MedicaidAdministrativeHigh impact
MAB2022122901
Pennsylvania Medicaid (DHS)·PA·Provider Bulletin
Effective date
Feb 27, 2023
We identified it
Jun 20, 2026
Summary
Pennsylvania's Medical Assistance (Medicaid) program is reinstating pre-COVID provider enrollment requirements effective February 27, 2023, including enrollment fees, fingerprint background checks, and site visits. Providers who enrolled temporarily during the pandemic must now complete these requirements or risk closure of their service locations in the PROMISe system.
Action Required
By February 27, 2023: Providers enrolled in PA Medical Assistance must pay enrollment application fees, complete fingerprint-based background checks (high-risk providers), and undergo site visits as required. Billing team should verify provider enrollment status in PROMISe system and ensure all locations are properly validated. High-risk providers who received 30-day notices must submit fingerprint checks by specified dates and cooperate with site visits. Failure to comply will result in closure of provider service locations and inability to bill Medicaid.