MedicaidAdministrativeLow impact
MAB2023110904
Pennsylvania Medicaid (DHS)·PA · Endocrinology, Pediatrics, OB-GYN +1 more·Provider Bulletin
Effective date
Jan 8, 2024
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance has updated the title reference in prior authorization guidelines for Pituitary Suppressive Agents/LHRH medications to reflect the current World Professional Association for Transgender Health Standards of Care. No other changes were made to the medical necessity guidelines or prior authorization requirements.
Action Required
No immediate action required. This is an administrative update that only changes the title reference in existing prior authorization guidelines for Pituitary Suppressive Agents/LHRH. Current prior authorization procedures and requirements remain unchanged.