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Microsoft Word - 270606.doc

Pennsylvania Medicaid (DHS)·PA · Dentistry·Provider Bulletin
Effective date
Jan 25, 2006
We identified it
Jun 20, 2026
Days to comply

Summary

This is a minor administrative correction to a Medical Assistance Bulletin reference number. The correct bulletin number for Provider Type 27 (dentists) should be 27-06-04, not 27-06-01 as originally listed in the Preferred Drug List Phase 4 bulletin.

Action Required

Action needed
Make a pen and ink correction to any printed copies of MAB 27-06-01 to reflect the correct bulletin number as 27-06-04. This is a reference number correction only and does not affect billing procedures.