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 02-05-03, 03-05-06, 08-05-14: Preferred Drug List – Phase 2 (www.dpw.state.pa.us/Business/BulletinManageDir/003673169.aspx?BulletinDetailId=1071)
- MA Bulletin 02-05-02, 03-05-05, 08-05-13...: Tabs for the "Prior Authorization of Pharmaceutical Services" Handbook (www.dpw.state.pa.us/Business/BulletinManageDir/003673169.aspx?BulletinId=1066)
- MA Bulletin 01-05-04: Revisions to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Periodicity Schedule (www.dpw.state.pa.us/General/Bulletins/003673169.aspx?BulletinDetailId=1052)
- MA Bulletin 08-05-11: Medical Assistance Program Fee Schedule Procedure Code Changes for Federally Qualified Health Centers and Rural Health Clinics (www.dpw.state.pa.us/Business/BulletinManageDir/003673169.aspx?BulletinDetailId=1056)
- MA Bulletin 21-05-03: Medical Assistance Program Fee Schedule Procedure Code Changes for Case Management Services (www.dpw.state.pa.us/Business/BulletinManageDir/003673169.aspx?BulletinDetailId=1055)
- MA Bulletin 40-05-01: Medical Assistance Program Fee Schedule Procedure Code Changes for Medical Foster Care Services (www.dpw.state.pa.us/Business/BulletinManageDir/003673169.aspx?BulletinDetailId=1054)
Remittance Advice Alerts/PROMISe™ Banner Pages
- Psychotherapy Co-Pay (www.dpw.state.pa.us/omap/provinf/RA101705.asp)
- Waiver Claim Adjustments (www.dpw.state.pa.us/omap/provinf/RA100305a.asp)
- Appropriate Use of National Procedure Codes and Modifiers (www.dpw.state.pa.us/omap/provinf/RA101705b.asp)
- Co-pay for Medication Management Visits (www.dpw.state.pa.us/omap/provinf/RA110105.asp)
Billing Guides
- CMS – 1500 Billing Guide for PROMISe™ Case Managers (www.dpw.state.pa.us/omap/provinf/promhb/PDF/promBGcms_mh.pdf)
- CMS –1500 Billing Guide for PROMISe™ Clinics (www.dpw.state.pa.us/omap/provinf/promhb/PDF/promBGcms_clinic.pdf)
- CMS – 1500 Billing Guide for PROMISe™ Mental Health and Substance Abuse Providers (www.dpw.state.pa.us/omap/provinf/promhb/PDF/promBGcms_mh.pdf)
- CMS – 1500 Billing Guide for PROMISe™ Physicians (www.dpw.state.pa.us/omap/provinf/promhb/PDF/promBGcms_phys.pdf)
- CMS – 1500 Billing Guide for PROMISe™ Psychologists (www.dpw.state.pa.us/omap/provinf/promhb/PDF/promBGcms_psych.pdf)
- CMS – 1500 Billing Guide for PROMISe™ Therapeutic Staff Support (TSS)/Mobile Therapy/Behavioral Health Specialist Consultant Providers (www.dpw.state.pa.us/omap/provinf/promhb/PDF/promBGcms_tss.pdf)
- CMS – 1500 Billing Guide for PROMISe™ Therapists (www.dpw.state.pa.us/omap/provinf/promhb/PDF/promBGcms_therp.pdf)
Other
- Provider Type and Specialty Codes and Descriptions (www.dpw.state.pa.us/omap/provinf/omapprovtypes.xls)
- Pennsylvania Medicaid MCO Directory for November (www.dpw.state.pa.us/omap/hcmc/omapmcodir.pdf)
- Volume 13 of the Internet QuickLink (www.dpw.state.pa.us/omap/hcmc/QuickLink.pdf)
- Minutes
of the September 22 MAAC Meeting (www.dpw.state.pa.us/omap/geninf/maac/omapmaacminutes.asp)
