Relevant Contact Points in Pennsylvania

Licenses and federally certifies Pennsylvania's 650+ nursing homes and investigates complaints and incidents at them. Also accepts complaints through an online complaint form.

Oversees all regional licensing offices for personal care homes and assisted living residences across Pennsylvania's 67 counties. Questions about the licensing status and history of specific facilities are directed to these regional offices.

Advocates for residents of nursing homes, personal care homes, and assisted living residences and helps resolve complaints about their care.

Prosecutes illegal prescribing, fraudulent home care, and abuse or neglect of Medicaid recipients, including residents of care facilities.

Operates a 24-hour, 7-day-a-week statewide hotline to report suspected abuse or neglect of an older adult in any living situation, including nursing homes, personal care homes, and assisted living residences. Reports can be made anonymously.

The Bureau of Consumer Protection is the lead UTPCPL, FCEUA, and Credit Services Act enforcer, investigating commercial and trade practices in the distribution, financing, and furnishing of goods and services for consumers. It runs a statewide consumer-complaint mediation program and is authorized to take formal legal action against unfair and deceptive conduct. Has regional offices in Harrisburg, Philadelphia, Scranton, Erie, Pittsburgh, and State College.

The office's dedicated medical-billing and health-insurance consumer-assistance unit, created to address consumer problems and complaints involving health care providers and health insurance companies. Over the past three years the Section has responded to more than 10,000 consumer complaints, resulting in millions of dollars in savings or refunds for consumers who were denied services or billed for medical services that should have been covered. Online and printable complaint forms (English and Spanish) are available on the page.

The office's dedicated elder-focused consumer, financial-exploitation, and elder-abuse reporting channel. It is the appropriate first stop for an elderly Pennsylvanian or family member reporting a predatory medical-billing, financing, or medical-debt-collection scheme where the victim's age is a factor. Relevant to the UTPCPL's 60-and-older enhanced civil penalty, 73 P.S. Sec. 201-8.

Handles insurance complaints and general questions. Also accepts complaints and general insurance questions through the Consumer Services Online (CSO) portal.

Administers the consumer grievance and appeal program that insurers and managed care plans must maintain, and is PID's point of contact for the Independent External Review program.

Pennie is Pennsylvania's official health insurance marketplace, the state-based ACA exchange created by Act 42 of 2019.

PHIEA is the independent state agency created by Act 42 of 2019 that operates Pennie.

Provides free counseling on Medicare, Medigap, and long-term-care insurance, or connects callers to a local PA MEDI county program.

Handles requests for letters of good standing, exam information, disciplinary documents, transcripts, and related verifications. Language interpreters available.