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SNAPShots

DPW Updates Pharmacy List

The Pennsylvania Department of Public Welfare has issued a new Medical Assistance Bulletin updating the state’s preferred drug list.  This bulletin applies to all licensed pharmacies and prescribers enrolled in the state’s Medical Assistance program that provide services in the fee-for-service delivery system.  The new bulletin can be found here.
Another document, an update of the Medical Assistance prior authorization handbook for pharmaceutical services, can be found hereBookshelf with law books.
The new policies take effect August 13.

2012-08-08T06:00:33+00:00August 8th, 2012|Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on DPW Updates Pharmacy List

DPW Publishes Bulletin Addressing Preventable Conditions

The Pennsylvania Department of Public Welfare (DPW) has posted a new Medical Assistance Bulletin presenting the state Medicaid program’s policies governing the reporting of “provider preventable conditions” effective July 1, 2012.  The policy applies to providers that serve Medical Assistance recipients enrolled in the fee-for-service and ACCESS Plus programs.
Find the Bulletin hereBookshelf with law books.

2012-06-20T06:00:09+00:00June 20th, 2012|Meetings and notices, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on DPW Publishes Bulletin Addressing Preventable Conditions

PA Sets Terms of New Telemedicine Expansion

The Pennsylvania Department of Public Welfare (DPW) has announced that it is expanding its use of telemedicine to serve the state’s Medical Assistance population.  Telemedicine is widely considered an especially useful tool for serving rural patients.
Under the new approach, the program will expand the types of medical specialists who may engage in telemedicine, remove the requirement that referring physicians participate in telemedicine consultations, and establish specific technologies for use in such consultations.
DPWBookshelf with law books has issued a new Medical Assistance Bulletin presenting more information about its new approach.
Medical Assistance Bulletin 09-12-31, 31-12-31, 33-12-30 describes the new program and outlines procedures for engaging in telemedicine consultations.  This bulletin can be found here.  A fee schedule and provider codes can be found here.

2012-05-25T06:00:47+00:00May 25th, 2012|Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on PA Sets Terms of New Telemedicine Expansion

Newborn Pay Cut

Pennsylvania’s Medical Assistance program will no longer pay hospitals for care they provide to normal newborns delivered by patients who participate in the state’s fee-for-service program.
This policy change, which took effect on May 1, will have a greater impact on Pennsylvania’s safety-net hospitals than on other hospitals because safety-net hospitals are involved in far more Medicaid-covered deliveries than other hospitals – two-thirds of such births according to the recent SNAP report Pennsylvania’s Safety-Net Hospitals:  Vital Providers, Vital Employers, which you can find here.
The policy change governing how Medicaid will pay hospitals for the care they provide to normal newborns is described in greater detail in a May 4 Medical Assistance Bulletin, which you can read hereBookshelf with law books.

2012-05-07T06:00:56+00:00May 7th, 2012|Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on Newborn Pay Cut
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