RCPA - Rehabilitation and Community Providers Association


MA Provider Enrollment Status Lookup Available
August 30, 2013

As a Department of Public Welfare (DPW) commitment to the Fee-for-Service Subcommittee, DPW has created an enrolled provider lookup for rendering providers to check on the Medical Assistance (MA) enrollment status of colleagues. The Affordable Care Act (ACA) sets forth the requirement for all prescribing, ordering, and referring prescribers to enroll with Pennsylvania MA. Prior to issuance of this final rule, prescribing, ordering, and referring providers were not required to enroll for all claims. If providers do not enroll, related claims with non-enrolled providers will deny. The purpose of the lookup is to provide a tool to research colleagues and encourage them to enroll now to ensure they are prepared prior to implementation of this provision. The implementation date is not set at this time. Provider Quick Tip 155 includes additional information. More information on provider enrollment and screening provisions and program integrity requirements of the ACA is also available.  

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