DPH Payments by Phone – Unavailable the Morning of June 5, 2025

On Thursday, June 5, 2025, from 8:30 AM to 1 PM, DPH will be unable to accept payments over the phone while the system is being updated.

If you need to submit a payment during this time, payments can be accepted online. Thank you for your patience.

Flyers

Fact Sheets

Contracted Provider Forms

Patient Enrollment Forms

Office Visit Reimbursements

Breast Diagnostic Reimbursements

Cervical Diagnostic Reimbursements

Imaging/Radiology Services and Lab/Pathology Reimbursements

Providers must submit an appropriate CMS 1500/UB04 form with all visits reports/results.

Patient Navigation Assistance

Providers may fill out and fax to BCN Nurses for navigation assistance.