MedicaidAdministrativeLow impact
Microsoft Word - 010801att.doc
Pennsylvania Medicaid (DHS)·PA·Provider Bulletin
We identified it
Jun 20, 2026
Summary
This is a legend/reference document for a Pennsylvania Medicaid policy that explains the column structure for procedure code information including national codes, provider types, pricing modifiers, and prior authorization requirements. The document appears to be an attachment explaining how to read other policy documents rather than announcing specific changes.
Action Required
No immediate action required. This is a reference document explaining how to interpret Pennsylvania Medicaid policy attachments. Billing team should keep this legend available when reviewing future Pennsylvania Medicaid procedure code policies that reference this format.