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MedicaidAdministrativeMedium impact

MAB2020090801

Pennsylvania Medicaid (DHS)·PA · Pharmacy·Provider Bulletin
Effective date
Oct 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medical Assistance is changing preferred specialty pharmacy providers effective October 1, 2020. All Fee-for-Service MA beneficiaries must obtain specialty medications only from Accredo Health Group or Chartwell Pennsylvania.

Action Required

Action needed
Before October 1, 2020: Update patient records and workflows to direct all Pennsylvania MA Fee-for-Service beneficiaries needing specialty medications to only use Accredo Health Group (877-766-3608) or Chartwell Pennsylvania (833-710-0211). Train staff on new pharmacy provider requirements. Note that copayments are exempt for specialty medications from these providers.