MedicaidAdministrativeMedium impact
d 005747
Pennsylvania Medicaid (DHS)·PA·Provider Bulletin
Effective date
Oct 3, 2011
We identified it
Jun 20, 2026
Summary
Pennsylvania Medicaid is extending payment hold periods for institutional claims (inpatient, outpatient, long-term care) from 11 days to 18 days over 7 monthly increments starting October 3, 2011. This will delay payment by approximately one week for affected claim types.
Action Required
By October 3, 2011: Billing teams submitting institutional claims (UB04/837-I format) to Pennsylvania Medicaid should adjust cash flow expectations as payment will be delayed by 1-7 additional days depending on the month. Monitor remittance advice dates which will progressively extend from current timing through May 2012 when the full 18-day hold takes effect.