The Department of Public Welfare (DPW) has posted the following information that may be of interest to PCPA members to the Office of Medical Assistance Programs (OMAP) section of its web site under “What’s New?” (www.dpw.state.pa.us/omap/news/omapnews.asp).
Training
- PA PROMISe™ Provider Conference Call Training – On September 14 DPW is offering Budget Related Overview Conference Call Training for providers that bill using the CMS-1500 or 837P transaction. For further information and to register, please refer to the PA PROMISe™ Provider Conference Call Training page (www.dpw.state.pa.us/omap/promise/provconfcalltrng_process.asp).
- PA PROMISe™
Provider Conference Call Training – On September 20 DPW is presenting
Budget Related Overview Conference Call Training for providers that bill
using the UB92 for Inpatient and Outpatient services or that use the 837I
(Inpatient and Outpatient) transactions. For further information and to
register, please refer to the PA PROMISe™ Provider Conference Call
Training page
(www.dpw.state.pa.us/omap/promise/provconfcalltrng_process.asp). - EPSDT PROMISe™ Provider Conference Call Training – On September 8 DPW is offering Conference Call Training for EPSDT Internet Billing for Physicians and Nurse Practitioners. For further information and to register, please refer to the PA PROMISe™ Provider Conference Call Training page (www.dpw.state.pa.us/omap/promise/provconfcalltrng_process.asp).
Medical Assistance (MA) Bulletins
- MA Bulletin 08-05-05, Medical Assistance Program Fee Schedule Procedure Code Changes for Behavioral Health Services (www.dpw.state.pa.us/omap/provinf/mabull/080505.asp).
- MA Bulletin 24-05-05, Co-payment Changes for Brand Name and Generic Prescription Drugs (www.dpw.state.pa.us/omap/provinf/mabull/240505.asp).
- MA Bulletin 27-05-02, Dental Fee Increase for Anesthesia and Behavior Management Services (www.dpw.state.pa.us/omap/provinf/mabull/270502.asp).
- MA Bulletin 09-05-07, Revisions to the State Maximum Allowable Cost for Pharmaceutical Services (www.dpw.state.pa.us/omap/provinf/mabull/090507.asp).
- MA Bulletin 99-05-1, Prior Authorization of Drugs That Exceed Established Quantity Limits – Phase 1 Enforcement (www.dpw.state.pa.us/omap/provinf/mabull/990514.asp).
- MA Bulletin 09-05-06, Revisions to Payment for the Drug Cost Component of Brand Name and Generic Drugs (www.dpw.state.pa.us/omap/provinf/mabull/090506.asp).
Remittance Advice Alerts/PROMISe™ Banner Pages
- Pharmacy Point-of-Sale Denials (www.dpw.state.pa.us/omap/provinf/RA072505b.asp).
- Third Party Liability Recovery for Provider Types 1, 6, 8, 24, 25, 26, 30 (www.dpw.state.pa.us/omap/provinf/RA072505.asp).
- Third Party Liability Recovery Provider Types 01, 02, 31 (www.dpw.state.pa.us/omap/provinf/RA071805b.asp).
- Brand Name Drugs Requiring Prior Authorization Revision (www.dpw.state.pa.us/omap/provinf/RA071805a.asp).
Requests for Proposals
- Enrollment Assistance Program Services RFP – RFP No. 12-05, Enrollment Assistance Program Services has been posted. Proposals must be received by 2:00 p.m. September 22 (www.dpw.state.pa.us/omap/rfp/EAPS/EAPSrfpTOC.asp).
- Medical Management Review System (MMRS) RFP – RFP No. 11-05, Medical Management Review System has been posted. Proposals must be received by 2:00 p.m. October 5 (www.dpw.state.pa.us/omap/rfp/MMRS/MMRSrfpTOC.asp).
Other
- Minutes of the July 28 MAAC meeting have been added to the site (www.dpw.state.pa.us/omap/geninf/maac/omapmaacminutes.asp).
- PA PROMISe™
Quick Tip #14 concerning Pennsylvania’s Enhanced Primary Care Case
Management Program (Access Plus) has been added to the PROMISe™ Information
(www.dpw.state.pa.us/omap/promise/omappromise.asp)
section of the site.
