MedicaidAdministrativeMedium impact
MAB2025111801
Pennsylvania Medicaid (DHS)·PA · Audiology, Occupational Therapy, Physical Therapy +2 more·Provider Bulletin
Effective date
Nov 18, 2025
We identified it
Jun 20, 2026
Summary
Pennsylvania updated the School-Based ACCESS Program (SBAP) provider handbook with key billing changes including: addition of modifiers for CRNP services, expanded prescriptive authority for CRNPs and physician assistants for assistive devices, addition of LCSWs as providers with prescriptive authority, removal of LSWs from prescriptive authority, and addition of hearing aid check procedure codes.
Action Required
Immediately: School-based providers in Pennsylvania's SBAP program must review the updated handbook to understand new modifier requirements for CRNP services, update provider credentialing to reflect expanded prescriptive authority for CRNPs and physician assistants for assistive devices, add LCSWs as qualified providers for social work services with prescriptive authority, remove LSWs from prescriptive authority lists, and implement new hearing aid check procedure codes. Download the updated handbook from the PA DHS website and update billing system provider qualifications accordingly.