[48 Pa.B. 5943]
[Saturday, September 22, 2018]
[Continued from previous Web Page]
Year Code Citation(s) Subject Date Issued Bulletin
Number— Coverage of COMVAX 06/11/97 01-97-10
10-97-03
11-97-06
17-97-04
19-97-09
26-97-03Ch. 1101
1150Provider Produced Invoices 06-11-97 99-97-03 — HealthChoices Phase 2 Extension Of Enrollment Period 06/17/97 99-97-04 Ch. 1101
1150Changes to the Medical Assistance Program 1997 HCPCS Updates 06/30/97 01-97-11
03-97-04
04-97-04
10-97-04
11-97-07
12-97-05
15-97-02
16-97-02
17-97-05
20-97-02
30-97-03
43-97-02
49-97-04
50-97-04— InterQual Intensity/Severity/Discharge (ISD) Criteria for Review of Hospital Admissions 07/01/97 01-97-12
11-97-08
12-97-06
13-97-02Ch. 1241 Training for EPSDT Expanded Services (Provider Type 50) on Completing Medical Assistance Invoices 07/07/97 50-97-03 Ch. 1241 Revised Recommended Childhood Immunization Guidelines 07/23/97 1241-97-01
01-97-13
01-97-13
10-97-05
11-97-09
17-97-06
26-97-04
49-97-05Ch. 1141 Revision to Physician Assistance and Midwife Supervision Requirements 07/30/97 01-97-14
02-97-02
06-97-02
08-97-02
09-97-01
10-97-06
11-97-11
12-97-07
25-97-01
26-97-05
30-97-04
31-97-01
37-97-01
38-97-01
1141-97-01Ch. 1121 Pharmacy Recordkeeping Requirements 08/04/97 19/97/10 — Revised Social Security Administration Definition of Disability for Children 08/08/97 99-97-05 Ch. 1163 Cost Outlier Payments for Certain Burn And Neonate Cases 08/11/97 11-97-10 — Reporting Procedures for Residents Targeted Under OBRA '87 and OBRA '90 08/29/97 34-97-01
35-97-04
36-97-04Ch. 1101
1150Accurate Billing for Units of Service Based on Periods of Time 09/17/97 99-97-06 Ch. 1121 Updates to State Maximum Allowable Cost (State MAC) List 09/17/97 01-97-15
19-97-11— The Addition of Viracept to the Special Pharmaceutical Benefits Program Formulary 11/10/97 01-97-18
02-97-03
11-97-12
19-97-13
23-97-06
26-97-06
28-97-07
30-97-05
35-97-05
36-97-05
37-97-02
45-97-01
46-97-01— Amendment to Medical Assistance Bulletin #99-96-08 11/20/97 99-96-11 Ch. 1121 Updates to State Maximum Allowable Cost (State MAC) List 11/21/97 01-97-17
19-97-12— Amendment to Medical Assistance Bulletin #99-96-08 11/27/97 99-96-09 Ch. 1101
1150Billing Instructions for Medicare Part B Claims 11/27/97 99-96-10 Ch. 1147 Revisions to the HealthCare Benefits Packages Reference Chart (MA 446) 12/18/97 99-97-07 — HealthChoices Southwest Mandatory Managed Care Program Implementation Schedule 12/19/97 99-97-08 1998 Ch. 1141 Physician Services Handbook Replacement Pages 01/20/98 01-98-01 Ch.1150 Clarification of Procedures for Requesting Copies of Medical Assistance Recipients' Bills 02/27/98 99-98-01 Training for Nursing Facilities on Completing Medical Assistance Invoices 03/03/98 35-98-02
36-98-02— Medical Assistance (Medicaid) Financial Eligibility Application For Long Term Care, Supports and Services (PA 600L) 03/03/98 11-98-01
12-98-01
14-98-01
24-98-01
25-98-01
34-98-01
35-98-01
36-98-01
51-98-01
53-98-01
55-98-01
56-98-01— Second Expansion of the Pennsylvania Department of Aging PDA Waiver 03/13/98 01-98-03
05-98-02
18-98-02
19-98-02
55-98-03— Pennsylvania Department of Aging (PDA) Waiver Program Billing Instructions (2nd Expansion) 03/13/98 01-98-02
05-98-01
18-98-01
19-98-01— Second Expansion of the Pennsylvania Department of Aging (PDA) Waiver 03/13/98 35-98-05
36-98-05— Pennsylvania Department of Aging (PDA) Waiver Program Billing Instructions (2nd Expansion) 03/13/98 55-98-02 — Pennsylvania Department of Aging (PDA) Waiver Certification Process (2nd Expansion 03/13/98 23-98-02
28-98-02
29-98-01
33-98-01
35-98-03
36-98-03— Pennsylvania Department of Aging (PDA) Waiver Program Billing Instructions (2nd Expansion) 03/13/98 35-98-04
36-98-04— Pennsylvania Department of Aging (PDA) Waiver Program Billing Instructions (2nd Expansion) 03/13/98 23-98-03
28-98-03
29-98-02
33-98-02— Second Expansion of the Pennsylvania Department of Aging (PDA) Waiver 03/13/98 23-98-04
28-98-04
29-98-03
33-98-03Ch. 1101
1150Announcement of Revised Millennium Medical Assistance Claims Forms 03/16/98 99-98-02 Ch. 1101
1150Medical Assistance Program Fee Schedule Revision 1998 HCPCS Updates 03/25/98 05-98-03
04/06/98 01-98-04
03-98-01
04-98-01
10-98-01
11-98-02
12-98-02
15-98-01
16-98-01
17-98-01
20-98-01
30-98-01
43-98-01
49-98-01
50-98-01Ch. 1101
1150Revisions to and Instructions for Completing & Submitting Revised ''Millennium'' Medical Assistance (MA) Claim Forms 04/22/98 99-98-04 — Clarification of the HealthChoices Recipient Coverage Policy for Behavioral Health Services 04/30/97 01-98-05
17-98-02
41-98-01
48-98-01
49-98-02
50-98-02
53-98-02
80-98-01— Medical Assistance Surety Bonds Interim Procedures 05/01/97 23-98-06 Ch. 1163 Revision of Utilization Guidelines for Inpatient Hospital Drug and Alcohol Services under the Medical Assistance Program 05/18/98 01-98-06
11-98-03
12-98-03
17-98-03
1163-98-01— Revised Case-Mix Reimbursement System Cost Report (MA-11) 05/20/98 35-98-07 — Revised Medical and Treatment Self—Directive Statement 06/19/98 11-98-04
12-98-04
13-98-02
14-98-02
17-98-04
23-98-07
34-98-02
35-98-08
36-98-08
37-98-01
38-98-01
53-98-03Ch. 1101
Ch. 1141
Ch. 1150
Ch. 1221Regulation Changes Regarding ''Emergency Medical Condition'' 07/01/98 1101-98-01
1141-98-01
1150-98-01
1121-98-01Medical Assistance Tele-Response System 07/01/98 99-98-05 — The Addition of Viramune and Rescriptor to the Special Pharmaceutical Benefits Program Formulary 07/01/98 01-98-08
02-98-01
11-98-05
19-98-05
23-98-08
26-98-01
28-98-05
30-98-02
35-98-09
36-98-09
37-98-02
45-98-01
46-98-01Ch. 1150
1241Increase in the Fees for the Administration Of Vaccines 07/01/98 01-98-09
10-98-02
11-98-06
12-98-05
49-98-03Ch. 1121 Updates to State Maximum Allowable Cost (State MAC) List 07/06/98 01-98-07
19-98-04— Preparation of Statements of Claim For Recipients Enrolled in Managed Care 07/07/98 99-98-07
258-98-01Ch. 1150 Implementation of ''Millennium'' Claims Submission 07/10/98 99-98-08 — Change in Billing Procedure for Behavioral Health Rehabilitation Services 07/10/98 01-98-10
41-98-02
48-98-02
49-98-04
50-98-03Ch. 1101 Revisions to the HealthCare Benefits Packages Reference Chart (MA 446) 07/17/98 99-98-09 Ch. 1123 Nebulizer Codes 07/24/98 01-98-11
05-98-04
10-98-03
11-98-07
12-98-06
19-98-06
23-98-09Ch. 1121 Updates to State Maximum Allowable (State MAC) List 08/14/98 01-98-12
19-98-07Ch. 1121 Brand Name Drugs Prior Authorization Updated List 08/24/98 01-98-13
02-98-02
03-98-02
04-98-02
10-98-04
11-98-08
12-98-07
19-98-08
26-98-02
28-98-07
29-98-04
30-98-03
33-98-04
49-98-05— InterQual Intensity/Sensitivity Discharge (ISD) Criteria for Review of Hospital Admissions 08/24/98 01-98-14
11-98-09
12-98-08
13-98-03— The Office of Social Program's (OSP)/Independence Waiver 09/11/98 99-98-10 — Billing Instructions for the Community Services Program for Persons with Physical Disability Waivers 09/11/98 51-98-01 Ch. 1150 Revised Billing Instructions for Medicare Part B Claims that Do Not Cross Over to Medical Assistance 09/14/98 99-98-11 Ch. 1150 Medical Assistance Program Fee Schedule Revision 1998 HCPCS Updates 09/21/98 07-98-01 Ch. 1150 Revision to Attachment Type Codes on Invoice Submissions 10/14/98 24-98-03
25-98-03
34-98-04
35-98-12
36-98-12— Change in Medical Assistance (MA) Bulletin Mailing Procedure 10/14/98 01-98-15
03-98-03
04-98-03
07-98-02
15-98-02
31-98-01
41-98-03
44-98-01
49-98-06— Statewide Expansion of the Pennsylvania Department of Aging (PDA) Waiver 11/17/98 10-98-05
11-98-10
12-98-09
13-98-04
14-98-03
17-98-05
20-98-02
23-98-10
26-98-03
28-98-08
29-98-05
33-98-05
37-98-03
41-98-04
43-98-02
45-98-02
46-98-02
48-98-03
49-98-07
51-98-03— Statewide Expansion of the Pennsylvania Department of Aging (PDA) Waiver 11/17/98 01-98-16
05-98-05
18-98-03
19-98-09
55-98-04— Statewide Expansion of the Pennsylvania Department of Aging (PDA) Waiver 11/17/98 35-98-13
36-98-13— Pennsylvania Department of Aging (PDA) Waiver Certification Process (Statewide Expansion) 11/17/98 10-98-06
11-98-11
12-98-10
13-98-05
14-98-04
17-98-06
20-98-03
23-98-11
26-98-04
23-98-09
29-98-06
33-98-06
35-98-14
36-98-14
37-98-04
41-98-05
43-98-03
45-98-03
46-98-03
48-98-04— Accurate Billing for Units of Service Based on Periods of Time 11/17/98 99-98-12 Ch. 1243 Clinical Laboratory Improvements Amendments (CLIA) Requirements 11/25/98 01-98-17
11-98-12
16-98-02
17-98-07— Pennsylvania Department of Aging (PDA) Waiver Program Billing Instructions (Statewide Expansion) 12/22/98 35-98-15
36-98-15— Pennsylvania Department of Aging (PDA) Waiver Program Billing Instructions (Statewide Expansion) 12/22/98 01-98-18
05-98-06
18-98-04
19-98-10— Pennsylvania Department of Aging (PDA) Waiver Program Billing Instructions (Statewide Expansion) 12/22/98 10-98-07
11-98-13
12-98-11
13-98-06
14-98-05
17-98-08
20-98-04
23-98-12
26-98-05
28-98-10
29-98-07
33-98-07
37-98-05
41-98-06
43-98-04
45-98-04
46-98-04
48-98-05
49-98-09
51-98-05— Pennsylvania Department of Aging (PDA) Waiver Program Billing Instructions (Statewide Expansion) 12/22/98 55-98-05 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, Entities and Individuals Precluded from Participation in The Medical Assistance Program (2) Shared Health Facilities for which Registration has Been Denied or Approval Withdrawn 02/01/99 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 Facilities 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 Physical 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 Procedure 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 Operation 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 05/18/01 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 and 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 Assistance 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 Schedule 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 Psychotherapy 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 Expanded 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 Occurrences) 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
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