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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/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/MedicaidEnrollmentPAsPhysician Assistants Who Order, Prescribe, and Refer for Medicaid Patients Must Enroll in Medicaid<p>Physician Assistants who order, refer, or prescribe items or services for Medicaid must enroll as partcipating providers in Medicaid.<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.