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Prior Authorization FAQ - Department of Human Services

    https://www.dhs.pa.gov/providers/FAQs/Pages/Prior-Authorization-FAQ.aspx
    The MA 97 - Outpatient Services Authorization Request form is used to request a medical service/supply that requires prior authorization/program exception. The MA 97 …

Pharmacy Prior Authorization General Requirements and …

    https://www.dhs.pa.gov/providers/Pharmacy-Services/Pages/Pharmacy-Prior-Authorization-General-Requirements.aspx
    If the prescribing provider prefers to initiate a prior authorization request by fax, the provider may download the appropriate prior authorization fax form for the drug or class of drugs that require prior authorization from the Pharmacy Services Prior Authorization Fax Forms …

Preferred Drug List - Department of Human Services

    https://www.dhs.pa.gov/providers/Pharmacy-Services/Pages/Preferred-Drug-List.aspx
    All drugs designated as preferred with clinical prior authorization on the Statewide PDL require prior authorization through the beneficiary's pharmacy …

Prior Authorization Fax Forms - Department of Human …

    https://www.dhs.pa.gov/providers/Pharmacy-Services/Pages/Pharmacy-Services-Fax-Forms.aspx
    Fee-for-Service Non-PDL Drugs/Drug Classes Fax Forms. *NOTE: Please use the Non-Preferred Medication Form for drugs included on the Statewide PDL that do not have a …

NON -PREFERRED MEDICATION PRIOR …

    https://www.dhs.pa.gov/providers/Pharmacy-Services/Documents/Fax%20Forms%20SW%20PDL/Non-Preferred%20Medication%20(NEW)%20PEAP%20Form%2001-01-20.pdf
    NON-PREFERRED MEDICATION Office of Medical Assistance Programs Fee-for-Service, Pharmacy Division Phone 1-800-537-8862 Fax 1-866-327-0191 NON …

Pharmacy Services Prior Authorization Clinical Guidelines

    https://www.dhs.pa.gov/providers/Pharmacy-Services/Pages/Clinical-Guidelines.aspx
    Pharmacy Services Prior Authorization Clinical Guidelines Review Data DHS Blog Contact Us MA & CHIP Renewals Apply for Benefits COVID-19 Report Fraud & Abuse Licensing …

Pharmacy Services - Department of Human Services

    https://www.dhs.pa.gov/providers/Providers/Pages/Pharmacy-Services.aspx
    The Pharmacy Services program of the Department of Human Services (DHS, "the Department") oversees the outpatient prescription drug benefit for all Pennsylvania …

Downloadable Medical Assistance Provider Forms

    https://www.dhs.pa.gov/docs/Publications/Pages/Medical-Assistance-Provider-Forms.aspx
    The Office of Medical Assistance Programs (OMAP) produces and distributes over 70 forms and envelopes for provider use at no charge to the provider. There may be a limit …

Pennsylvania Medicaid Prior Authorization …

    https://eforms.com/prior-authorization/medicaid/pennsylvania/
    Updated June 02, 2022. A Pennsylvania Medicaid prior authorization form is required to obtain Medicaid coverage for non-preferred drugs in the State …

MGMA presses CMS on prior authorization reform

    https://www.healthcarefinancenews.com/news/mgma-presses-cms-prior-authorization-reform
    2 days ago · Photo: Al David Sacks/Getty Images. The Medical Group Management Association is pressing the Centers for Medicare and Medicaid Services to reform the …



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