MedicaidPrior AuthLow impact
MAB2022071302
Pennsylvania Medicaid (DHS)·PA · Family Medicine, Internal Medicine, OB-GYN +1 more·Provider Bulletin
Effective date
Sep 1, 2022
We identified it
Jun 20, 2026
Summary
Pennsylvania Medicaid is updating prior authorization guidelines for contraceptives effective September 1, 2022. The changes clarify language for consistency but do not alter the actual medical necessity requirements for non-preferred contraceptives or quantity limit overrides.
Action Required
By September 1, 2022: Review updated PA guidelines for contraceptives in Pennsylvania Medicaid cases. No workflow changes needed as medical necessity criteria remain unchanged - only language clarification for consistency.