MedicaidCoverageLow impact
http://www.dpw.state.pa.us/omap/provinf/mabull/010211.asp
Pennsylvania Medicaid (DHS)·PA · Psychiatry, Pediatrics·Provider Bulletin
Effective date
Oct 1, 2002
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) will now cover Residential Treatment Facility (RTF) services in secure settings for adjudicated delinquent recipients under 21 with mental illness. Facilities must complete specific enrollment procedures and obtain prior authorization before billing for these services.
Action Required
For RTF providers serving Pennsylvania Medicaid patients in secure settings: Submit enrollment application to OMAP including Chapter 3800 license, JCAHO accreditation (if applicable), service description, and restraint/seclusion compliance attestation. Ensure all RTF services receive prior authorization from OMAP or BH-MCO before providing services. Contact OMAP at (717) 772-6456 for enrollment package.