PA Enrollment Services: Helping people with Medical Assistance choose a health plan and a doctor.

PA Enrollment Services: Helping people with Medical Assistance choose a health plan and a doctor.

Mother and young daughter

Frequently asked questions (FAQ)

If you can't find an answer here, call us at 1-800-440-3989.

What is a PCP?

A PCP is the doctor or nurse practitioner that you see for most of your regular health care, such as checkups or other basic services. 

Your PCP works closely with you and can refer you to other doctors when you need more specialized care.

PCP stands for primary care practitioner.  

When do I choose a doctor (PCP)?

Choose a PCP when you get a packet in the mail asking you to choose. You will choose a PCP who works with your health plan.

Can a doctor I see now become my PCP?

Yes. You can choose your doctor to be your PCP, as long as your doctor works with one of the Medical Assistance health plans in your county. You can find out which health plans your doctor works with on this website at FIND A DOCTOR (PCP).

What is a specialist?

A doctor who only takes care of one kind of health care need, such as heart problems, broken bones, or some kinds of cancers, is called a specialist. Your PCP will refer you to a specialist for care when you need to see one. If you already have a specialist that you see you should talk to your PCP and ask for a referral for future visits.

Can I choose a specialist as my PCP?

In some cases you can choose a specialist, such as an OB/GYN, to be your PCP. For more information talk to your health plan. To see health plan phone numbers, go to Contacts and links.

What if I do not have a doctor now?

If you don't have a doctor and want help choosing one, we can help. Go to FIND A DOCTOR (PCP), or call us at 1-800-440-3989. We can talk with you about the kind of doctor you are looking for and help you find one close to where you live.

Does everyone in our household have to choose the same PCP?

No. Each person can choose a different PCP, or you can all choose the same one.

Can I change my PCP later?

Yes. You can change your PCP at any time by calling your health plan. To see health plan phone numbers, go to Contacts and links. If you are in ACCESS Plus, call us at 1-800-440-3989, or change your PCP online by going to LOG IN.

It can take a few days for your change to become active.

What is a health plan?

A health plan is a group of doctors and hospitals and health care staff who work together to provide health care. Health plans also keep track of the needs and medical records of the members who get their health care through the plan.

When do I choose a health plan?

You choose a health plan when you get a packet in the mail asking you to choose. You will also choose a PCP who works with your health plan.

You will choose a plan that is part of Medical Assistance. Counties have from one to four plans. To see the health plans in your county, go to Health plans in your county.

Does everyone in our household have to choose the same health plan?

No. Each person can choose a different plan, or you can all choose the same one.

Can I change my health plan later?

Yes. You can change your health plan at any time. If you choose a new health plan, make sure the plan works with the doctor you want to choose as your PCP.

What do I do if I need behavioral health services, such as mental health or substance abuse services?

You will get behavioral health services through a behavioral health (BH) plan in your county. You can see the behavioral health plans and their phone numbers by going to Mental health and substance abuse on this website.

Should I keep my ACCESS or EBT card?

Yes. Keep your ACCESS or EBT card even if your health plan sends you a new card.

You need to have your ACCESS card and your new health plan card with you when you visit the doctor or get other health care services.

What do I do if I have a complaint about my health plan or PCP?

Read your health plan handbook to learn about making a complaint. Next, contact your health plan about your complaint. If you still want help, you can email a complaint on this website or call us at 1-800-440-3989. To email your complaint, log in first by going to LOG IN.

Where can I get more information?

You can get more information on this website or by calling us at 1-800-440-3989.

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QUESTIONS? Just call us.

Monday – Friday, 8 am – 6 pm  
Saturday, 8 am – 12 pm  

TTY: 1-800-618-4225

1-800-440-3989