Pa Medicaid Fee Schedule

The links below provide information on Pa Medicaid Fee Schedule. Schedules are useful for managing time, ensuring that tasks and activities are completed on time, and for providing structure and organization to one's day. Schedules can be created for various purposes, such as work, school, personal goals, or events.


MA Fee Schedule - Department of Human Services

    https://www.dhs.pa.gov/providers/Providers/Pages/Health%20Care%20for%20Providers/MA-Fee-Schedule.aspx
    Downloadable MA Program Outpatient Fee schedule - The PROMISe™ Outpatient Fee Schedule is available for download in the following formats: Excel, PDF, and Comma Delimited. This link will take you to the PROMISe™ website where you will be required to …

Outpatient Fee Schedules - humanservices.state.pa.us

    https://www.humanservices.state.pa.us/OUTPATIENTFEESCHEDULE/Search
    Please use the appropriate modifier as per your MA bulletins. In addition, this fee schedule does not apply to Home and Community Based waiver services or those services …

For Providers - Department of Human Services

    https://www.dhs.pa.gov/docs/For-Providers/Pages/default.aspx
    Drug Fee Schedules MA Fee Schedules OIM Recent Operations Memoranda and Policy Clarifications Personal Care Home Reports Pharmacy Service Fax Forms PROMISe …

REMINDER: The PROMISe™ Outpatient Fee Schedule is …

    https://www.dhs.pa.gov/providers/Quick-Tips/Documents/35%20-%20The%20PROMISe%20Outpatient%20Fee%20Schedule%20is%20Online.pdf
    Outpatient Fee Schedule is Online The PROMISe™ Outpatient Fee Schedule has been updated in the Information for DHS Business Partners/Providers section of the DHS site. …

Provider Fee Schedules - Department of Health

    https://www.health.pa.gov/topics/Administrative/Pages/Provider.aspx
    Provider Fee Schedules These are the current fees the Pennsylvania Department of Health pays participating providers for services for the conditions or programs listed below. …

ODP Rates - Department of Human Services

    https://www.dhs.pa.gov/providers/Providers/Pages/ODP-Rates.aspx
    The Department of Human Services establishes the fee schedule rates for targeted support management and select services funded through the …

OMAP - Outpatient Fee - User Agreements

    https://www.humanservices.state.pa.us/outpatientfeeschedule
    OMAP - Outpatient Fee - User Agreements Before searching and/or viewing the outpatient fee schedule information on this site, you must read and register your compliance with …

Medical Assistance - Department of Human Services

    https://www.dhs.pa.gov/services/assistance/pages/medical-assistance.aspx
    If you are eligible for MA, you may call the Fee-for-Service Recipient Service Center at 1-800-537-8862. They will provide you with a list of enrolled providers for MA patients. There is also a fee-for-service provider …

Pennsylvania | Medicaid

    https://www.medicaid.gov/state-overviews/stateprofile.html?state=Pennsylvania
    Medicaid and CHIP agencies now rely primarily on information available through data sources (for example, the Social Security Administration, the Departments of …

Rates - Department of Human Services

    https://www.dhs.pa.gov/providers/Providers/Pages/Rates-Nursing%20Facilites.aspx
    Managed Care Minimum Payment Rates - State Directed Payment. On December 30, 2022 the Centers for Medicare and Medicaid Services approved a state …

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