Number Publication Name Issue Date
99-23-08 Updates to Guidelines for the Delivery Physical Health Services via Telehealth 8/2/2023
31-23-22 Updated Sterilization Consent Form 7/25/2023
33-23-08 Street Medicine 7/5/2023
33-23-18 Prior Authorization of Opioid Use Disorder Treatments - Pharmacy Service 6/30/2023
33-23-19 Prior Authorization of Progestational Agents- Pharmacy Services 6/30/2023
33-23-20 Prior Authorization of Tepezza (teprotumumab-trbw) - Pharmacy Services 6/30/2023
33-23-14 Clinical Prior Authorization of Non-PDL Durgs - Pharmacy Services 6/30/2023
33-23-12 Prior Authorization of Antiemetic/Antivertigo Agents- Pharmacy Services 6/29/2023
33-23-16 Prior Authorization of Cough and Cold Medications - Pharmacy Services 6/29/2023
33-23-13 Prior Authorization of Antiparasitics, Topical -Pharmacy Services 6/29/2023
33-23-15 Prior Authorization of Compounded Prescriptions - Pharmacy Service 6/29/2023
33-23-17 Prior Authorization of Hepatitis C Agents - Pharmacy Services 6/29/2023
33-23-11 Prior Authorization of Analgesics, Opioid Short-Acting - Pharmacy Services 6/28/2023
33-23-09 Prior Authorization of Amyloid-Targeted Monoclonal Antibodies (MABs) - Pharmacy Services 6/28/2023
99-23-07  Pennsylvania's Early and Periodic Screening Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 06/27/2023
33-23-07  MA Program Fee Schedule Update for an Additional Bivalent Dose of the SARS-CoV-2 Vaccine Manufactured by Pfizer, Inc. 6/20/2023
28-23-01 End-Dating COVID -19 Pharmacy Specimen Collection and Laboratory Testing Procedure Codes 6/12/2023
33-23-06 Billing Updates for COVID-19 Vaccine Counseling Only Visits for Beneficiaries Under the Age of 21 6/12/2023
33-23-05 Billing Updates for Vaccine Counseling Only Visits for Beneficiaries Under the Age of 21  6/12/2023
99-23-06 Evaluation and Management Fee Adjustments and Code Updates  6/1/2023
33-23-04 Additional Bivalent SARS-CoV-2 Vaccine Doses Manufactured by Merna, Inc. and Pfizer, Inc.  4/13/2023
33-23-03 Implementation of ADA Claim Form- Version 2019 4/4/2023
99-23-01 Medical Assistance Program Fee Schedule Revisions 4/1/2023
33-23-03  Administration of Booster Dose of SARS-CoV-2 Vaccine Manufactures by Novavax  3/24/2023
16-23-01 Coverage of Case Specific Training/Shadow Nursing for Private Duty/Shift Nursing Services for MA Beneficiaries Under 21 Years of Age 1/1/2023
99-22-11 Reinstatement of Provider Enrollment Requirements 12/29/2022
33-22-75 340B Drug Pricing Program - Dispensing 340B Purchased Drugs 12/22/2022
33-22-60 Prior Authorization of Hypoglycemics, Incretin Mimetics, Enhancers – Pharmacy Services  12/13/2022
33-22-76 Disposable Breast Milk Collection and Storage Bags and Breast Pump 12/13/2022
33-22-67 Coverage and Prior Authorization of Obesity Treatment Agents – Pharmacy Services 12/9/2022
33-22-72 Statewide Preferred Drug List (PDL) Updates – Pharmacy Services 12/9/2022
33-22-47 Prior Authorization of Monoclonal Antibodies – Anti- IL, Anti-IgE, Anti-TSLP (Formerly Monoclonal Antibodies – Anti-IL, Ant 12/9/2022
33-22-70 Prior Authorization of Platelet Aggregation Inhibitors- Pharmacy Services 12/8/2022
33-22-62 Prior Authorization of Hypoglycemics, SGLT2 Inhibitors – Pharmacy Services 12/8/2022
33-22-68 Prior Authorization of Ophthalmics, Anti-Inflammatories – Pharmacy Services  12/8/2022
33-22-69 Prior Authorization of Pituitary Suppressive Agents, LHRH – Pharmacy Services 12/8/2022
33-22-65 Prior Authorization of Lipotropics, Other – Pharmacy Services 12/7/2022
33-22-71 Prior Authorization of Stimulants and Related Agents– Pharmacy Services 12/7/2022
26-22-07 2023 Ambulance Fee Increases 11/10/2022
24-22-32 At-Home Over-The-Counter COVID-19 Test  11/10/2022
33-22-54 Prior Authorization of Dry Eye Treatments (Formerly Ophthalmics, Immunomodulators) – Pharmacy Services 11/10/2022
33-22-61 Prior Authorization of Hypoglycemics, Insulin and Related Agents – Pharmacy Services 11/10/2022
33-22-63 Prior Authorization of Hypoglycemics, TZDs – Pharmacy Services 11/10/2022
33-22-64 Prior Authorization of Immunomodulators, Atopic Dermatitis – Pharmacy Services 11/10/2022
33-22-66 Prior Authorization of NSAIDs – Pharmacy Services  11/10/2022
33-22-55 Prior Authorization of Dupixent (dupilumab) – Pharmacy Services  11/9/2022
33-22-56 Prior Authorization of GI Motility, Chronic Agents – Pharmacy Services 11/9/2022
33-22-58 Prior Authorization of Glucocorticoids, Oral – Pharmacy Services 11/9/2022
33-22-57 Prior Authorization of Glucocorticoids, Inhaled – Pharmacy Services 11/9/2022
33-22-59 Prior Authorization of Hepatitis C Agents – Pharmacy Services 11/9/2022
33-22-46 Prior Authorization of Antihemophilia Agents – Pharmacy Services  11/9/2022
33-22-37 Prior Authorization of Angiotensin Modulator Combinations – Pharmacy Services 11/9/2022
31-22-39 Prior Authorization of Bile Salts – Pharmacy Services 11/9/2022
33-22-53 Prior Authorization of Cytokine and CAM Antagonists – Pharmacy Services 11/9/2022
33-22-44 Prior Authorization of Antibiotics, GI and Related Agents – Pharmacy Services  11/8/2022
33-22-45 Prior Authorization of Antifibrotic Respiratory Agents (Formerly Idiopathic Pulmonary Fibrosis (IPF) Agents) – Pharmacy Services 11/8/2022
99-22-05 2022 Healthcare Common Procedure Coding System (HCPCS) Updates and Other Procedure Code ChangePrior Authorization of Antivirals, CMV – Pharmacy Services 11/8/2022
33-22-52 Prior Authorization of Corticotropin (formerly H.P. Acthar Gel) – Pharmacy Services 11/8/2022
33-22-40 Prior Authorization of Acne Agents, Oral – Pharmacy Services  11/4/2022
99-22-10 Enrollment of Providers for Medicare Cost-Sharing Only 11/4/2022
33-22-48 Prior Authorization of Antipsoriatics, Topical - Pharmacy Services 11/4/2022
33-22-43 Prior Authorization of Antianginal Agents - Pharmacy Services 11/4/2022
33-22-41 Prior Authorization of Alcohol Use Disorder Agents - Pharmacy Services 11/4/2022
33-22-16 SARS-CoV-2 Vaccine Booster Manufactured by Moderna Inc 10/17/2022
33-22-37 Updates to Pediatric SARS-CoV-2 Vaccines Manufactured by Pfizer, Inc. and Moderna, Inc.  9/28/2022
 07-22-02 Additions to the Medical Assistance Fee Schedule for Private Duty Nursing Services Provided to Beneficiaries Under the Age 9/26/2022
33-22-12 Vaccine Counseling Only Visits for Beneficiaries Under 21 9/20/2022
33-22-36 Administration of SARS-CoV-2 Vaccine Manufactured by Novavax 9/19/2022
99-22-07 Pennsylvania’s Early and Periodic Screening Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 9/19/2022
35-22-02 School-Based ACCESS Program Provider Handbook 9/15/2022
33-22-39 Adult Vaccine Procedure Code Updates and Additions1 9/14/2022
33-22-37 Updates to Pediatric SARS-CoV-2 Vaccines 9/8/2022
27-22-27 2022 Medical Assistance Program Dental Fee Schedule Update.  9/7/2022
31-22-39 Addition of Behavioral Health Providers to Certain Procedure Codes and other Procedure Code Changes 8/26/2022
99-22-05 2022 Healthcare Common Procedure Coding System (HCPCS) Updates and Other Procedure Code Change 8/26/2022
33-22-13 Adult Vaccine Procedure Code Updates and Additions 8/26/2022
33-22-04 SARS-CoV-2 (COVID-19) Oral Antiviral Treatments with emergency use authorization (EUA) from the U.S. Food and Drug Administ 1/25/2022
33-22-02 Prior Authorization of Aduhelm (aducanumab) – Pharmacy Services 1/12/2022
33-22-03 Prior Authorization of Xyrem (sodium oxybate) Xywav (calcium, magnesium, potassium, and sodium oxybates) Pharmacy Service 1/11/2022
33-22-05 Billing Procedure Update for Certified Registered Nurse Practitioners and Physician Assistants 1/7/2022
99-10-14 Missed Appointments 12/01/2010
Last updated on 9/20/2023 11:38:25 AM

 

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