MedicaidAdministrativeLow impact
MAB2024111301
Pennsylvania Medicaid (DHS)·PA · Nephrology, Internal Medicine, Family Medicine·Provider Bulletin
Effective date
Jan 6, 2025
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) is changing the name of 'Phosphate Binders' to 'Phosphate Lowering Agents' in their preferred drug list therapeutic class, effective January 6, 2025. No changes to prior authorization requirements or medical necessity guidelines - this is purely a terminology update.
Action Required
By January 6, 2025: Update any internal documentation, forms, or billing system references that mention 'Phosphate Binders' to use the new terminology 'Phosphate Lowering Agents' for Pennsylvania Medicaid patients. No changes to prior authorization procedures or clinical guidelines are required.