Number
|
Publication Name
|
Issue Date
|
31-26-53
|
Prior Authorization Guidelines for Pediatric Adaptive Seating Equipment
|
4/8/2026
|
31-26-51
|
Prior Authorization Guidelines for Removable, Pre-Molded Arch Supports
|
3/30/2026
|
33-26-46
|
Prior Authorization of Sickle Cell Anemia Agents – Pharmacy Services
|
3/30/2026
|
31-26-52
|
Prior Authorization Guidelines for Thoracic-Lumbar-Sacral Orthoses
|
3/30/2026
|
33-26-45
|
Community Health Worker Enrollment in the Medical Assistance Program
|
3/19/2026
|
33-26-44
|
Prior Authorization of GLP-1 Receptor Agonists – Pharmacy Services
|
3/2/2026
|
33-26-43
|
Prior Authorization Guidelines for Blood Glucose Meters with Voice Synthesizer or Integrated Lancing Blood Sample
|
2/27/2026
|
31-26-48
|
Prior Authorization Guidelines for Tracheostomy Speaking Valves and Voice Prosthetic Devices
|
2/6/2026
|
31-26-45
|
Prior Authorization Guidelines for Lower Extremity Orthoses
|
2/4/2026
|
31-26-46
|
Prior Authorization Guidelines for Breast and Nipple Prostheses
|
2/4/2026
|
31-26-44
|
Prior Authorization Guidelines for Face and Ear Prostheses
|
1/29/2026
|
33-26-42
|
Prior Authorization Guidelines for Manual Hospital Beds and Accessories
|
1/29/2026
|
31-26-42
|
Prior Authorization Guidelines for Orthopedic Shoes, Boots, and Miscellaneous Shoe Additions
|
1/15/2026
|
33-25-41
|
Updates to the Family Planning Services Program Fee Schedule
|
12/30/2025
|
33-26-35
|
Prior Authorization of Thrombopoietics – Pharmacy Services
|
11/14/2025
|
33-26-28
|
Prior Authorization of Migraine Acute Treatment Agents – Pharmacy Services
|
11/14/2025
|
33-26-25
|
Prior Authorization of Lipotropics, Other – Pharmacy Services
|
11/14/2025
|
33-26-24
|
Prior Authorization of Immunosuppressives, Oral – Pharmacy Services
|
11/14/2025
|
33-26-23
|
Prior Authorization of Immunomodulators, Dermatologics (formerly Immunomodulators, Atopic Dermatitis) –Pharmacy Services
|
11/14/2025
|
33-26-18
|
Prior Authorization of Epinephrine, Self-Administered (formerly Epinephrine, Self-Injected) – Pharmacy Services
|
11/13/2025
|
33-26-17
|
Prior Authorization of Dupixent (dupilumab) – Pharmacy Services
|
11/13/2025
|
99-25-07
|
Medical Assistance (MA) Program Fee Schedule Revisions
|
11/13/2025
|
33-26-31
|
Prior Authorization of Proton Pump Inhibitors (PPIs) – Pharmacy Services
|
11/12/2025
|
33-26-14
|
Prior Authorization of COPD Agents – Pharmacy Services
|
11/12/2025
|
33-26-07
|
Prior Authorization of Antipsoriatics, Topical – Pharmacy Services
|
11/10/2025
|
33-26-27
|
Prior Authorization of Lyfgenia (lovotibeglogeneautotemcel) – Pharmacy Services
|
11/10/2025
|
33-26-22
|
Prior Authorization of Hepatitis C Agents – Pharmacy Services
|
11/10/2025
|
33-26-05
|
Prior Authorization of Monoclonal Antibodies (MABs) – Anti-IL, Anti-IgE, Anti-TSLP – Pharmacy Services
|
11/7/2025
|
33-26-04
|
Prior Authorization of Antihemophilia Agents – PharmacyServices
|
11/7/2025
|
33-26-13
|
Prior Authorization of Continuous Glucose Monitoring Products – Pharmacy Services
|
11/7/2025
|
33-26-06
|
Prior Authorization of Antiparasitics, Topical – Pharmacy Services
|
11/7/2025
|
33-26-12
|
Prior Authorization of Casgevy (exagamglogeneautotemcel) – Pharmacy Services
|
11/7/2025
|
33-26-11
|
Prior Authorization of Calcium Channel Blockers – Pharmacy Services
|
11/7/2025
|
33-26-09
|
Prior Authorization of Bone Density Regulators – Pharmacy Services
|
11/6/2025
|
33-26-03
|
Prior Authorization of Antidepressants, Other – Pharmacy Services
|
11/6/2025
|
33-26-02
|
Prior Authorization of Antibiotics, GI and Related Agents– Pharmacy Services
|
11/6/2025
|
33-26-08
|
Prior Authorization of Antipsychotics – Pharmacy Services
|
11/6/2025
|
33-26-01
|
Prior Authorization of Analgesics, Acute Pain Agents – Pharmacy Services
|
11/6/2025
|
33-26-10
|
Prior Authorization of Benign Prostatic Hyperplasia (BPH) Treatments – Pharmacy Services
|
11/6/2025
|
27-25-42
|
Adoption of the American Academy of Pediatric Dentistry's Dental Periodicity Schedule
|
10/7/2025
|
00-25-03
|
Electronic Visit Verification Manual Edits Noncompliance in the Fee-for-Service Delivery and Managed Care Delivery Systems
|
8/29/2025
|
27-25-40
|
Implementation of Updated Dental Benefit Limit Exception Form
|
6/25/2025
|
99-25-03
|
Updates to Screening Guidelines for Prior Authorization
|
6/24/2025
|
99-25-06
|
2025 Healthcare Common Procedure Coding System (HCPCS) Updates, Fee Adjustments, and Other Procedure Code Changes
|
6/23/2025
|
33-25-38
|
Statewide Preferred Drug List (PDL) Updates - Pharmacy Services
|
6/12/2025
|
99-25-05
|
Pennsylvania Early and Periodic Screening Diagnosis and Treatment (EPSDT) Program Periodicity Schedule
|
5/21/2025
|
99-25-04
|
2025 Recommended Child and Adolescent Immunization Schedule
|
5/15/2025
|
99-25-02
|
Medical Assistance (MA) Program Fee Schedule Revisions
|
4/16/2025
|
8/25/1935
|
Federally Qualified Health Center and Rural Health Clinic Procedure Codes
|
4/16/2025
|
31-25-35
|
Application of Topical Fluoride Varnish
|
4/8/2025
|
8/25/2001
|
Federally Qualified Health Center and Rural Health Clinic Alternative Payment Methodology for Long-Acting Reversible Contraceptives
|
4/3/2025
|
31-25-36
|
Screening Diagnostic and Targeted Case Management Services for Eligible Juveniles Enrolled in Medical Assistance Prior to Release from Carceral Setting
|
2/18/2025
|
99-25-01
|
Limited English Proficiency Requirements
|
1/16/2025
|
3/25/1933
|
Update to the Admissions Notice Packet (MA 401)
|
1/10/2025
|
33-25-34
|
Prior Authorization of Anticonvulsants-Pharmacy Services
|
1/10/2025
|
33-25-33
|
Coverage of and Payment for Doula Services in the Medical Assistance Program
|
12/23/2024
|
99-24-09
|
Medical Assistance Program Vaccine Desk Reference Updates
|
11/19/2024
|
33-25-32
|
Prior Authorization of Ulcerative Colitis Agents -Pharmacy Services
|
11/14/2024
|
33-25-31
|
Prior Authorization of Thrombopoietic -Pharmacy Services
|
11/14/2024
|
33-25-26
|
Prior Authorization of Pulmonary Hypertension Agents, Oral and Inhaled-Pharmacy Services
|
11/13/2024
|
33-25-28
|
Statewide Preferred Drug List (PDL) Updates -Pharmacy Services
|
11/13/2024
|
33-25-30
|
Prior Authorization of Thalidomide and Derivatives-Pharmacy Services
|
11/13/2024
|
33-25-25
|
Prior Authorization of Phosphate Lowering Agents (Formerly Phosphate Binders)-Pharmacy Services
|
11/13/2024
|
33-25-27
|
Prior Authorization of Skeletal Muscle Relaxants-Pharmacy Services
|
11/13/2024
|
33-25-29
|
Prior Authorization of Stimulants and Related Agents-Pharmacy Services
|
11/13/2024
|
33-25-12
|
Prior Authorization of Colony Stimulating Factors-Pharmacy
|
11/12/2024
|
33-25-23
|
Prior Authorization of Oncology Agents, Oral-Pharmacy Services
|
11/12/2024
|
33-25-16
|
Prior Authorization of Immunomodulators, Atopic Dermatitis-Pharmacy
|
11/12/2024
|
33-25-21
|
Prior Authorization of Natalizumab -Pharmacy Services
|
11/12/2024
|
33-25-17
|
Prior Authorization of Lipotropics, Other-Pharmacy
|
11/12/2024
|
33-25-24
|
Prior Authorization of Pancreatic Enzymes-Pharmacy Services
|
11/12/2024
|
33-25-07
|
Prior Authorization of Antifibrotic Respiratory Agents -Pharmacy Services
|
11/8/2024
|
33-25-09
|
Prior Authorization of Antiparkinsons"s Agents -Pharmacy Services
|
11/8/2024
|
33-25-08
|
Prior Authorization of Monoclonal Antibodies (MABS) - Anti-IL, Anti-IgE, Anti-TSLP--Pharmacy Services
|
11/8/2024
|
33-25-11
|
Prior Authorization of Botulinum Toxins-Pharmacy Services
|
11/8/2024
|
33-25-10
|
Prior Authorization of Antipsychotics -Pharmacy Services
|
11/8/2024
|
33-25-04
|
Prior Authorization of Anticonvulsants-Pharmacy Services
|
11/8/2024
|
33-25-02
|
Prior Authorization of Analgesics, Opioid Long-Acting-Pharmacy Services
|
11/7/2024
|
33-25-22
|
Prior Authorization of Neuropathic Pain Agents-Pharmacy Services
|
11/7/2024
|
33-25-05
|
Prior Authorization of Antidepressants, Other-Pharmacy Services
|
11/7/2024
|
33-25-01
|
Prior Authorization of Analgesics, Non-Opioid Barbiturate Combinations -Pharmacy Services
|
11/7/2024
|
33-25-03
|
Prior Authorization of Analgesics, Opioid Short - Acting-Pharmacy Services
|
11/7/2024
|
33-25-13
|
Prior Authorization of Cytokine and CAM Antagonists -Pharmacy Services
|
11/6/2024
|
33-25-15
|
Prior Authorization of Hereditary Angioedema (HAE) -Pharmacy Services
|
11/6/2024
|
33-25-19
|
Prior Authorization of Migraine Prevention Agents-Pharmacy Services
|
11/6/2024
|
33-25-18
|
Prior Authorization of Migraine Acute Treatment Agents -Pharmacy Services
|
11/6/2024
|
33-25-14
|
Prior Authorization of Hepatic and Biliary Agents (formerly Bile Salts)-Pharmacy Services
|
11/6/2024
|
33-25-20
|
Prior Authorization of Multiple Sclerosis Agents-Pharmacy Services
|
11/6/2024
|
8/24/2016
|
Updates to the Promise Provider Handbook/CMS-1500 Claim Form, Appendix E-FQHC/RHC Handbook
|
11/1/2024
|
99-24-08
|
Pennsylvania Early and Periodic Screening Diagnosis and Treatment (EPSDT) Program Periodicity Schedule
|
10/29/2024
|
99-24-06
|
MA Program Fee Schedule Updates for Certain Ophthalmology Procedure Codes
|
9/16/2024
|
35-24-01
|
School-Based ACCESS Program Provider Handbook
|
9/16/2024
|
99-24-07
|
Medical Assistance (MA) Program Fee Schedule Revisions
|
9/9/2024
|
33-24-13
|
MA Program Fee Schedule Updates For Certain Family Planning Procedure Codes
|
9/9/2024
|
00-24-02
|
Updated Electronic Visit Verification Manual Edits Compliance Percentage Requirements in the Fee-for-Service Delivery and Managed Care Delivery Systems
|
8/23/2024
|
33-24-12
|
Prior Authorization of Obesity Treatment Agents - Pharmacy Services
|
8/7/2024
|
33-24-11
|
Prior Authorization of Hypoglycemics, Incretin Mimetics/Enhancers- Pharmacy Services
|
8/7/2024
|
99-24-05
|
Ophthalmology Fee Updates
|
7/8/2024
|
27-24-03
|
2024 Medical Assistance Program Dental Fee Schedule Update
|
6/5/2024
|
99-24-03
|
2024 Healthcare Common Procedure Coding System (HCPCS) Updates, Fee Adjustments, and Other Procedure Code Changes
|
5/28/2024
|
33-24-06
|
Updates to the Family Planning Services Program Fee Schedule
|
5/28/2024
|
99-24-02
|
Medical Assistance (MA) Program Fee Schedule Revisions
|
4/29/2024
|
26-24-0
|
Ambulance Services
|
4/18/2024
|
99-24-04
|
2024 Recommended Child and Adolescent Immunization Schedule
|
4/16/2024
|
33-24-04
|
Over-the-Counter Oral Contraceptives
|
4/10/2024
|
8/24/2004
|
Updates to The Promise Provider Handbook Professional/CMS-1500 Claim Form
|
3/1/2024
|
31-24-02
|
Pharmacist Billing
|
2/13/2024
|
33-24-03
|
Prior Authorization of Opioid Use Disorder Treatments-Pharmacy Services
|
2/6/2024
|
10/24/2002
|
Pharmacist Enrollment in the Medical Assistance Program
|
2/1/2024
|
33-24-01
|
Medical Assistance Program Vaccine Desk Reference
|
1/24/2024
|
33-24-02
|
Pasteurized Donor Human Milk Coverage Updates
|
1/19/2024
|
13-24-01
|
Doula Enrollment in the Medical Assistance Program
|
1/10/2024
|
99-23-10
|
Payment for Services Associated with Qualifying Clinical Trials
|
12/28/2023
|
33-24-01
|
Interprofessional Consultation Services
|
12/27/2023
|
33-23-46
|
Prior Authorization of Obesity Treatment Agents - Pharmacy Services
|
11/14/2023
|
33-23-49
|
Statewide Preferred Drug List (PDL) Updates- Pharmacy Services
|
11/14/2023
|
33-23-32
|
Prior Authorization of Bone Density Regulators - Pharmacy Services
|
11/13/2023
|
33-23-26,
|
Prior Authorization of Antibiotics, GI and Related Agents - Pharmacy Services
|
11/13/2023
|
33-23-36
|
Prior Authorization of Estrogens - Pharmacy Services
|
11/13/2023
|
33-23-39
|
Prior Authorization of Hypoglycemics, Incretin Mimetics/Enhancers- Pharmacy Services
|
11/13/2023
|
33-23-29
|
Prior Authorization of Antipsychotics - Pharmacy Services
|
11/13/2023
|
33-23-48
|
Prior Authorization of Sedative Hypnotics- Pharmacy Services
|
11/9/2023
|
33-23-43
|
Prior Authorization of Migraine Prevention Agents
|
11/9/2023
|
33-23-50
|
Prior Authorization of Tubeless Insulin Delivery Devices - Pharmacy Services
|
11/9/2023
|
33-23-47
|
Prior Authorization of Pituitary Suppressive Agents, LHRH - Pharmacy Services
|
11/9/2023
|
33-23-40
|
Prior Authorization of Immunomodulators, Atopic Dermatitis- Pharmacy Services
|
11/8/2023
|
33-23-31
|
Prior Authorization of Anxiolytics - Pharmacy Services
|
11/8/2023
|
33-23-41
|
Prior Authorization of Lipotropics, Other - Pharmacy Services
|
11/8/2023
|
33-23-42
|
Prior Authorization of Macular Degeneration Agents - Pharmacy Services
|
11/8/2023
|
33-23-27
|
Prior Authorization of antidepressants, Other - Pharmacy Services
|
11/8/2023
|
33-23-37
|
Prior Authorization of Hereditary Angioedema (HAE) Agents- Pharmacy Services
|
11/7/2023
|
33-23-28
|
Prior Authorization of Antihemophilia Agents- Pharmacy Services
|
11/7/2023
|
33-23-38
|
Prior Authorization of Hepatitis C Agents- Pharmacy Service
|
11/7/2023
|
33-23-35
|
Prior Authorization of Dupixent (dupilumab)- Pharmacy Services
|
11/7/2023
|
33-23-25
|
Prior Authorization of Androgenic Agents- Pharmacy Services
|
11/7/2023
|
33-23-30
|
Prior Authorization of Antivirals, CMV-Pharmacy Services
|
11/6/2023
|
33-23-33
|
Prior Authorization of Continuous Glucose Monitoring Products-Pharmacy Services
|
11/6/2023
|
33-23-34
|
Prior Authorization of Cytokine and CAM Antagonists-Pharmacy Services
|
11/6/2023
|
28-23-03
|
Addition of a Procedure Code for Sexually Transmitted Infection Test Kits
|
11/2/2023
|
27-23-16
|
2023 Medical Assistance Program Dental Fee Schedule Update and Dental Provider Handbook Update
|
10/23/2023
|
33-23-22
|
Addition of Procedure Codes for Vaccine Administration
|
9/29/2023
|
37-23-01
|
Street Medicine
|
9/29/2023
|
27-23-15
|
Pediatric Dental Periodicity Schedule Updates
|
9/28/2023
|
7/23/2002
|
Update to Electronic Visit Verification Requirements for Pediatric Home Health Aide Services in FFS and Managed Care Delivery
|
9/20/2023
|
33-23-24
|
Updates for Childhood Nutrition and Weight Managment Services
|
9/13/2023
|
7/23/2001
|
Pediatric Shiftcare Service for Beneficiaries Under 21
|
9/11/2023
|
99-23-09
|
2023 Healthcare Common Procedure Coding System (HCPCS) Updates, Fee Adjustments, and Other Procedure Code Changes
|
9/5/2023
|
33-23-21
|
Updates to the Family Planning Services Program Fee Schedule
|
9/1/2023
|
99-23-08
|
Updates to Guidelines for the Delivery Physical Health Services via Telehealth
|
8/2/2023
|
31-23-22
|
Updated Sterilization Consent Form
|
7/25/2023
|
33-23-08
|
Street Medicine
|
7/5/2023
|
33-23-18
|
Prior Authorization of Opioid Use Disorder Treatments - Pharmacy Service
|
6/30/2023
|
33-23-19
|
Prior Authorization of Progestational Agents- Pharmacy Services
|
6/30/2023
|
33-23-20
|
Prior Authorization of Tepezza (teprotumumab-trbw) - Pharmacy Services
|
6/30/2023
|
33-23-14
|
Clinical Prior Authorization of Non-PDL Durgs - Pharmacy Services
|
6/30/2023
|
33-23-12
|
Prior Authorization of Antiemetic/Antivertigo Agents- Pharmacy Services
|
6/29/2023
|
33-23-16
|
Prior Authorization of Cough and Cold Medications - Pharmacy Services
|
6/29/2023
|
33-23-13
|
Prior Authorization of Antiparasitics, Topical -Pharmacy Services
|
6/29/2023
|
33-23-15
|
Prior Authorization of Compounded Prescriptions - Pharmacy Service
|
6/29/2023
|
33-23-17
|
Prior Authorization of Hepatitis C Agents - Pharmacy Services
|
6/29/2023
|
33-23-11
|
Prior Authorization of Analgesics, Opioid Short-Acting - Pharmacy Services
|
6/28/2023
|
33-23-09
|
Prior Authorization of Amyloid-Targeted Monoclonal Antibodies (MABs) - Pharmacy Services
|
6/28/2023
|
99-23-07
|
Pennsylvania's Early and Periodic Screening Diagnosis and Treatment (EPSDT) Program Periodicity Schedule
|
6/27/2023
|
33-23-07
|
MA Program Fee Schedule Update for an Additional Bivalent Dose of the SARS-CoV-2 Vaccine Manufactured by Pfizer, Inc.
|
6/20/2023
|
28-23-01
|
End-Dating COVID -19 Pharmacy Specimen Collection and Laboratory Testing Procedure Codes
|
6/12/2023
|
33-23-06
|
Billing Updates for COVID-19 Vaccine Counseling Only Visits for Beneficiaries Under the Age of 21
|
6/12/2023
|
33-23-05
|
Billing Updates for Vaccine Counseling Only Visits for Beneficiaries Under the Age of 21
|
6/12/2023
|
99-23-06
|
Evaluation and Management Fee Adjustments and Code Updates
|
6/1/2023
|
33-23-04
|
Additional Bivalent SARS-CoV-2 Vaccine Doses Manufactured by Merna, Inc. and Pfizer, Inc.
|
4/13/2023
|
33-23-03
|
Implementation of ADA Claim Form- Version 2019
|
4/4/2023
|
99-23-01
|
Medical Assistance Program Fee Schedule Revisions
|
4/1/2023
|
33-23-03
|
Administration of Booster Dose of SARS-CoV-2 Vaccine Manufactures by Novavax
|
3/24/2023
|
16-23-01
|
Coverage of Case Specific Training/Shadow Nursing for Private Duty/Shift Nursing Services for MA Beneficiaries Under 21 Years of Age
|
1/1/2023
|
99-22-11
|
Reinstatement of Provider Enrollment Requirements
|
12/29/2022
|
33-22-75
|
340B Drug Pricing Program - Dispensing 340B Purchased Drugs
|
12/22/2022
|
33-22-60
|
Prior Authorization of Hypoglycemics, Incretin Mimetics, Enhancers – Pharmacy Services
|
12/13/2022
|
33-22-76
|
Disposable Breast Milk Collection and Storage Bags and Breast Pump
|
12/13/2022
|
33-22-67
|
Coverage and Prior Authorization of Obesity Treatment Agents – Pharmacy Services
|
12/9/2022
|
33-22-72
|
Statewide Preferred Drug List (PDL) Updates – Pharmacy Services
|
12/9/2022
|
33-22-47
|
Prior Authorization of Monoclonal Antibodies – Anti- IL, Anti-IgE, Anti-TSLP (Formerly Monoclonal Antibodies – Anti-IL, Ant
|
12/9/2022
|
33-22-70
|
Prior Authorization of Platelet Aggregation Inhibitors- Pharmacy Services
|
12/8/2022
|
33-22-62
|
Prior Authorization of Hypoglycemics, SGLT2 Inhibitors – Pharmacy Services
|
12/8/2022
|
33-22-68
|
Prior Authorization of Ophthalmics, Anti-Inflammatories – Pharmacy Services
|
12/8/2022
|
33-22-69
|
Prior Authorization of Pituitary Suppressive Agents, LHRH – Pharmacy Services
|
12/8/2022
|
33-22-65
|
Prior Authorization of Lipotropics, Other – Pharmacy Services
|
12/7/2022
|
33-22-71
|
Prior Authorization of Stimulants and Related Agents– Pharmacy Services
|
12/7/2022
|
26-22-07
|
2023 Ambulance Fee Increases
|
11/10/2022
|
24-22-32
|
At-Home Over-The-Counter COVID-19 Test
|
11/10/2022
|
33-22-54
|
Prior Authorization of Dry Eye Treatments (Formerly Ophthalmics, Immunomodulators) – Pharmacy Services
|
11/10/2022
|
33-22-61
|
Prior Authorization of Hypoglycemics, Insulin and Related Agents – Pharmacy Services
|
11/10/2022
|
33-22-63
|
Prior Authorization of Hypoglycemics, TZDs – Pharmacy Services
|
11/10/2022
|
33-22-64
|
Prior Authorization of Immunomodulators, Atopic Dermatitis – Pharmacy Services
|
11/10/2022
|
33-22-66
|
Prior Authorization of NSAIDs – Pharmacy Services
|
11/10/2022
|
33-22-55
|
Prior Authorization of Dupixent (dupilumab) – Pharmacy Services
|
11/9/2022
|
33-22-56
|
Prior Authorization of GI Motility, Chronic Agents – Pharmacy Services
|
11/9/2022
|
33-22-58
|
Prior Authorization of Glucocorticoids, Oral – Pharmacy Services
|
11/9/2022
|
33-22-57
|
Prior Authorization of Glucocorticoids, Inhaled – Pharmacy Services
|
11/9/2022
|
33-22-59
|
Prior Authorization of Hepatitis C Agents – Pharmacy Services
|
11/9/2022
|
33-22-46
|
Prior Authorization of Antihemophilia Agents – Pharmacy Services
|
11/9/2022
|
33-22-37
|
Prior Authorization of Angiotensin Modulator Combinations – Pharmacy Services
|
11/9/2022
|
31-22-39
|
Prior Authorization of Bile Salts – Pharmacy Services
|
11/9/2022
|
33-22-53
|
Prior Authorization of Cytokine and CAM Antagonists – Pharmacy Services
|
11/9/2022
|
33-22-44
|
Prior Authorization of Antibiotics, GI and Related Agents – Pharmacy Services
|
11/8/2022
|
33-22-45
|
Prior Authorization of Antifibrotic Respiratory Agents (Formerly Idiopathic Pulmonary Fibrosis (IPF) Agents) – Pharmacy Services
|
11/8/2022
|
99-22-05
|
2022 Healthcare Common Procedure Coding System (HCPCS) Updates and Other Procedure Code ChangePrior Authorization of Antivirals, CMV – Pharmacy Services
|
11/8/2022
|
33-22-52
|
Prior Authorization of Corticotropin (formerly H.P. Acthar Gel) – Pharmacy Services
|
11/8/2022
|
33-22-40
|
Prior Authorization of Acne Agents, Oral – Pharmacy Services
|
11/4/2022
|
99-22-10
|
Enrollment of Providers for Medicare Cost-Sharing Only
|
11/4/2022
|
33-22-48
|
Prior Authorization of Antipsoriatics, Topical - Pharmacy Services
|
11/4/2022
|
33-22-43
|
Prior Authorization of Antianginal Agents - Pharmacy Services
|
11/4/2022
|
33-22-41
|
Prior Authorization of Alcohol Use Disorder Agents - Pharmacy Services
|
11/4/2022
|
33-22-16
|
SARS-CoV-2 Vaccine Booster Manufactured by Moderna Inc
|
10/17/2022
|
33-22-37
|
Updates to Pediatric SARS-CoV-2 Vaccines Manufactured by Pfizer, Inc. and Moderna, Inc.
|
9/28/2022
|
07-22-02
|
Additions to the Medical Assistance Fee Schedule for Private Duty Nursing Services Provided to Beneficiaries Under the Age
|
9/26/2022
|
33-22-12
|
Vaccine Counseling Only Visits for Beneficiaries Under 21
|
9/20/2022
|
33-22-36
|
Administration of SARS-CoV-2 Vaccine Manufactured by Novavax
|
9/19/2022
|
99-22-07
|
Pennsylvania’s Early and Periodic Screening Diagnosis and Treatment (EPSDT) Program Periodicity Schedule
|
9/19/2022
|
35-22-02
|
School-Based ACCESS Program Provider Handbook
|
9/15/2022
|
33-22-39
|
Adult Vaccine Procedure Code Updates and Additions1
|
9/14/2022
|
33-22-37
|
Updates to Pediatric SARS-CoV-2 Vaccines
|
9/8/2022
|
27-22-27
|
2022 Medical Assistance Program Dental Fee Schedule Update.
|
9/7/2022
|
31-22-39
|
Addition of Behavioral Health Providers to Certain Procedure Codes and other Procedure Code Changes
|
8/26/2022
|
99-22-05
|
2022 Healthcare Common Procedure Coding System (HCPCS) Updates and Other Procedure Code Change
|
8/26/2022
|
33-22-13
|
Adult Vaccine Procedure Code Updates and Additions
|
8/26/2022
|
33-22-04
|
SARS-CoV-2 (COVID-19) Oral Antiviral Treatments with emergency use authorization (EUA) from the U.S. Food and Drug Administ
|
1/25/2022
|
33-22-02
|
Prior Authorization of Aduhelm (aducanumab) – Pharmacy Services
|
1/12/2022
|
33-22-03
|
Prior Authorization of Xyrem (sodium oxybate) Xywav (calcium, magnesium, potassium, and sodium oxybates) Pharmacy Service
|
1/11/2022
|
33-22-05
|
Billing Procedure Update for Certified Registered Nurse Practitioners and Physician Assistants
|
1/7/2022
|
1/12/2026
|
Newborn Payment Policy for Acute Care General Hospital
|
5/12/2012
|
99-10-14
|
Missed Appointments
|
12/1/2010
|
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