Pennsylvania Medicaid Policy Changes

MEDICAID PRIOR AUTH LISTS

• Geisinger Health Plan prior authorization list (GHP Family, Medicaid)Geisinger Health Plan · Managed care · 1,979 codes in Prior Auth Lookup
• PA Health & Wellness Medicaid (CHC) CMS-0057-F prior authorization requirementsPA Health & Wellness · Managed care · 4,777 codes in Prior Auth Lookup
• UnitedHealthcare Community Plan PA Medicaid prior authorization requirementsUnitedHealthcare · Managed care · 1,799 codes in Prior Auth Lookup
• UPMC Health Plan Prior Authorization List (UPMC for You, Medical Assistance)UPMC Health Plan · Managed care · 1,976 codes in Prior Auth Lookup
• Aetna Better Health of Pennsylvania prior authorization lookupAetna · Managed care
• AmeriHealth Caritas Pennsylvania prior authorization lookupAmeriHealth Caritas · Managed care
• Highmark Wholecare Medicaid Prior Authorization List (PAL)Highmark Wholecare · Managed care
• Keystone First prior authorization requirementsKeystone First · Managed care
• Pennsylvania Medicaid (DHS) fee-for-service fee schedulePennsylvania Medicaid (DHS) · Fee for service

MEDICAID PAYER CONTACTS

• DHS/OMAP 180-Day Exception, PO Box 8042, Harrisburg PA 17105-8042Pennsylvania Medicaid (DHS) · Appeals · Medicaid
• DHS/OMAP, PO Box 8194, Harrisburg PA 17105Pennsylvania Medicaid (DHS) · Claims · Medicaid
• DHS/OMAP, PO Box 8150, Harrisburg PA 17105Pennsylvania Medicaid (DHS) · Claims · Medicaid
• DHS/OMAP, PO Box 8015, Harrisburg PA 17105Pennsylvania Medicaid (DHS) · Claims · Medicaid
• UPMC for You, PO Box 2995, Pittsburgh, PA 15230-2995UPMC Health Plan · Claims · Medicaid, PA
• UPMC Community HealthChoices, PO Box 106042, Pittsburgh, PA 15230-106042UPMC Health Plan · Claims · Medicaid, PA
• 1-844-860-9303UPMC Health Plan · Provider services · Medicaid, PA

Contacts come from public payer sources. Verify with the payer. Payer Directory