MedicaidPrior AuthMedium impact
MAB2022110402
Pennsylvania Medicaid (DHS)·PA · Psychiatry, Family Medicine, Internal Medicine +1 more·Provider Bulletin
Effective date
Jan 9, 2023
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) is adding Alcohol Use Disorder Agents to their Preferred Drug List, requiring prior authorization for non-preferred medications and quantities exceeding limits. This affects prescribers and pharmacies serving Medicaid patients in Pennsylvania starting January 9, 2023.
Action Required
By January 9, 2023: Providers prescribing Alcohol Use Disorder medications to Pennsylvania Medicaid patients must obtain prior authorization for non-preferred agents and quantities exceeding limits. Update EMR templates to include medical necessity documentation showing therapeutic failure, contraindication, or intolerance to preferred agents. Contact appropriate managed care organizations for patients in managed care delivery systems.