists, pharmacies and more. If further assistance is needed in finding the right provider, please contact Provider Relations here.

If I cannot find a document in Choices, who should I contact?

Please contact the member’s Care Manager.

Why do I need to share preventative health and appointment information with Care Managers?

PHP Care Managers are responsible for comprehensive person-centered planning, including coordinating services and support for individuals they support. Knowing what preventive healthcare a person has received is a critical component of understanding supports that may be needed. Additionally, Care Managers receiving the appropriate documentation assures care has been rendered and allows the Care Manager to assist with any needed follow-up.

I am unfamiliar with submitting claims to PHP. Where can I find more information on this?

For more information on billing and claims submissions, please use this link to learn about your organization's claim submission options and general guidelines. PHP’s FAQ and Reference Guide also has helpful information specific to claims submissions. Lastly, Provider Relations can assist you with any questions. Reach out to Provider Relations here if needed.

How do I contact PHP’s Provider Relations Department?

For assistance with any provider-related questions or concerns, please complete the Provider Relations Help form on our website linked here. Once the form has been submitted, a Provider Relations team member will get back to you shortly. Please include as much detail on the ticket submission request as possible so our team can provide you with the most timely and thorough feedback.

My organization has program vacancies and other opportunities we’d like Care Managers to be aware of. How can we share this information?

PHP’s Provider Relations team is happy to share any program opportunities, workshops, or other relevant information with our Care Management teams. Please reach out to Provider Relations using this link to share any information you feel will be beneficial for PHP’s Care Management team and members. The Provider Relations team can also discuss any further information-sharing opportunities with your organization as needed. 

Quick Reference Guide

Need Provider Assistance?

The Partners Health Plan Network Development and Provider Relations team is here to assist you with your billing, claims, authorization, education, and any other general inquiry. Use the Contact Us button below to complete a Provider Ticket Submission Form.

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