The following information that may be of interest to PCPA members has been added to the "What’s New?" section of the Department of Public Welfare (DPW) Office of Medical Assistance Programs web site (www.dpw.state.pa.us/omap/news/omapnews.asp).
Medical Assistance (MA) Bulletins
- MA Bulletin 19-06-02, 24-06-03, 31-06-07: Special Pharmaceutical Benefits Program Revisions to Payment Methodology (www.dpw.state.pa.us/General/Bulletins/003673169.aspx?BulletinDetailId=1284)
- MA Bulletin 99-06-03: Prudent Payment of Claims (www.dpw.state.pa.us/General/Bulletins/003673169.aspx?BulletinDetailId=1315)
- MA Bulletin 02-06-04, 03-06-03, 08-06-04...: Federal Clarification - Elimination of Medicaid Coverage of Drugs for Treatment of Erectile Dysfunction (www.dpw.state.pa.us/General/Bulletins/003673169.aspx?BulletinDetailId=1284)
- MA Bulletin 19-06-03, 24-06-03, 31-06-07: Special Pharmaceutical Benefits Program Revisions to Payment Methodology (www.dpw.state.pa.us/General/Bulletins/003673169.aspx?BulletinDetailId=1324)
- MA Bulletin 03-06-05: Ventilator Dependent Respiratory (VDR) Program Preparing Table of Supply and Equipment Costs (www.dpw.state.pa.us/General/Bulletins/003673169.aspx?BulletinDetailId=1337)
- MA Bulletin 02-06-05, 03-06-04, 08-06-05...: Prior Authorization of Botox, Synagis and Xolair (www.dpw.state.pa.us/Business/BulletinManageDir/003673169.aspx?BulletindetailId=1328)
Remittance Advice (RA) Alerts/PROMISe Banner Pages
- Program
Exception Requests (
www.dpw.state.pa.us/omap/provinf/RA020606a.asp) - Federal Upper Limit (FUL) List, Deletions and Price Change (www.dpw.state.pa.us/omap/provinf/RA021306a.asp)
- Medicare Part D and Dual Eligibles: Submitting for Reimbursement of Emergency Supply of Part D Drugs (www.dpw.state.pa.us/omap/provinf/RA021306b.asp)
- Brand Name Drugs Requiring Prior Authorization - Revision (www.dpw.state.pa.us/omap/provinf/RA021306c.asp)
Other
- PA PROMISe Provider Seminar Training: DPW is offering training to professional billing related providers affected by dual eligible recipients moving to fee-for-service from managed care as a result of the Medicare Part D implementation. DPW has scheduled sessions across the commonwealth. Each seminar will last approximately three and one-half hours. View the provider seminar web page (www.dpw.state.pa.us/omap/promise/provseminar_process.asp) for information and to register. Check future RA Banner messages for additional dates and times.
- 2006-07 Governor's Executive Budget - Medical Assistance Briefing (www.dpw.state.pa.us/Resources/Documents/Presentations/FY06-07MABudgetPresentation.pdf)
- Part D Drugs/Excluded Drugs Table (www.dpw.state.pa.us/Resources/Documents/Pdf/PartDdrugs-PartDExcludedDrugs.pdf)
- Medical Assistance Transportation Program Handbook (www.dpw.state.pa.us/LowInc/MATP/)
- Volume 14 of the Internet QuickLink (www.dpw.state.pa.us/omap/hcmc/QuickLink.pdf)
- Medical Management Review System (MMRS) RFP - RFP #11-05 Medical Management Review System (MMRS) (www.dgsweb.state.pa.us/comod/bids/RFP1105/rfp1105.pdf)
- Minutes of the January 26, 2006 Medical Assistance Advisory Committee (MAAC) Meeting (www.dpw.state.pa.us/General/AboutDPW/DPWOrganization/OMAP/MAACInfo/MAACSubcommitteesMtgMinutes/)
- Updated Managed Care Subcommittee 2006 Meeting Schedule to reflect change of meeting location. (www.dpw.state.pa.us/General/AboutDPW/DPWOrganization/OMAP/MAACInfo/MAACMtgSched/003672077.htm)
- Minutes of the January 25, 2006 MAAC Consumer Subcommittee Meeting (www.dpw.state.pa.us/General/AboutDPW/DPWOrganization/OMAP/MAACInfo/MAACSubcommitteesMtgMinutes/003674624.htm)
- Provider Electronic Solutions Software - Version (V3.54) of the Provider Electronic Solutions Software (www.dpw.state.pa.us/omap/provinf/PESV2.asp)
- The Managed Care Statistical Report for February (www.dpw.state.pa.us/omap/hcmc/mcstatreportFeb05.pdf)
