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https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/Home:Tools You Can Use:Topics:Insurers:Medicaid<p>Stay up-to-date on the latest Medicaid news; read analysis from our experts on a variety of topics, such as provisions in rules that affect you and your practice; and find answers to your most frequently asked Medicaid questions.</p>

 

 

https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/MedicalAssistanceResidentsImportant Update for Medical and Osteopathic Trainees Enrolled in Pa.’s Medicaid Program <p>As of Oct. 26, 2017, Pa.’s Department of Human Services has identified 624 medical trainees or osteopathic trainees that enrolled in Medical Assistance and who now have or will have an expired trainee license. </p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/MAOpioidsPriorAuthPennsylvania’s Medicaid Program Updates Prior Authorization Process for Opioid Prescribing<p>​Effective June 6, 2017, Pennsylvania’s Medicaid Program – known as Medical Assistance (MA) – updated its prior authorization process for opioid prescribing. Here's what prescribers should know.</p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/MedicaidEPDSTschedulePa. Issues Revised EPDST Program Periodicity Schedule for Children Enrolled in Medicaid <p>On Aug. 7, 2017, Pa.’s Department of Human Services has issued a revised Early and Periodic Screening, Diagnosis, and Treatment (EPDST) Program Periodicity Schedule and Coding Matrix. The EPSDT benefit provides preventive health care services for children under age 21 who are enrolled in Medicaid.</p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/MCORevalidationTake This Important Step If You Provide Health Services for a Pennsylvania Medicaid MCO <p>The Pennsylvania Department of Human Services has advised PAMED that it is reviewing provider files to ensure providers or groups participating in Medicaid MCOs are enrolled with Medicaid. You could be at risk at losing your participation status if you are not a participating provider in Pa.’s Medicaid program. </p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/CHCProviderNetworkHow to Join Pennsylvania’s Community HealthChoices Provider Network<p>​<span><span>The Pennsylvania Department of Human Services is now looking for providers to join the networks for Community HealthChoices, a new long-term care initiative scheduled to launch in January 2018.</span></span> Find out how to participate.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/MedicaidEnrollmentPAsPhysician Assistants Can Now Enroll in Pennsylvania’s Medicaid Program Via Electronic Portal<p>As of June 2017, Physician Assistants in Pennsylvania can now use the electronic portal to enroll, revalidate, or reactivate, as Medicaid providers.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/MedicaidClaimsUpdateOrdering, Prescribing, or Referring for Medicaid Beneficiaries? Be Sure You’re Enrolled in Medicaid <p>Pennsylvania physicians and practices that bill the Medicaid Fee-for-Service Program should be aware that claims for dates of service on or after April 3, 2017, will be denied if the ordering, preferring, or prescribing provider is not enrolled in the state's Medicaid (Medical Assistance) program. <br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/HealthChoicesMCOsUpdate on Pa.’s HealthChoices Program: Timeline Changed for New MCO Agreements <p>The Pa. Department of Human Services (DHS) announced—in a March 3, 2017 email, to stakeholders—that the commonwealth is adjusting the effective dates of the new managed care organization (MCO) agreements for its Physical HealthChoices program. </p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/CommunityHealthChoicesCommunity HealthChoices — Get Answers to 5 Questions on Pa.’s New Long-Term Care Program <p>Older Pennsylvanians and individuals with physical disabilities will soon have access to Community HealthChoices (CHC), the commonwealth’s new long-term care initiative. Here are five things physicians and practices should know about CHC.</p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/TiPSProgramDHS Announces New Behavioral Health Resource for Physicians Who Treat Children Covered by Medical Assistance<p>​Pennsylvania's new TiPS program has been launched. The program aims ti increase the availability of peer-to-peer child psychiatry consultation teams to primary care providers, medical specialists, and other prescribers of psychotropic medication for children.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/MedicaidCoLocatedProvidersDHS Updates Medicaid Enrollment Process for Co-Located Providers<p>On May 31, 2016, Pennsylvania's Department of Human Services announced a new enrollment/revalidation process for Medical Assistance providers that are in co-location agreements.<br></p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/MedicaidRevalidationStatusHow to Determine Whether You Are Revalidated as a Medical Assistance Provider<p>​How can a physician or other provider be sure they have revalidated in the Medical Assistance Program? Pennsylvania's Department of Human Services has clarified when the revalidation process can be considered complete. </p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/MentalHealthTreatmentParityCMS Issues Mental Health and Substance Use Disorder Parity Rule for Medicaid and CHIP<p>On March 29, 2016 the Centers for Medicare and Medicaid Services (CMS) announced that it has finalized a rule which seeks to strengthen access to mental health and substance use services for people with Medicaid or Children's Health Insurance Program (CHIP) coverage. In PA, legislators are also looking at ways to strengthen mental health and addiction treatment parity for all Pennsylvanians. </p>
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/MAProviderEnrollmentAppOnline Medical Assistance Provider Enrollment Application Is Here—Get Tips and Training from DHS<p>DHS has announced that its new online Electronic Provider Enrollment Application is now available. It allows providers to apply for enrollment with the Medical Assistance program.​</p>Practice Administrators;#
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/Mental health parityCMS Proposed Rule Aims to Improve Access to Mental Health and Substance Abuse Disorder BenefitsOn April 6, the Centers for Medicare and Medicaid Services (CMS) announced a proposed rule intended to align mental health and substance use disorder benefits for low-income Americans with benefits required of private health plans and insurance.
https://www.pamedsoc.org/tools-you-can-use/topics/insurers/medicaid/CHIP to MAHealth Care Coverage for Thousands of Pennsylvania Children Has Changed from CHIP to Medical AssistanceSome—but not all—children who had been receiving health care through the Children’s Health Insurance Program (CHIP) will no longer be covered by CHIP, according to an email distributed to health care provider associations by the Pennsylvania Department of Human Services.