MedicaidAdministrativeMedium impact
MAB2025111401
Pennsylvania Medicaid (DHS)·PA · OB-GYN, Urology, General Surgery +1 more·Provider Bulletin
Effective date
Nov 14, 2025
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance has updated the Sterilization Consent Form (MA 31) to extend the expiration date from July 31, 2025 to July 31, 2028. Providers performing sterilization procedures must use the new form version effective immediately.
Action Required
Immediately: Download and implement the updated MA 31 Sterilization Consent Form with expiration date 7/31/2028 from the Pennsylvania DHS website. Replace all copies of the previous form (expired 7/31/2025) in both English and Spanish. Ensure all staff performing sterilization procedures use only the new form version. Claims for sterilization services must include the updated consent form for payment.