Aug 1, 2018, 14:34 PM
Pa. Department of Human Services Adding New Opioid Measure to Hospital Quality Incentive Program
The measure has been designed to help address the state’s opioid epidemic.
Jul 11, 2018, 10:57 AM
Pennsylvania’s Medicaid Fee Schedule Updated with 2018 HCPCS Procedure Codes
Updates are effective for dates of service on or after July 2, 2018.
Jun 18, 2018, 14:03 PM
Pennsylvania Reduces Mailing of Paper Remittance Advices to Medicaid Providers
The change took effect on Aug. 6. 2018. Here's who it affects.
Jun 7, 2018, 12:57 PM
Pennsylvania Updates Medicaid Claims Policy for 180-Day Exception Requests
Here is the new process for submitting 180-day exception requests for physical health and behavioral health Fee-for-Service Medicaid claims.
Apr 12, 2018, 12:12 PM
Court Ruling Delays Pennsylvania’s Plan for Changes to Medicaid Managed Care Program
Pennsylvania has been in the process of choosing new managed care organizations to provide physical health services for HealthChoices, the state’s Medicaid managed care program. Here's the latest update on the process.
Mar 14, 2018, 11:19 AM
CMS Will Reintroduce Claims Indicator to Identify Beneficiaries Enrolled in Cost-Sharing
Effective July 1, 2018, CMS will reintroduce a claims indicator that identifies beneficiaries enrolled in the Qualified Medicare Beneficiary cost-sharing program.
Mar 7, 2018, 06:00 AM
New Flu Vaccine Code Added to Pennsylvania’s Medicaid Fee Schedule
Pennsylvania’s Medicaid program is adding flu vaccine code 90756 to its fee schedule, effective for dates of service on or after March 5, 2018.
Feb 12, 2018, 15:22 PM
Applying Topical Fluoride Varnish in the Medical Office Setting for Children
Get guidance on how to provide topical fluoride varnish applications, including training requirements and associated billing/reimbursement.
Feb 2, 2018, 10:41 AM
Are You Experiencing Denials When Billing Pa. Medicaid MCOs for Health Services?
As of Jan. 1, 2018, participating providers in a HealthChoices Physical Health MCO must have a valid Promise Identification number. Here's what to do if you are receiving billing denials from these MCOs.
Nov 8, 2017, 18:33 PM
Community HealthChoices — Get Answers to 5 Questions on Pa.’s New Long-Term Care Program
Here are five things physicians should know about Community HealthChoices (CHC), the
commonwealth’s new long-term care initiative for older Pennsylvanians and those with disabilities.
Oct 26, 2017, 12:09 PM
Important Update for Medical and Osteopathic Trainees Enrolled in Pa.’s Medicaid Program
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.
Sep 14, 2017, 12:08 PM
Pennsylvania’s Medicaid Program Updates Prior Authorization Process for Opioid Prescribing
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.