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MedicaidAdministrativeHigh impact

MAB2026050501

Pennsylvania Medicaid (DHS)·PA·Provider Bulletin
Effective date
May 5, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medicaid is implementing the Qualitrac® Provider Portal for all prior authorization and program exception submissions for non-drug items and services. This replaces previous submission methods like fax, email, and telephonic requests with a mandatory electronic portal system.

Action Required

Action needed
By provider type rollout schedule (check https://www.pa.gov/agencies/dhs/resources/for-providers/prior-authorization-portal): Provider executive must register at https://pamedicaid.telligen.com/ by completing Provider Portal Agreement and designating authorized officials. Authorized officials must complete registration form. Billing team must attend required trainings and transition all Pennsylvania Medicaid prior authorizations to the new portal. Stop using MA 97 forms for prior auth requests submitted through the portal. Contact PAU-QTRegistration@telligen.com for registration issues.