[45 Pa.B. 4493]
[Saturday, August 8, 2015]
[Continued from previous Web Page]
Year Code
CitationSubject Date Issued Bulletin Number Ch. 1141
Ch. 1153Clozapine Support Services 12/29/98 33-98-08
29-98-08
01-98-19Procedure for Requesting Prior Authorization of Medical Assistance Case Management Services for Recipients Under the Age of 21 12/31/98 05-98-04 1999 Medicheck List: (1) Providers, Entities And Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for which Registration has been denied or approval withdrawn 01/01/99 88-99-01 — Address Change for Provider Inquiry 01/27/99 99-99-01 — Medicheck List (1) Providers, Enitities and Individuals Precluded from Participation in The Medical Assistance Program (2) Shared Health Facilities for which Registration has Been Denied or Approval Withdrawn 02/01/99 88-99-02 — Change in Procedure for Billing Administration of DT and Td Vaccines 02/09/99 01-99-02
10-99-01
11-99-02
26-99-02
49-99-01Ch. 1140 New Procedure Code for Healthy Beginnings Plus Program 02/12/99 01-99-01
11-99-01
23-99-01
26-99-01
30-99-01
31-99-01— Continued Existence of the Fee-For- Service (FFS) Delivery System in the HealthChoices Zones and Use of HealthChoices Zones and Use of Access Cards 02/12/99 99-99-03 — The addition of Sustiva (efavirenz) and Ziagen (abacavir) to the Special Pharmaceutical Benefits Program Formulary 02/15/99 01-99-03
02-99-01
11-99-03
19-99-01
23-99-02
26-99-03
28-99-01
30-99-02
35-99-01
36-99-01
37-99-01
45-99-01
46-99-01Ch. 1101
1150Medical Assistance Program Fee Schedule Revision 1999 HCPCS updates 02/26/99 99-99-02 — Medicheck List (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 03/01/99 88-99-03 Ch. 1225 Price Increase and Additional Services For Family Planning Clinics 03/04/99 34-99-01
35-99-02
36-99-02Ch. 1221 Change in Podiatric Billing Procedure For Emergency Room Visits 03/22/99 04-99-01 — Medicheck List (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 04/01/99 88-99-04 Ch. 1101 Revised HealthCare Benefits Packages Reference Chart 04/20/99 99-99-04 Medicheck List (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 05/01/99 88-99-05 — Severity Two Hour Supply HealthChoices Southeast 05/28/99 19-99-02 — Medicheck List (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 06/01/99 88-99-06 Capital Component Payments for Post Moratorium Beds 06/28/99 35-99-05
36-99-05
1187-99-01— Medicheck List (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 07/01/99 88-99-07 Ch. 1121 Prescriptions NOT received by the Medical Assistance (MA) Recipient 07/05/99 19-99-04 Ch. 1149 Increased Fees for Selected Pediatric Dental Services 07/09/99 33-99-01 — The Addition of Agenerase (amprenavir) To the Special Pharmaceutical Benefits Program Formulary 07/09/99 01-99-04
02-99-02
11-99-04
19-99-03
23-99-03
26-99-04
28-99-04
30-99-03
35-99-03
36-99-03
37-99-02
45-99-02
46-99-02Ch. 1121 Updates to State Maximum Allowable Cost (State MAC) 07/16/99 01-99-05
19-99-05— Millennium Compliance 07/27/99 99-99-05 Ch. 1150
1163Training for Inpatient Facilites on Completing the UB-92 Invoice 07/27/99 11-99-06
12-99-02
13-99-01
53-99-01— Medicheck List (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 08/01/99 88-99-08 — Additions and Corrections of Fee Increases For Specific Services Rendered by Outpatient Psychiatric clinics, Psychiatric partial Hospitalization Programs, and Outpatient Drug and Alcohol clinics 08/30/99 28-99-05
29-99-03
33-99-02Ch. 1150
1241Clarification of Enrollment and Billing Procedures for Physical, Speech, and Occupational Therapy 08/30/99 43-99-01
50-99-01— Medicheck List (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdraw 09/01/99 88-99-09 Ch. 1101 ''Payment in Full'' 09/17/99 99-99-06 Medicheck List (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 10/01/99 88-99-10 Ch. 1145 Change in Recipient Access to Chiropractic Services in the Managed Care Delivery System 10/22/99 99-99-07 — Medicheck List (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 11/01/99 88-99-11 Ch. 1147 Medical Assistance (MA) Payment Policy For Eyeglasses Coverage 11/05/99 01-99-06
05-99-01
15-99-01Ch. 1121 Prior Authorization of Viagra and Other Drugs for Erectile Dysfunction Treatment Criteria, Limits and Procedures 11/22/99 99-99-08 Ch. 1225 Price Increase and Additional Services For Family Planning Clinics 11/22/99 30-99-04 Ch. 1121 Fee Increase for the ParaGuard IUD 11/22/99 01-99-07
10-99-02
11-99-07Medicheck List (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 12/01/99 88-99-12 Ch. 1241 Coverage of Medically Necessary Services And Equipment for Children in Early Intervention or Special Education Programs 12/03/99 01-99-08
05-99-02
11-99-08
17-99-01
23-99-04
43-99-02
50-99-02Ch. 1241 Clarification of Enrollment and Billing Procedures for EPSDT Expanded Services Providers of Physical Therapy, Speech Therapy and Occupational Therapy 12/10/99 50-99-04 Ch. 1121 Prescription Refills Maintenance Medications 12/10/99 19-99-06 Ch. 1142 Expanded Procedures Codes for Provider Type 31 Midwives2000 Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 12/29/99
—
01/01/0031-99-02
88-00-01— Expansion of Special Pharmaceutical Benefits Clozaril Program 01/28/00 01-00-01,
02-00-01
05-00-01,
11-00-01
13-00-01
14-00-01
19-00-01
23-00-01
26-00-01
29-00-01
33-00-01
35-00-01
36-00-01
49-00-01— Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 02/01/00 88-00-02 — Revised Billing Instructions for the Community Services Program for Persons with Physicla Disabilities (CSPPPD) Waivers 02/15/00 51-00-01 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 03/01/00 88-00-03 — Changes in Terminology in Medical Assistance Program Fee Schedule for Type of Service/Procedure Code AG/W1855 03/13/00 28-00-01 Ch. 1121 Updated State Maximum Allowable Cost (MAC) List 03/17/00 01-00-02
19-00-02— Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 04/01/00 88-00-04 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 05/01/00 88-00-05 — Continued Existence of the Fee-for-Service (FFS) Delivery System in HealthChoices Zones and Use of ACCESS Cards 5/24/00 99-00-01 Ch. 1121 Prior Authorization List of Brand Name Drugs 5/25/00 01-00-04
02-00-02
03-00-01
04-00-01
10-00-01
11-00-02
12-00-01
19-00-05
26-00-02
28-00-02
29-00-02
30-00-01
33-00-01
49-00-02Ch. 1121 Updated State Maximum Allowable Cost (MAC) List 05/26/00 01-00-03
19-00-04— Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 06/01/00 88-00-06 Ch. 1141 Elimination of Physician Attestation Requirement 06/22/00 01-00-05 11-00-03 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 07/01/00 88-00-07 Ch. 1251 Increased Fees for Funeral Director Services 07/3/00 22-00-01 — Implementation of the Medical Assistance Programs' Internet website www.dpw.state.pa.us/omap 07/07/00 99-00-02 Ch. 1145 Change in Recipient Access to Chiropractic Services in the Managed Care Delivery System 07/12/00 99-00-03 Ch. 1121 Updated State Maximum Allowable Cost (MAC) List 07/19/00 01-00-06
19-00-06— Medicheck List: (1) Providers, Entities
and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn08/01/00 88-00-08 Ch. 1121 Clarification of Billing Instructions for Methadone Maintenance Services 08/21/00 28-00-03 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 09/01/00 88-00-09 Ch. 1141
1163Increased Fees for Selected Neonatal Intensive Care Procedure Codes and the Addition of a New Neonatal Intensive Care Procedure Code 09/01/00 01-00-07 — Prior Authorization Interim Supply of Medication HealthChoices Southwest (Revised) 09/07/00 19-00-07 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 10/01/00 88-00-10 Ch. 1150 Clarification of the 1150 Administrative Waiver Process also known as the Program Exception Process for Prosthetic and Orthotic Providers 10/04/00 01-00-08
05-00-02
19-00-08— Application for Health Care Coverage 10/13/00 99-00-04 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 11/01/00 88-00-11 Ch. 1241 Pennsylvania Vaccines for Children (VFC) Program 11/15/00 01-00-10
10-00-03
11-00-05
26-00-04— HealthCare Benefits Package 12 Updated Employability Assessment Procdure Code List 11/15/00 01-00-09
10-00-02
11-00-04
12-00-02
15-00-01
16-00-01
20-00-01
26-00-03
28-00-04
29-00-03
49-00-03Ch. 1243 Change in Payment Amount and Payment Method for the HIV-1 Viral Load Test (CPT Code 87536) 11/17/00 11-00-06
12-00-03
16-00-02— The Addition of Kaletra (lopinavir/ritonavir) to the Special Pharmaceutical Benefits Program Formulary 11/21/00 01-00-11
02-00-03
11-00-07
19-00-09
23-00-02
26-00-05
28-00-05
30-00-02
35-00-02
36-00-02
37-00-01
45-00-01
46-00-01— Consent Forms for the Release of Confidential Information 11/28/00 99-00-05 — Revised Target Resident Reporting Form (MA 408)* 11/28/00 34-00-02
35-00-05
36-00-04Ch. 1141 Medical Assistance (MA) Payment Policy for Multivisceral Transplants 11/28/00 01-00-12
11-00-08
17-00-02Ch. 1221 Voluntary Managed Care Organization's Payment Responsibility for Emergency Room Services 11/28/00 17-00-03 — Admissions Notice Packet (MA 401) 11/28/00 24-00-01
25-00-01
34-00-01
35-00-03
36-00-01— Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 12/01/00 88-00-12 — Revised Billing Instructions: Specified Medical Assistance (MA) Services in MA Voluntary Managed Care 12/8/00 01-00-14
03-00-02
04-00-02
05-00-03
08-00-01
10-00-04
11-00-09
12-00-04
16-00-03
17-00-04
20-00-02
23-00-03
31-00-01
40-00-01
41-00-02
44-00-01
45-00-02
49-00-05
50-00-03Ch. 1121 Updated State Maximum Allowable Cost (MAC) List 12/11/00 01-00-15
19-00-10Ch. 1101
1150Medical Assistance Program Fee Schedule Revision 1999/2000 HCPCS Updates 12/22/00 99-00-06 — Freedom of Choice for Medical Assistance Recipients Requiring Behavioral Health Services 12/29/00 01-00-16
29-00-05
33-00-04
41-00-03
48-00-02
49-00-06
50-00-04Ch. 1149 Dental Fee Increase and Medical Assistance Program Fee Schedule Revisions 12/29/00 03-00-03 — Prior Authorization of Therapeutic Staff Support (TSS) Services 12/29/00 01-00-13
29-00-04
33-00-03
41-00-01
48-00-01
49-00-04
50-00-022001 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 01/01/01 88-01-01 Ch. 1121 Diabetes Outpatient Self-Management Training and Education 01/15/01 99-01-01 Ch. 1121 List of Brand Name Drugs Requiring Prior Authorization 01/30/01 01-01-01
02-01-01
03-01-01
04-01-01
10-01-01
11-01-01
12-01-01
19-01-01
26-01-01
28-01-01
29-01-01
30-01-01
33-01-01
49-01-01Ch. 1101
1150Delete Procedure Codes with Type of Service 35 from the Medical Assistance Program Fee Schedule 02/01/01 10-01-02
11-01-02
26-01-02Ch. 1149 Issuance of a Replacement Page to the January 1, 2001 Medical Assistance Program Fee Schedule for Dental Services 02/01/01 03-01-02 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 02/01/01 88-01-02 Ch. 1101
1223Clarification of Coverage for Motorized Wheelchairs and Other Durable Medical Equipment 02/16/01 01-01-02
05-01-01
17-01-01
19-01-02
49-01-02
50-01-01
1101-01-01
1123-01-01Ch. 1149 Addition of Selected Periodontal Services to the Medical Assistance Program Fee Schedule 2/28/01 03-01-03 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 03/01/01 88-01-03 — Expanded Hours of Operatio for the Provider Services Toll-Free Inquiry Lines 03/28/01 99-01-02 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 04/01/01 88-01-04 Ch. 1150
1141Medical Assistance (MA) Payment Policy for Multivisceral Transplants 04/06/01 01-01-03
11-01-03
17-01-02— Behavioral Specialist Consultant and Mobile Therapist 04/26/01 01-01-04
17-01-03
29-01-02
33-01-02
41-01-01
48-01-01
49-01-03
50-01-02Ch. 1149 Implementation of the ADA Claim Form—Version 2000 and Revised Billing Instructions for Assistant Surgeons 04/27/01 03-01-04 Ch. 1101
1150Medical Assistance Program Fee Schedule Revision 2001 HCPCS Updates 4/27/01 99-01-03 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 05/01/01 88-01-05 — Automated Clearinghouse (ACH)—Electronic Funds Transfer 05/04/01 99-01-04 — Consent Forms for the Release of Confidential Information 0518/01 99-01-05 — Additional Place-of-Service (Office) for Psychotherapy 06-01-01 01-01-09
41-01-06— Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 06/01/01 88-01-06 — Revisions to Policies and Procedures Relating to Mobile Therapy, Behavioral Specialist Consultant and Therapeutic Staff Support Services 06/01/01 01-01-05
29-01-03
33-01-03
41-01-02
48-01-02
49-01-04
50-01-03— Section V—Billing Information Nursing Facility Services Handbook 06/04/01 35-01-01
36-01-01Ch. 1142 Reissue Expanded Procedure Codes for Independent Certified Nurse Midwives 06/15/01 01-01-08
31-01-01— Addition of Behavioral Health Rehabilitation Service to the Medical Assistance (MA) Program Fee Schedule 06/21/01 01-01-07
29-01-05
33-01-05
41-01-04
48-01-04
49-01-06
50-01-05Office of Medical Assistance Programs (OMAP) Fraud and Abuse Hotline 06/27/01 99-01-06 Ch. 1243 Training for Outpatient Laboratories on Completing the MA 319 abd HCFA 1500 Invoices 06/29/01
16-01-0111-01-04 Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 07/01/01 88-01-07 Ch. 1241 Revision to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program 07/01/01 01-01-10
10-01-03
11-01-05
17-01-04
26-01-03
49-01-07Ch. 1121 Medicaid Drug Rebate Program Participating Drug Labelers Updated List 07/12/01 01-01-11
02-01-02
03-01-05
04-01-02
10-01-04
11-01-06
12-01-02
19-01-03
26-01-04
28-01-02
29-01-06
30-01-02
33-01-06
49-01-08— Long Term Care Toll Free Inquiry Lines 07/16/01 24-01-01
25-01-01
34-01-01
35-01-02
36-01-02— The Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities (RTF) 07/23/01 53-01-01 Ch 1145 Recipient Access to Chiropractic Services in the Managed Care Delivery System 07/31/01 99-01-07 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 08/01/01 88-01-08 Ch. 1121 Updated State Maximum Allowable Cost (MAC) List 08-09-01 01-01-12
19-01-04— Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 09/01/01 88-01-09 Ch. 1101 Revised HealthCare Benefits Packages Reference Chart 09-10-01 99-01-08 Ch. 1121 ON-LINE Pharmacy Extended Reversal Implementation 09/11/01 19-01-05 — Billing for Clozaril and Clozapine in the Voluntary HMOs 09/25/01 01-01-14
19-01-06— Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 10/01/01 88-01-10 — The Addition of Geodon Iziprasidone) to the Special Pharmaceutical Benefits Program Formulary for Atypical Antipsychotic Medications 10/25/01 01-01-15
02-01-03
05-01-02
11-01-08
13-01-01
14-01-02
19-01-07
23-01-01
26-01-06
27-01-01
29-01-08
32-01-01
33-01-07
35-01-03
36-01-03
49-01-10— Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 11/01/01 88-01-11 — Medicheck List: (1) Providers, Entities and Individuals Precluded from Participation in the Medical Assistance Program (2) Shared Health Facilities for Which Registration has been Denied or Approval Withdrawn 12/01/01 88-01-12 — The Addition of Viread (tenofir Disoproxil fumarate) to the Special Pharmaceutical Benefits Program Formulary 12/7/01 01-01-16
02-01-04
11-01-09
19-01-08
23-01-02
26-01-07
28-01-04
30-01-03
35-01-04
36-01-04
37-01-01
45-01-01
46-01-01Ch. 1149 Revision to Medical Assistance Dental Services 12/19/01 03-01-06 — MCO-FFS Split Billing for Inpatient Services 12/20/01 11-01-10
12-01-04
17-01-05— Medical Assistance for Workers with Disabilities (MAWD) 12/21/01 99-01-11 Ch. 1121 Prior Authorization of Sustained/Controlled Release Oxycodone/OxyContin 12/11/01 99-01-10 — Breast and Cervical Cancer Prevention and Treatment Program 12/26/01 99-01-12 Ch. 1249 Discontinuance of Prior Authorization Requirement for Home Health Postpartum Visits 12/27/01 01-01-19
11-01-11
23-01-03Ch. 1150 Ordering Medical Assistance Forms and Invoices 12/27/01 99-01-09 Ch. 1141
1150Increased Reimbursement for Anesthesia Procedure 12/27/01 01-01-14
44-01-01— Billing for Protease Inhibitors for HealthChoices Southeast MCOs 12/27/01 01-01-18
19-01-19Ch. 1123 Coverage of Enteral Nutritional Supplements 12/28/01 99-01-13 2002 — Discontinuance of Hard Copies of Medicheck List 01/01/02 88-02-01 Ch. 1121 Discontinuance Prior Authorization of Proton Pump Inhibitors and Prostaglandins 01/03/02 99-02-01 Ch. 1249 Revisions to the Home Health Agency Enrollment Process 01/04/02 23-02-01 Ch. 1121 Coverage of Tobacco Cessation Drug Products and Counseling Services 01/16/02 99-02-02 Ch. 1241 Revision to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program 01/22/02 01-02-01
10-02-01
11-02-01
17-02-01
26-02-01
49-02-01Ch. 1121 Updated State Maximum Allowable Cost (MAC) List 01/28/02 01-02-02
19-02-01Ch. 1121 List of Brand Name Drugs Requiring Prior Authorization 01/30/02 01-02-03
02-02-01
03-02-01
04-02-01
10-02-02
11-02-02
12-02-01
19-02-02
26-02-02
28-02-01
29-02-01
30-02-01
33-02-01
49-02-02— The Michael Dallas Waiver 01/30/02 99-02-03 Ch. 1221 Diabetes Outpatient Self-Management Training and Education 02/06/02 99-02-04 Ch. 1130 BPI Retrospective Review of Hospice Services 02/21/02 01-02-04
17-02-02
37-02-01— Electronic Submission of the Cost Report (MA-11) Form for Reporting Periods Ending 12/21/2011 and Thereafter 02/21/02 35-02-01
36-02-01— Reissue of Medical Assistance (MA) Bulletin Addition of Behavioral Health Rehabilitation Service to the MA Program Fee Schedule 03/06/02 01-02-05
29-02-02
33-02-02
41-02-01
48-02-01
49-02-03
50-02-01— Urgent Care Transportation Requests through the Medical Assistance Transportation Program (MATP) 03/14/02 99-02-05 — Stopping Accidental Falls in Elders (SAFE) 03/21/02 01-02-06
11-02-03
12-02-02
13-02-41
14-02-01
35-02-02
36-02-02— Documentation and Medical Record Keeping Requirements 03/21/02 29-02-03
33-02-03
41-02-02— Medical Assistane Estate Recovery Program Brochure 04/03/22 34-02-01
35-02-03
36-02-03— Reminder to Providers Who Prescribe Behavioral Health Rehabilitation Services of Documentation Requirements 04/03/02 01-02-07
29-02-04
33-02-04
41-02-03
48-02-02
50-02-02
09-02-04Ch. 1123 Exceptional Durable Medical Equipment (DME) 04/04/02 01-02-08
05-02-01
17-02-03
19-02-03
35-02-04
36-02-04— Breast and Cervical Cancer Prevention and Treatment Program 05/03/02 99-02-06 — Clarification and Update to Bulletin 36-91-01 Regarding Invoice Exception Process for Long Term Care Facilities 05/21/02 25-02-01
35-02-05
36-02-05— Performance Expectations and Recommended Guidelines for the County Child and Adolescent Services System Program (CASSP) 06/06/02 OMHSAS-02-02 — Health Insurance Portability & Accountability Act (HIPAA) 06/25/02 99-02-07 — Electronic Provider Enrollment Automation Program (ePEAP) 07/18/02 99-02-08 — Section VII—Utilization Management Review Nursing Facility Services Handbook 07/18/02 35-02-06
36-02-06Ch. 1101 Revision to the HealthCare Benefits Packages Reference Chart (MA 446) 07/18/02 99-02-09 Ch. 1145 Change in Recipient Access to Chiropractic Services in the Managed Care Delivery System 08/12/02 99-02-10 — Residential Treatment facility Services Provided in a Secure Setting 10/01/02 01-02-11
11-02-04
12-02-03
13-02-02
17-02-04
41-02-04
50-02-03
53-02-01— Prior Authorization Interim Supply of Medication HealthChoices Lehigh/Capital Region 10/10/02 19-02-06 — Community Care (COMMCARE) Waiver Provider
Type 5910/16/02 05-02-04
17-02-05
19-02-07
23-02-02
28-02-03
29-02-05
38-02-01
39-02-01
41-02-05
43-02-01
51-02-01
55-02-01
56-02-01
59-02-01— Outpatient Drug and Alcohol Clinics with Provisional Licenses 10/16/02 28-02-02 Ch. 1241 Addition of Procedure Code 90732 to Medical Assistance Fee Schedule for Administration of Pneumococcal Vaccine 11/18/02 01-02-13
10-02-04
11-02-06
17-02-07
26-02-04
49-02-06Ch. 1241 2002 Recommended Childhood Immunizations Schedule 11/18/02 01-02-12
10-02-03
11-02-05 17-02-06
26-02-03
49-02-05— Continued Existence of the Fee-for-Service (FFS) Delivery System in HealthChoices Zones and Use of ACCESS Cards 11/27/02 99-02-11 Ch. 1101
1150Medical Assistance Program Fee Schedule Revisions: HIPAA Compliant Procedure Codes 11/27/02 99-02-12 Ch. 1121 Misrepresentation of Prescriber on the Drug Claim 11/27/02 19-02-08 Ch. 1101 The Bureau of Program Integrity and the Medical Assistance Provider Self-Audit Protocol 12/02/02 99-02-13 — Home Health Agency Services Fee Increase and Medical Assistance Program Fee Scheule Revisions 12/20/02 23-02-03 — Prior Authorization Update for Interim Supply of Medication HealthChoices Southeast Region 12/27/02 19-02-09 2003 — Additional Place of Service (Office) For Pscyhotherapy 01/06/03 01-03-01
41-03-01Ch. 1149 Elimination of the Use of the Dental Service Invoice (MA 300D) and Providing Training on Completion of The ADA Claim Form (Version 2000) 01/08/03 03-03-01 Ch. 1147 Explanded Procedure Codes for Provider Type 15 Optometrist 01/13/03 15-03-01 Ch. 1101 Revised Healthcare Benefit Packages Reference Chart 01/13/03 99-03-02 — Availability of Training for Completion Of Provider Behavioral Health Rehabilitation Services Reports 01/31/03 01-03-02
29-03-01
33-03-01
41-03-02
48-03-01
49-03-01
50-03-01Ch. 1121 Updated State Maximum Allowable Cost (MAC) List 03/03/03 01-03-03
19-03-01— Introduction of the HIPAA Ready Provider Electronic Solutions Software And Statewide Training Seminars 03/11/03 99-03-03 Ch. 1241 2003 Recommended Childhood Immunization Schedule 03/31/03 01-03-04
10-03-01
11-03-01
17-03-01
26-03-01
49-03-02Ch. 1163 Billing Procedures for Change in Delivery Systems during a Hospital Stay and Subsequent Hospital Admission 04/04/03 11-03-02
12-03-01
13-03-01
17-03-02Ch. 1249 Revised Prior Authorization and Program Exception Pages for the Home Health Services Handbook 04/08/03 23-03-01 Ch. 1123 Information on Accredited Rehabilitation Facilities to be Used for Motorized Wheelchair Evaluation 04/14/03 01-03-05
05-03-02
19-03-03Ch. 1150 Elimination of the Use of the Medical Services Invoice 04/24/03 99-03-05 Ch. 1150 Medical Assistance Program Fee Schedule Revision 05/01/03 05-03-01
19-03-02Ch. 1150 Revisions to the Prior Authorization and Program Exception Notices 05/08/03 99-03-04 Ch. 1149 Medical Assistance Program Fee Schedule for Dental Services Revisions 05/12/03 03-03-02 Ch. 1144 Pharmaceutical Services Prescribed and/or Dispensed by a Certified Registered Nurse Practitioner (CRNP) 05/12/03 99-03-06 Ch. 1241 Coverage of Pediarix and Addition of Procedure Code 90723 to Medical Assistance Fee Schedule for Administration of Pediarix Vaccine 05/15/03 01-03-06
10-03-02
11-03-03
17-03-03
26-03-02
49-03-03— Process to Handle Residential Treatment Facility (RTF) Reports of Death, Serious Injury or Attempted Suicide (Serious Occurances) 06/13/03 53-03-01 — Change of Protocol for Certain Provider Appeals. Appeals must be sent to Bureau of Hearings and Appeals 07/29/03 99-03-08 — Requirement for Medical Assistance (MA) Providers to Submit Accurate and Complete Encounter Data to MA Managed Care Organizations 08/01/03 99-03-10 — The Addition of Fuzeon (enfuvirtide) and Abilify (aripiprazole to the Special Pharmaceutical Benefits Program 08/01/03 99-03-11 — Obligation of Medical Assistance Providers Participating in the Managed Care Delivery System to Comply with MA Regulations 08/01/03 99-03-09 Ch. 1149 Continuity of Care for Orthodontia Treatment—From Managed Care to Fee-For-Service 08/11/03 03-03-03 — Nursing Facility Responsibility to Notify HealthChoices and Voluntary Program MCOs of the Admission of an MCO Enrolled Member 08/27/03 35-03-02
36-03-02— Revisions to the Medical Evaluation Form 08/27/03 11-03-04
24-03-01
25-03-01
34-03-01
35-03-01
36-03-01Ch. 1101 Liability for Cost Sharing for Recipients Enrolled in Medical Assistance through Fee for Service or Managed Care and a Private Third Party Insurer 09/01/03 99-03-12 — Continuity of Care for Recipients Transferring Between and Among Fee for Service and Managed Care Organizations 09/01/03 99-03-13 Ch. 1121 Updated Maximum Allowable Cost (MAC) List 09/03/03 01-03-07
19-03-04
49-03-04Ch. 1241 Elimination of the Pennsylvania Children's Check-up (EPSDT) Form (MA-517) 09/05/03 01-03-08
10-03-03
11-03-05
17-03-04
26-03-03
49-03-05Ch. 1121 Medicaid Drug Rebate Program Participating Drug Labelers Updated List 10/01/03 01-03-09
02-03-02
03-03-04
04-03-01
10-03-03
11-03-06
12-03-02
19-03-05
26-03-04
28-03-01
29-03-02
30-03-01
33-03-02
49-03-06— Elimination of the Requirement for the Outpatient Drug and Alcohol Clinic's Supervisory Physician to Perform a Comprehensive Medical Examination Within 15 Days Following the Intake and Before the Provision of Treatment 10/01/03 28-03-02 Ch. 1101
1150Replacing and End-dating Local Procedure Codes 10/01/03 99-03-14 — The Addition of Reyataz (atazanavir sulfate) and Emtriva (emtricitabine) to the Special Pharmaceutical Benefits Program 10/15/03 99-03-16 — Special Pharmaceutical Benefits Program Time Sensitive Expansion Tiers Structure 10/17/03 99-03-19 — Changes to Electronic Claims Format 10/17/03 99-03-17 — Revisions to Medical Evaluation Form (MA 51) 10/17/03 01-03-10
11-03-07
24-03-02
25-03-02
34-03-02
35-03-03
36-03-03
99-03-17Ch. 1101
1150Medical Assistance Program Fee Schedule Revision 2002 HCPCS Updates 10/17/03 99-03-18 Ch. 1149 Supernumerary Tooth Enumeration and Quadrant Designation on the American Dental Association Claim Form (ADA Claim Form—Version 2000) 10/31/03 03-03-05 — Introduction to the Provider Reimbursement and Operations Management Information System (PROMISe) 10/31/03 99-03-20 — Clarification of Procedures for Requesting Copies of Medical Assistance Recipients' Bills 11/01/03 99-03-15 Ch. 1101
1150Medical Assistance Program Fee Schedule Revision 11/01/03 05-03-04
19-03-06— Health Insurance Portability and Accountability Act (HIPAA) Transaction and Code Sets Updates 12/01/03 99-03-21 — The Addition of Lexiva (fosamprenavir) to the Special Pharmaceutical Benefits Program 12/03/03 99-03-23 2005 Ch. 1101
1150Revisions to Prior Authorization of Drugs for Erectile Dysfunction 01/10/05 99-05-02 — Alternative Sanction Guidelines for ICF/MR Medical Assistance Certification 01/28/05 00-04-15 Ch. 1101
11502004 HCPCS Updates and Other Revisions to the Medical Assistance Fee Schedule 02/05/05 99-05-04 Ch. 1121 List of Brand Name Drugs Requiring Prior Authorization 02/10/05 01-05-01
08-05-01
09-05-02
11-05-01
14-05-01
21-05-01
24-05-02
27-05-01
31-02-02Ch. 1121 Updated State Maximum Allowable Cost (MAC) List 02/10/05 0905-01
24-05-01
31-05-01Ch. 1101 Change in Effective Date for Prior 1150 Authorization of Drugs That Exceed 1121 Established Quantity Limits and Brand Name Single Source Non-Steroidal Ant-Inflammatory Drugs (NSAIDS) 04/26/05 99-05-09 — Implementation of the ACCESS Plus Program 05/23/05 99-05-11 Ch. 1241 2005 Recommended Childhood & Adolescents Immunization Schedule 05/26/05 33-05-01 — Integrated Children's Service Initiative 06/09/05 00-05-05 — Announcement of the National Provider Identifier Number 06/10/05 99-05-13 — Revised Maximum Participation Project Consent for Release of Information Form (PA 1723) 06/15/05 99-05-12 Ch. 1121 Non-Coverage of Drugs for the Treatment of Erectile Dysfunction for Sex Offenders 06-15-05 08-05-03
09-05-04
11-05-02
24-05-03
27-05-03
31-05-04Ch. 1101
1150Corrections to MA Bulletin 99-05-04: Addition of HCPCS Codes to Medical Assistance Programs Fee Schedule 06-20-05 99-05-10 — Psychological/Psychiatric/Clinical Re-Evaluations and Re-Authorizations or Behavioral Health Rehabilitation (BHR) Services for Children and Adolescents with Behavioral Health Needs Compounded by Developmental Disorders 06/24/05 07-05-01
08-05-04
09-05-05
11-05-03
19-05-01
31-05-05— Nursing Facility Assessments/Supplemental Payments 06/24/05 03-05-01 Ch. 1128 Clarification and Instructions for Providers Who Bill Medical Assistance for Dialysis Services When Medicare is the Primary Insurer 06/29/05 30-05-01 Ch. 1121 Revisions to Payment for the Drug Cost Component of Brand Name and Generic Drugs 08/05/05 09-05-06
24-05-06
25-05-01
31-05-06Ch. 1121 Prior Authorization of Drugs That Exceed Established Quantity Limits—Phase 1 Enforcement 08/10/05 99-05-14 Ch. 1121 Revisions to the State Maximum Allowable Cost for Pharmaceutical Services 08/18/05 09-05-07
24-05-07
25-05-02
31-05-07Ch. 1149 Dental Fee Increase for Anesthesia and Behavior Management Services 08/22/08 27-05-02 Ch. 1101 Copayment Changes for Brand Name and Generic Prescription Drugs 08/26/05 24-05-05 — Electronic Submission for the Cost Report (MA-11) Form for Reporting Periods Ending 06/30/2005 and Thereafter 08-26-05 03-05-02 Ch. 1101
1150Medical Assistance Program Fee Schedule Procedure Code Changes for Behavioral Health Services 09/08/05 08-05-05
09-05-08
11-05-04
16-05-01
17-05-01
19-05-02
21-05-02
31-05-08
34-05-01Ch. 1101
11502005 HCPCS Updates and Other Revisions to the Medical Assistance Fee Schedule; Prior Authorization Requirements 09/12/05 99-05-15 Ch. 1121 Prior Authorization of Drugs That Exceed Established Quantity Limits—Phase 2 Enforcement 09/16/05 99-05-17 Ch. 1249 Medical Assistance Program Fee Schedule Procedure Code Changes for Home Health Agency Services 09-16-05 05-05-01 Ch. 1121 Preferred Drug List 09/19/05 99-05-18 — $10,000 Lifetime Limit on Other Medical Expenses Related to Facility Services 09/20/05 03-05-03 — Long Term Care Resource Transfer Penalty 09/20/05 99-05-16 Ch. 1101 Medical Assistance Program Fee 1150 Schedule Procedure Code Changes for Healthy Beginnings Plus Program Services 09/23/05 01-05-03
05-05-02
08-05-06
31-05-09
33-0502
47-05-01Ch. 1101
1150Revised Outpatient Service Authorization Request Form (MA-97) 09/26/05 99-05-19 Ch. 1121 Preferred Drug List—Phase 1 10/07/05 02-05-01
03-05-04
08-05-08
09-05-10
11-05-05
14-05-02
24-05-08
27-05-04
30-05-02
31-05-11
32-05-02Ch. 1225 Medical Assistance Program Fee Schedule Procedure Code Changes for Family Planning Clinic Services 10/14/05 08-05-09 Ch. 1101
1150
1241Meningococcal Conjugate Vaccine Menactra (MCV4) 10/14/05 01-05-05
08-05-10
09-05-11
31-05-12
33-05-04Ch. 1241 Revisions to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Periodicity Schedule 10/25/05 01-05-04
08-05-07
09-05-09
31-05-10
33-05-03Ch. 1128 Medical Assistance Program Fee Schedule Procedure Code Changes for Renal Dialysis Services 10/27/05 30-05-03
31-05-13Ch. 1101 Medical Assistance Program Fee 1150 Schedule Procedure Code Changes for Case Management Services 10/27/05 21-05-03 Ch. 1225 Medical Assistance Program Fee Schedule Procedure Code Changes for Federally Qualified Health Centers and Rural Health Clinics 10/27/05 08-05-11 Ch. 1101
1150Medical Assistance Program Fee Schedule Procedure Code Changes for Medical Foster Care Services 10/27/05 40-05-01 Ch. 1243 Medical Assistance Program Fee Schedule Procedure Code Changes for Laboratory Services 11/01/05 01-05-06
28-05-01Ch. 125 Title XIX Medical Assistance Program Family Planning Clinic Fee Schedule 11/1/05 08-05-12 Ch. 1121 Tabs for the—Prior Authorization of Pharmaceutical Services—Handbook 11/4/05 02-05-02
03-05-05
08-05-13
09-05-12
11-05-06
14-05-03
24-05-09
27-05-05
30-05-04
31-05-14
32-05-03Ch. 1121 Preferred Drug List—Phase 2 11/08/05 02-05-03
03-05-06
08-05-14
09-05-13
11-05-07
14-05-04
24-05-10
27-05-06
30-05-05
31-05-15
32-05-03Ch. 1121 Scope of Coverage of Pharmacy Services for Dual Eligibles in the Medical Assistance (MA) Program 11/17/05 99-05-21 Ch. 1123 Addition of Prosthetic, Orthotic and Medical Supply Procedure Codes to the Medical Assistance Fee Schedule 11/21/05 24-05-11
25-05-03— Rescind MAB 40-05-02 and Reissue the Medical Assistance Program Fee Schedule Procedure Code Changes for Provider Mileage 11/22/05 31-05-16
27-05-07
14-05-05
15-05-01
18-05-01
05-05-03
08-05-15
33-05-05
09-05-14Ch. 1121 Preferred Drug List—Phase 3 12/01/05 02-05-04
03-05-07
08-05-16
09-05-15
11-05-08
14-05-06
24-05-12
27-05-06
30-05-06
31-05-06
32-05-04Ch. 1123 Medical Assistance Program Fee Schedule Procedure Code Changes for Durable Medical Equipment, Medical Supplies, Vision Supplies and Hearing Supplies 12/01/05 05-05-04
24-05-13
25-05-04Ch. 1101 Changes to the Program Exception 1150 Process as a Result of End-Dating Local Procedure Codes 12/01/05 99-05-22 Ch. 1144 Clarification of Enrollment Policy for CRNPs 12/16/05 09-05-16 Ch. 1121 Prior Authorization of Prilosec Over-the-Counter (OTC) and Loratadine OTC for Dual Eligibles 12/23/05 02-05-05
03-05-08
08-05-17
09-05-17
11-05-09
14-05-07
24-05-13
27-05-07
30-05-07
31-05-18
32-05-05Ch. 1241 Medical Assistance Program Fee Schedule Procedure Code Changes for Occupational Therapy Services 12/27/05 17-05-02 Ch. 1145 Medical Assistance Program Fee Schedule Procedure Code Changes for Chiropractic Services 12/27/05 15-05-02 Ch. 1121 Pen and Ink Change-Medical Assistance Handbook, Prior Authorization of Pharmaceutical Services, Preferred Drug List 12/30/05 02-05-06
03-05-09
08-05-18
09-05-18
11-05-10
14-05-08
24-05-04
27-05-08
30-05-08
31-05-19
32-05-062006 Ch. 1123 Fee Increase for Enteral Nutritional Supplements 12/29/06 24-06-15
25-06-02Ch. 1243 Medical Assistance Program Fee Schedule Additions of Four Laboratory Codes 12/27/06 01-06-15
08-06-21
28-06-01Ch. 1101
11502006 HCPCS Updates; Prior Authorization Requirements 12/19/06 99-06-17 Ch. 1101
1150Medical Assistance Program Fee Schedule Revision 12/19/06 99-06-18 — Implementation of the CMS-1500 Health Insurance Claim Form (Version 08/05) 12/18/06 99-06-16 Ch. 1241 Rotavirus Vaccine 12/15/06 01-06-14
08-06-20
09-06-19
31-06-26
33-06-07Ch. 1101 Change to copayment requirements for recipients eligible under the Breast and Cervical Cancer Prevention and Treatment coverage group and Titles IV-B & IV-E Foster Care and Adoption Assistance 12/10/06 99-06-12 Ch. 1101 Clarification of Exclusions from Copayment Requirements 12/10/06 99-06-13 Ch. 1121 Preferred Drug List—Quarterly Update 12/08/06 02-06-10
09-06-18
24-06-14
31-06-25
03-06-16
11-06-09
27-06-13
32-06-08
08-06-19
14-06-11
30-06-08— Mobile Mental Health Treatment 11/30/06 08-06-18 Ch. 1153 Clarification of Payment Policy for Abortion Services 11/28/06 99-06-15 — Instructions for Registering Your National Provider Identifier (NPI) Number to the Department of Public Welfare 11/22/06 99-06-14 Ch. 1245 Reimbursement for Non-Emergency Transportation Services 11/17/06 03-06-15 Ch. 1245 Implementation of ACCESS Plus Referral Requirements 10/20/06 99-06-11 Ch. 1101 Revised HealthCare Benefits Packages Provider Reference Chart (MA 446) 10/06/06 99-06-10 — Medical Invoice UB-04 09/22/06 01-06-12
02-06-09
03-06-13Ch. 1241 Pennsylvania Vaccines for Children Program Update 09-22-06 01-06-11
08-06-17
09-06-17
31-06-23
33-06-06Ch. 1163 Medical Assistance Payment for Services of Teaching Physicians in Hospitals, Clinics and Emergency Rooms 09/16/06 1141-06-01
01-06-13
31-06-24Ch. 1121 Preferred Drug List—Quarterly Update 08/28/06 02-06-08
03-06-11
08-06-16
09-06-16
11-06-08
14-06-10
24-06-12
27-06-12
30-06-07
31-06-22
32-06-07— Revision to Minimum Staff Qualifications of Therapeutic Staff Support (TSS) Workers 08/24/06 08-06-15
09-06-15
11-06-07
19-06-04
31-06-21— The Addition of Atripla (efavirenz/ emtricitabine/tenofovir) and Prezista (darunavir) to the Special Pharmaceutical Benefits Program 08/21/06 09-06-14
21-06-02
24-06-11
31-06-20Ch. 1121 Hepatitis A Vaccine 08/18/06 01-06-10
08-06-14
09-06-12
31-06-19
33-06-05Ch. 1241 Measles, Mumps, Rubella and Varicella (MMRV) Vaccine 08/10/06 01-06-09
08-06-13
09-06-11
31-06-18
33-06-04— Federal Medicaid Citizenship and Identity Eligibility Requirements for Medical Assistance Nursing Home Applicants or Recipients 07/28/06 03-06-10 Ch. 1101
1150
141Medical Assistance Program Fee Schedule Revisions for Medical and Radiological Procedure Codes 07/27/06 01-06-08
03-06-09
08-06-12
14-06-09
29-06-01
31-06-17Ch. 1153 Federal Medicaid Citizenship and Identity Eligibility Requirements 07/24/06 99-06-07 — Notification of Medicare Appeals Project and Billing Remindes for Home Health Services 07/20/06 05-06-01 Ch. 1101
1150Medical Assistance Program Fee Schedule Change 06/23/06 01-06-07
08-06-11
17-06-02
20-06-02
31-06-16Ch. 1163
1221Medical Assistance Program Fee Schedule Procedure Code Changes for Acute Care General Hospitals and Hospitals Based Medical Clinics 06/17/06 01-06-05
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