MedicaidDocumentationMedium impact
MAB 1141-95-01
Pennsylvania Medicaid (DHS)·PA · OB-GYN, Family Medicine, General Practice·Provider Bulletin
Effective date
Sep 14, 1995
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) updated payment policy for abortion services, requiring specific physician certification forms (MA 3) and victim statements for rape/incest cases, with strict documentation requirements for reimbursement eligibility.
Action Required
For Pennsylvania providers billing abortion services to Medicaid: Submit completed Physician Certification for Abortion form (MA 3) with all abortion claims. For rape/incest cases, obtain required victim statements (MA 368 or MA 369 forms) and attach to invoices. Update billing workflows to ensure proper documentation is collected before service and submitted with claims to avoid denials.