MedicaidAdministrativeMedium impact
MAB2024030101
Pennsylvania Medicaid (DHS)·PA · Family Medicine, Internal Medicine, General Practice·Provider Bulletin
Effective date
Mar 1, 2024
We identified it
Jun 20, 2026
Summary
Pennsylvania updated billing guidelines for FQHCs and RHCs, adding Pharmacists and Licensed Dietician-Nutritionists as billable practitioners, allowing hospital Place of Service 21 for FQHC/RHC encounters, and updating telehealth, group therapy, and cost reporting procedures.
Action Required
By March 1, 2024: FQHC and RHC billing teams must update encounter billing to include Pharmacists and Licensed Dietician-Nutritionists as billable practitioners. Update billing system to allow Place of Service 21 for hospital-based FQHC/RHC encounters that could have been performed at the facility. Review updated Appendix E handbook for telehealth billing requirements and group therapy encounter guidelines.