MedicaidPrior AuthMedium impact
Medical Assistance Bulletin 01-19-65
Pennsylvania Medicaid (DHS)·PA·Provider Bulletin
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Pennsylvania is implementing a Statewide Preferred Drug List (PDL) effective January 1, 2020, that will standardize preferred/non-preferred drug statuses and prior authorization requirements across both Fee-for-Service and managed care Medical Assistance programs. This creates uniform prior authorization guidelines for prescription drugs that previously varied between different managed care organizations.
Action Required
By January 1, 2020: All prescribers and pharmacies enrolled in Pennsylvania Medical Assistance must refer to the new Statewide PDL at www.papdl.com for preferred/non-preferred drug statuses. Update prior authorization request procedures to follow the standardized guidelines that now apply to both Fee-for-Service and managed care delivery systems. Contact individual MCOs for their specific prior authorization request procedures as these may differ from Fee-for-Service processes.