MedicaidDocumentationMedium impact
Microsoft Word - MAB- Class I - Clarification of Payment Policy for Abortio...
Pennsylvania Medicaid (DHS)·PA · OB-GYN, Emergency Medicine, General Surgery·Reimbursement
Effective date
Nov 17, 2006
We identified it
Jun 20, 2026
Summary
Pennsylvania Medicaid has clarified certification requirements for abortion services reimbursement, revising forms MA-3 and MA-368 and consolidating MA-369 into MA-368. Providers must use the updated forms immediately for all abortion service claims to ensure proper payment.
Action Required
Immediately: Download and begin using revised Physician Certification for an Abortion Form (MA-3) and consolidated Recipient Statement Form (MA-368) from the PA DHS website. Stop using obsolete form MA-369. Billing team must submit completed forms with all abortion service claims. Providers must complete appropriate sections based on life threat or rape/incest circumstances.