MedicaidBilling CodesMedium impact
OMAP - Medical Assistance Bulletin
Pennsylvania Medicaid (DHS)·PA · OB-GYN, Family Medicine·Provider Bulletin
Effective date
Jan 1, 2000
We identified it
Jun 20, 2026
Summary
Pennsylvania Medicaid expanded procedure codes that certified nurse midwives can bill for, as long as services fall within their scope of practice or collaborative agreements with physicians. The bulletin clarifies billing permissions but does not change existing collaborative agreements or midwifery scope of practice definitions.
Action Required
If your practice has collaborative agreements with certified nurse midwives: Review the complete Medical Assistance Bulletin 01-01-08, 31-01-01 to understand expanded billing codes available to midwives. Verify midwives meet Department enrollment criteria for specialized services like Healthy Beginnings Plus (HB) codes, radiography, and colposcopy before billing. Review collaborative agreements to ensure delegated responsibilities are clearly documented.