Office of Medical Assistance Programs

​The Office of Medical Assistance Programs (OMAP) administers Pennsylvania's Medicaid program, known as Medical Assistance in Pennsylvania.

Medicaid is a joint state-federal program that provides health care to nearly 3 million Pennsylvanians of all ages in all counties. The program offers coverage for health care services through the HealthChoices managed care program that is administered by contracted managed care organizations and, for some enrollees, through fee-for-service payments. OMAP oversees quality management and innovation in Medicaid and is also responsible for enrolling providers, processing provider claims, establishing rates and fees, contracting and monitoring of managed care organizations, and helping monitor for potential fraud and abuse in the program.

OMAP also oversees Pennsylvania's Children's Health Insurance Program (CHIP) and the eHealth Partnership, which manages the Pennsylvania Patient and Provider Network of health information exchanges. 

Additional OMAP Resources:

• What's New at OMAP
• eHealth Partnership
  ​The Pennsylvania eHealth Partnership is responsible, under Act 76 of 2016, for the creation and maintenance of Pennsylvania's secure health information exchange, known as the PA Patient & Provider Network, or P3N.
• Access Monitoring Plan
• Pennysylvania HealthChoices Extranet

Need more information?

If you are having difficulty finding the information you need, please contact OMAP by submitting a question through the DHS Feedback Form.