MedicaidPrior AuthMedium impact
MAB2025061201
Pennsylvania Medicaid (DHS)·PA · Endocrinology, Family Medicine, Internal Medicine +1 more·Provider Bulletin
Effective date
Jul 7, 2025
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance is updating their Preferred Drug List effective July 7, 2025. Ascensia Contour and Lifescan OneTouch glucose meters/test strips are changing from preferred to non-preferred status, while Accu-Chek Guide and Trividia True Metrix glucose meters/test strips are changing from non-preferred to preferred status.
Action Required
Before July 7, 2025: Billing team must update prior authorization requirements for diabetes supplies. New prior auth will be required for Ascensia Contour and Lifescan OneTouch glucose meters and test strips (now non-preferred). Remove prior auth requirements for Accu-Chek Guide and Trividia True Metrix glucose meters and test strips (now preferred). Update encounter forms to reflect new preferred options for diabetic patients on Pennsylvania Medicaid.