Bulletin Results


Program Office Acronyms
OA - Office of Administration
OCDEL - Office of Child Development and Early Learning
OCS - Office of Client Services
OCYF - Office of Children, Youth, and Families
ODP - Office of Developmental Programs
OIM - Office of Income Maintenance
OLTL - Office of Long Term Living
OMAP - Office of Medical Assistance Programs
OMHSAS - Office of Mental Health and Substance Abuse Services
OSP - Office of Social Programs

Note: All Program Office Bulletins are not yet posted. Program Offices are currently in the process of adding bulletins to the website.

Bulletin Number(s) Program(s) Subject/Title Issue Date Effective Date
OMHSAS-14-04
OA-2017-03 OA Maximum Rate of State Participation for Employee Benefits for County Children and Youth Agencies and Mental Health/Intellectual Disabilities/Early Intervention Programs 08/30/2017 08/30/2017
OMHSAS-17-04 OMHSAS Physician/Certified Registered Nurse Practitioner Collaboration Procedures 08/29/2017 08/29/2017
OMHSAS-17-03 OMHSAS Special Pharmaceutical Benefits Program-Mental Health 08/29/2017 08/29/2017
99-17-11 OMAP Limited English Proficiency Requirements 08/11/2017 08/11/2017
01-17-28, 33-17-28, 47-17-01 OMAP “Newborn Add” Feature for COMPASS 08/09/2017 08/21/2017
01-17-33, 02-17-28, 03-17-28, 08-17-34, 09-17-31, 11-17-28, 14-17-28, 24-17-29, 27-17-29, 30-17-29, 31-17-33, 32-17-28, 33-17-32 OMAP Prior Authorization of Intra-Articular Hyaluronates - Pharmacy Services 08/08/2017 08/08/2017
01-17-29, 08-17-29, 09-17-27, 24-17-26, 25-17-01, 28-17-01, 31-17-28, 33-17-27 OMAP MA Program Fee Schedule Updates for Certain Family Planning Services 08/07/2017 08/07/2017
99-17-07 OMAP Procedure Code Change for Tobacco Cessation Counseling Services 08/07/2017 08/07/2017
01-17-31, 09-17-29, 25-17-02, 31-17-31, 33-17-30 OMAP Pasteurized Donor Human Milk 08/07/2017 08/07/2017
99-17-10 OMAP Revisions to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 08/07/2017 08/07/2017
99-17-08 OMAP 2017 Healthcare Common Procedure Coding System (HCPCS) Updates and Other Procedure Code Changes 08/07/2017 08/07/2017
08-17-31, 10-17-01, 27-17-26 OMAP Public Health Dental Hygiene Practitioner Enrollment in the Medical Assistance Program 08/01/2017 08/01/2017
01-17-32, 02-17-27, 03-17-27, 08-17-33, 09-17-30, 11-17-27, 14-17-27, 24-17-27, 27-17-28, 30-17-28, 31-17-32, 32-17-27, 33-17-31 OMAP Preferred Drug List (PDL) Update July 25, 2017- Pharmacy Services 07/21/2017 07/25/2017
00-17-02 ODP Claim and Service Documentation Requirements for Providers of Consolidated and Person/Family Directed Support Waiver Services and Targeted Services Management 07/21/2017 07/21/2017
01-17-34, 09-17-32, 27-17-30, 02-17-29, 11-17-29, 30-17-30, 03-17-29, 14-17-29, 31-17-34, 08-17-35, 24-17-30, 32-17-29, 33-17-33 OMAP Prior Authorization of Angiotensin Modulators - Pharmacy Services 07/13/2017 07/25/2017
99-17-09 OMAP Payment for Covered Outpatient Drugs - Pharmacy Services 06/28/2017 06/30/2017
01-17-30, 02-17-26, 03-17-26, 08-17-32, 09-17-28, 11-17-26, 14-17-26, 24-17-27, 27-17-27, 30-17-27, 31-17-30, 32-17-26, 33-17-29 OMAP Prior Authorization of Hepatitis C Agents - Pharmacy Services 06/28/2017 07/01/2017
99-17-06 OMAP Updates to the Medical Assistance Program Copayment Desk Reference 06/26/2017 06/26/2017
00-17-01 ODP Quality Management Strategy of the Office of Developmental Programs 06/20/2017 06/20/2017
01-17-23, 02-17-21, 03-17-21, 08-17-24, 09-17-22, 11-17-21, 14-17-21, 24-17-21, 27-17-21, 30-17-22, 31-17-23, 32-17-21, 33-17-22 OMAP Prior Authorization of Cinqair (reslizumab) - Pharmacy Services 06/07/2017 06/06/2017
01-17-27, 02-17-25, 03-17-25, 08-17-28, 09-17-26, 11-17-25, 14-17-25, 24-17-25, 27-17-25, 30-17-26, 31-17-27, 32-17-25, 33-17-26 OMAP Prior Authorization of Spinraza (nusinersen) – Pharmacy Services 06/07/2017 06/06/2017
01-17-22, 02-17-20, 03-17-20, 08-17-23, 09-17-21, 11-17-20, 14-17-20, 24-17-20, 27-17-20, 30-17-21, 31-17-22, 32-17-20, 33-17-21 OMAP Prior Authorization of Analgesics, Narcotic Long Acting and Analgesics, Narcotic Short Acting – Pharmacy Services 06/07/2017 06/06/2017
01-17-24, 02-17-22, 03-17-22, 08-17-25, 09-17-23, 11-17-22, 14-17-22, 24-17-22, 27-17-22, 30-17-23, 31-17-24, 32-17-22, 33-17-23 OMAP Prior Authorization of Exondys 51 (eteplirsen) – Pharmacy Services 06/07/2017 06/06/2017
01-17-25, 09-17-24, 27-17-23, 02-17-23, 11-17-23, 30-17-24, 03-17-23, 14-17-23, 31-17-25, 08-17-26, 24-17-23, 32-17-23, 33-17-24 OMAP Prior Authorization of Multiple Sclerosis Agents - Pharmacy Services 06/07/2017 06/06/2017
01-17-26, 02-17-24, 03-17-24, 08-17-27, 09-17-25, 11-17-24, 14-17-24, 24-17-24, 27-17-24, 30-17-25, 31-17-26, 32-17-24, 33-17-25 OMAP Prior Authorization of Oncology Agents, Breast Cancer – Pharmacy Services 06/07/2017 06/06/2017
07-17-01, 08-17-22 OMAP Opt-In Procedures for Federally Qualified Health Centers and Rural Health Clinics to Receive the Prospective Payment System Rate from Managed Care Organizations 05/30/2017 06/01/2017
08-17-17 OMAP Discontinuance of Federally Qualified Health Center Alternative Payment Methodology for Delivery Services in the Federally Qualified Health Center Setting 05/30/2017 06/01/2017
01-17-18, 02-17-16, 03-17-16, 08-17-18, 09-17-17, 11-17-16, 14-17-16, 24-17-16, 27-17-16, 30-17-17, 31-17-18, 32-17-16, 33-17-17 OMAP Prior Authorization of Xolair (omalizumab) – Pharmacy Services 04/27/2017 05/01/2017
01-17-21, 02-17-19, 03-17-19, 08-17-21, 09-17-20, 11-17-19, 14-17-19, 24-17-19, 27-17-19, 30-17-20, 31-17-21, 32-17-19, 33-17-20 OMAP Prior Authorization of Cytokine and CAM Antagonists – Pharmacy Services 04/27/2017 05/01/2017
01-17-19, 02-17-17, 03-17-17, 08-17-19, 09-17-18, 11-17-17, 14-17-17, 24-17-17, 27-17-17, 30-17-18, 31-17-19, 32-17-17, 33-17-18 OMAP Prior Authorization of Ophthalmic Immunomodulators – Pharmacy Services 04/27/2017 05/01/2017
99-17-04 OMAP 2017 Recommended Childhood and Adolescent Immunization Schedules 04/24/2017 04/24/2017
54-17-01, 59-17-01 OLTL Act 150 Program Sliding Fee Scale for Calendar Year 2017 03/24/2017 01/01/2017
99-17-03 OMAP Implementation of Criminal Background Checks for Providers Assigned ACA Categorical Risk Level of High 03/06/2017 04/01/2017
35-17-01 OMAP, OSP School-Based ACCESS Program Provider Handbook 02/28/2017 02/28/2017
01-17-12, 02-17-10, 03-17-10, 08-17-11, 09-17-11, 11-17-10, 14-17-10, 24-17-10, 27-17-10, 30-17-11, 31-17-12, 32-17-10, 33-17-11 OMAP Prior Authorization of Nplate (romiplostim) - Pharmacy Services 01/31/2017 01/31/2017
01-17-04, 09-17-03, 27-17-02, 02-17-02, 11-17-02, 30-17-03, 03-17-02, 14-17-02, 31-17-04, 08-17-03, 24-17-02, 32-17-02, 33-17-03 OMAP Prior Authorization of Analgesics, Narcotic Long Acting and Analgesics, Narcotic Short Acting – Pharmacy Services 01/31/2017 01/31/2017
01-17-07, 09-17-06, 27-17-05, 02-17-05, 11-17-05, 30-17-06, 03-17-05, 14-17-05, 31-17-07, 08-17-06, 24-17-05, 32-17-05, 33-17-06 OMAP Prior Authorization of Anxiolytics – Pharmacy Services 01/31/2017 01/31/2017
01-17-15, 02-17-13, 03-17-13, 08-17-14, 09-17-14, 11-17-13, 14-17-13, 24-17-13, 27-17-13, 30-17-14, 31-17-15, 32-17-13, 33-17-14 OMAP Prior Authorization of Sedative Hypnotics – Pharmacy Services 01/31/2017 01/31/2017
01-17-08, 09-17-07, 27-17-06, 02-17-06, 11-17-06, 30-17-07, 03-17-06, 14-17-06, 31-17-08, 08-17-07, 24-17-06, 32-17-06, 33-17-07 OMAP Prior Authorization of Bile Salts – Pharmacy Service 01/31/2017 01/31/2017
01-17-17, 02-17-15, 03-17-15, 08-17-16, 09-17-16, 11-17-15, 14-17-15, 24-17-15, 27-17-15, 30-17-16, 31-17-17, 32-17-15, 33-17-16 OMAP Prior Authorization of Xyrem (sodium oxybate) – Pharmacy Services 01/31/2017 01/31/2017
01-17-05, 09-17-04, 27-17-03, 02-17-03, 11-17-03, 30-17-04, 03-17-03, 14-17-03, 31-17-05, 08-17-04, 24-17-03, 32-17-03, 33-17-04 OMAP Prior Authorization of Analgesics, Non-Narcotic Barbiturate Combinations - Pharmacy Services 01/31/2017 01/31/2017
01-17-13, 02-17-11, 03-17-11, 08-17-12, 09-17-12, 11-17-11, 14-17-11, 24-17-11, 27-17-11, 30-17-12, 31-17-13, 32-17-11, 33-17-12 OMAP Prior Authorization of Pituitary Suppressive Agents, LHRH - Pharmacy Services 01/31/2017 01/31/2017
01-17-14, 02-17-12, 03-17-12, 08-17-13, 09-17-13, 11-17-12, 14-17-12, 24-17-12, 27-17-12, 30-17-13, 31-17-14, 32-17-12, 33-17-13 OMAP Prior Authorization of Promacta (eltrombopag) - Pharmacy Services 01/31/2017 01/31/2017
01-17-16, 02-17-14, 03-17-14, 08-17-15, 09-17-15, 11-17-14, 14-17-14, 24-17-14, 27-17-14, 30-17-15, 31-17-16, 32-17-14, 33-17-15 OMAP Prior Authorization of Stimulants and Related Agents – Pharmacy Services 01/31/2017 01/31/2017
01-17-10, 09-17-09, 27-17-08, 02-17-08, 11-17-08, 30-17-09, 03-17-08, 14-17-08, 31-17-10, 08-17-09, 24-17-08, 32-17-08, 33-17-09 OMAP Prior Authorization of Bronchodilators, Beta Agonists – Pharmacy Services 01/30/2017 01/31/2017
01-17-11, 02-17-09, 03-17-09, 08-17-10, 09-17-10, 11-17-09, 14-17-09, 24-17-09, 27-17-09, 30-17-10, 31-17-11, 32-17-09, 33-17-10 OMAP Prior Authorization of Cytokine and CAM Antagonists - Pharmacy Services 01/30/2017 01/31/2017
99-17-02 OMAP Submission of Claims that Require the National Provider Identifier (NPI) of a Medical Assistance enrolled Ordering, Referring or Prescribing Provider 01/30/2017 01/30/2017
01-17-09, 09-17-08, 27-17-07, 02-17-07, 11-17-07, 30-17-08, 03-17-07, 14-17-07, 31-17-09, 08-17-08, 24-17-07, 32-17-07, 33-17-08 OMAP Prior Authorization of Botulinum Toxins - Pharmacy Services 01/30/2017 01/31/2017
01-17-06, 09-17-05, 27-17-04, 02-17-04, 11-17-04, 30-17-05, 03-17-04, 14-17-04, 31-17-06, 08-17-05, 24-17-04, 32-17-04, 33-17-05 OMAP Prior Authorization of Antiparkinson’s Agents - Pharmacy Services 01/30/2017 01/31/2017
OMHSAS-17-02 OMHSAS Applied Behavioral Analysis Using Behavioral Specialist Consultant-Autism Spectrum Disorder and Therapeutic Staff Support Services 01/13/2017 01/13/2017
OMHSAS-17-01 OMHSAS Reissue of Medical Necessity Guidelines for Applied Behavioral Analysis Using Behavioral Specialist Consultant-Autism Spectrum Disorder and Therapeutic Staff Support Services 01/13/2017 01/13/2017
01-17-02, 02-17-01, 03-17-01, 08-17-02, 09-17-02, 11-17-01, 14-17-01, 24-17-01, 27-17-01, 30-17-02, 31-17-03, 32-17-01, 33-17-02 OMAP Prior Authorization of Opiate Dependence Treatments - Pharmacy Service 01/04/2017 01/04/2017
59-16-12 OLTL Participant Reviews 12/28/2016 01/01/2017
59-16-14 OLTL Home and Community-Based Settings Requirements 12/28/2016 12/28/2016
01-17-01, 08-17-01, 09-17-01, 31-17-01, 33-17-01 OMAP Addition to the Medical Assistance Program Fee Schedule for Administration of Quadrivalent Flu Vaccine Derived from Cell Cultures 12/23/2016 01/01/2017
OMHSAS-16-12 OMHSAS Peer Support Services - Revised 12/12/2016 12/12/2016
08-16-30 OMAP Federally Qualified Health Center Alternative Payment Methodologies for Delivery Services 11/28/2016 12/01/2016
01-16-33, 08-16-31, 09-16-30, 28-16-02, 31-16-35, 33-16-29 OMAP MA Program Fee Schedule Updates for Certain Family Planning Services 11/26/2016 12/01/2016
OMHSAS-16-11 OMHSAS Nursing Home Pre-Admission Screening and Resident Review Requirements Related to Mental Health Services 11/10/2016 11/10/2016
00-16-07 ODP Proposed Regulations - Home and Community-Based Support and Licensing 11/07/2016 11/07/2016
01-16-32, 31-16-34 OMAP Services Ordered, Referred, or Prescribed by Graduate Medical or Osteopathic Trainees 11/02/2016 11/02/2016
59-16-09 OLTL Nursing Home Transition Program Changes 10/28/2016 12/01/2016
01-16-31, 09-16-29, 27-16-28, 02-16-27, 11-16-27, 30-16-27, 03-16-27, 14-16-28, 31-16-33, 08-16-29, 24-16-30, 32-16-26, 33-16- 28 OMAP Prior Authorization of Botulinum Toxins - Pharmacy Services 10/20/2016 10/31/2016
59-16-13 OLTL Individual Service Plan Development, Review and Implementation 10/14/2016 10/14/2016
03-16-10, 59-16-10 OLTL Guidance for Nursing Facilities - MDS Section Q 10/03/2016 10/01/2016
01-16-30, 09-16-28, 27-16-27, 02-16-26, 11-16-26, 30-16-26, 03-16-26, 14-16-27, 31-16-32, 08-16-28, 24-16-29, 32-16-25, 33-16-27 OMAP Prior Authorization of Incretin Mimetic/Enhancer Hypoglycemics - Pharmacy Services 09/30/2016 10/03/2016
00-16-06 ODP Issuance of Individual Support Plans for Individuals Receiving Targeted Services Management, Base Funded Services, Consolidated or P/FDS Waiver Services, or Who Reside in an ICF/ID. – Replacing Original Dated 9/16/2016 09/16/2016 09/16/2016
01-16-29, 08-16-27, 09-16-27, 31-16-31, 33-16-26, 55-16-01 OMAP Environmental Lead Investigations 09/13/2016 09/13/2016
59-16-11 OLTL Organized Health Care Delivery System 08/29/2016 08/29/2016
05-16-05, 16-16-01 OMAP Medical Assistance Program Fee Increases for Private Duty/Shift Nursing Services to MA Beneficiaries Under 21 Years of Age 08/26/2016 07/01/2016
99-16-15 OMAP Payment of Claims for Services Provided to Children and Adolescents for the Diagnostic Assessment and Treatment of Autism Spectrum Disorder 08/17/2016 09/30/2016
59-16-08 * OLTL Participant Reviews 08/15/2016 10/01/2016
99-16-12 Electronic Provider Enrollment Application 08/08/2016 08/08/2016
99-16-13 OMAP Assignment of ACA Categorical Risk Levels and the Implementation of Site Visits 08/04/2016 08/04/2016
10-16-01 OMAP Enrollment of Physician Assistants Who Order, Refer and Prescribe for Medical Assistance Beneficiaries 08/03/2016 08/03/2016
59-16-07 OLTL Employment and Employment Related Services 07/26/2016 07/26/2016
99-16-11 OMAP Federal Final Rule, “Nondiscrimination in Health Programs and Activities” and Implication for Coverage of Services Related to Gender Transition 07/18/2016 07/18/2016
99-16-14 OMAP Coverage of Mosquito Repellents 07/18/2016 07/18/2016
OMHSAS-16-10 OMHSAS Admissions, Transfers, Level of Care and Service Area Designation for the Regional Forensic Psychiatric Centers 07/14/2016 07/14/2016
01-16-24, 02-16-21, 03-16-21, 08-16-22, 09-16-22, 11-16-21, 14-16-22, 24-16-24, 27-16-22, 30-16-21, 31-16-26, 32-16-20, 33-16-21 OMAP Prior Authorization of Lipotropics, Other - Pharmacy Services 07/08/2016 07/11/2016
01-16-27, 09-16-25, 27-16-25, 02-16-24, 11-16-24, 30-16-24, 03-16-24, 14-16-25, 31-16-29, 08-16-25, 24-16-24, 32-16-23, 33-16-24 OMAP Prior Authorization of Opiate Overdose Agents - Pharmacy Services 07/07/2016 07/18/2016
01-16-23, 09-16-21, 27-16-21, 02-16-20, 11-16-20, 30-16-20, 03-16-20, 14-16-21, 31-16-25, 08-16-21, 24-16-23, 32-16-19, 33-16-20 OMAP Prior Authorization of Incretin Mimetic/Enhancer Hypoglycemics - Pharmacy Services 07/05/2016 07/11/2016
01-16-22, 09-16-20, 27-16-20, 02-16-19, 11-16-19, 30-16-19, 03-16-19, 14-16-20, 31-16-24, 08-16-20, 24-16-22, 32-16-18, 33-16-19 OMAP Prior Authorization of Hereditary Angioedema (HAE) Agents - Pharmacy Services 07/05/2016 07/11/2016
01-16-28, 09-16-26, 27-16-26, 02-16-25, 11-16-25, 30-16-25, 03-16-25, 14-16-26, 31-16-30, 08-16-26, 24-16-28, 32-16-24, 33-16-25 OMAP Prior Authorization of Cephalosporins and Related Agents - Pharmacy Services 07/05/2016 07/18/2016
01-16-20, 09-16-18, 27-16-18, 02-16-17, 11-16-17, 30-16-17, 03-16-17, 14-16-18, 31-16-22, 08-16-18, 24-16- 20, 32-16-16, 33-16-17 OMAP Prior Authorization of Anticoagulants - Pharmacy Services 07/05/2016 07/11/2016
01-16-26, 09-16-24, 27-16-24, 02-16-23, 11-16-23, 30-16-23, 03-16-23, 14-16-24, 31-16-28, 08-16-24, 24-16-26, 32-16-22, 33-16-23 OMAP Preferred Drug List (PDL) Update July 18, 2016 – Pharmacy Services 07/05/2016 07/18/2016
01-16-25, 09-16-23, 27-16-23, 02-16-22, 11-16-22, 30-16-22, 03-16-22, 14-16-23, 31-16-27, 08-16-23, 24-16-25, 32-16-21, 33-16-22 OMAP Prior Authorization of Tetracyclines - Pharmacy Services 07/05/2016 07/11/2016
01-16-21, 09-16-19, 27-16-19, 02-16-18, 11-16-18, 30-16-18, 03-16-18, 14-16-19, 31-16-23, 08-16-19, 24-16-21, 32-16-17, 33-16-18 OMAP Prior Authorization of Antifungals, Topical - Pharmacy Services 07/05/2016 07/11/2016
99-16-08 OMAP 2016 Healthcare Common Procedure Coding System (HCPCS) Updates and Other Procedure Code Changes 06/27/2016 07/01/2016
01-16-19, 14-16-17, 27-16-17, 31-16-20 OMAP Observation Services 06/27/2016 07/01/2016
05-16-04, 24-16-18, 25-16-03, 31-16-21 OMAP Face-to-Face Encounter Requirements for Prescribing of Home Health Services Including Durable Medical Equipment and Medical Supplies 06/27/2016 07/01/2016
OMHSAS-16-08 OMHSAS Security Guidelines for Regional Forensic Psychiatric Centers 06/23/2016 03/01/2016
54-16-06, 59-16-06 * OLTL Act 150 Program Sliding Fee Scale for Calendar Year 2016 06/20/2016 01/01/2016
00-16-05 ODP Regulations - Use of Appropriate Technology 06/20/2016 06/20/2016
01-16-18, 09-16-17, 27-16-16, 02-16-16, 11-16-16, 30-16-16, 03-16-16, 14-16-16, 31-16-19, 08-16-17, 24-16-17, 32-16-15, 33-16-16 OMAP Prior Authorization of Xofigo (radium Ra 223 dichloride) - Pharmacy Service 06/13/2016 06/13/2016
01-16-15, 09-16-14, 27-16-13, 02-16-13, 11-16-13, 30-16-13, 03-16-13, 14-16-13, 31-16-16, 08-16-14, 24-16-14, 32-16-12, 33-16-13 OMAP Prior Authorization of Antihyperuricemics - Pharmacy Service 06/13/2016 06/13/2016
01-16-17, 09-16-16, 27-16-15, 02-16-15, 11-16-15, 30-16-15, 03-16-15, 14-16-15, 31-16-18, 08-16-16, 24-16-16, 32-16-14, 33-16-15 OMAP Prior Authorization of Provenge (sipuleucel-T) - Pharmacy Service 06/13/2016 06/13/2016
01-16-16, 09-16-15, 27-16-14, 02-16-14, 11-16-14, 30-16-14, 03-16-14, 14-16-14, 31-16-17, 08-16-15, 24-16-15, 32-16- 13, 33-16-14 OMAP Prior Authorization of Nucala (mepolizumab) - Pharmacy Service 06/13/2016 06/13/2016
OMHSAS-16-07 OMHSAS, OMAP Enrollment and Payment of Provider Entities that Do Not Have a License to Provide Outpatient, Partial Hospitalization, or Family Based Mental Health Services to Use Behavioral Specialist Consultant Services and Therapeutic Staff Support Services to Provi 06/06/2016 06/06/2016
01-16-14, 02-16-12, 03-16-12, 04-16-01 05-16-03, 06-16-01, 07-16-01, 08-16-13, 11-16-12, 12-16-01, 24-16-13, 25-16-02, 26-16-01, 28-16-01, 29-16-01, 30-16-12, 47-16-02, 56-16-01, 59-16-01 OMAP ACA Enrollment Application Fee 06/01/2016 07/01/2016
54-16-05, 59-16-05 * OLTL Act 150 Program Sliding Fee Scale for Calendar Year 2016 06/01/2016 01/01/2016
99-16-04 OMAP Enrollment of Co-Located Providers 05/31/2016 05/31/2016
99-16-10 OMAP Revalidation of Medical Assistance (MA) Providers 05/26/2016 04/15/2016
OMHSAS-16-06 OMHSAS Payment for Room and Board When Services are Provided by a CARF or COA Accredited Residential Treatment Facility 05/16/2016 05/24/2016
54-16-04, 59-16-04 OLTL Act 150 Program Guidelines 05/12/2016 05/12/2016
OMHSAS-16-05 OMHSAS Guidelines for Referrals and Coordination of Admission to South Mountain Restoration Center for Individuals Discharged from Correctional Facilities 05/10/2016 05/10/2016
OMHSAS-16-04 OMHSAS Training Requirements for Licensed Behavior Specialists Who Use Behavioral Specialist Consultant-Autism Spectrum Disorder Services to Provide Applied Behavioral Analysis 04/26/2016 05/15/2016
09-16-09, 24-16-09, 25-16-01, 31-16-09 OMAP Procedure for Obtaining an 1150 Administrative Waiver for Durable Medical Equipment, Medical Supplies or Prosthetics and Orthotics 04/19/2016 04/19/2016
OMHSAS-16-03 OMHSAS Revised Procedure for Waiver of Office of Mental Health and Substance Abuse Services (OMHSAS) Program Regulations and Standards 04/19/2016 04/19/2016
00-16-03 ODP Rate-Setting Methodology for Consolidated and Person/Family Directed Support Waiver-Funded and Base-Funded Services for Individuals Participating in the Office of Developmental Programs Service System 04/18/2016 07/01/2015
00-16-04 ODP Fee Schedule Rates and Department-Established Fees for Consolidated and Person/Family Directed Support Waivers Services, Targeted Services Management and the Community Intellectual Disability Base-Funded Program 04/18/2016 07/01/2015
99-16-06 * OMAP Revalidation of Medical Assistance (MA) Providers 04/15/2016 04/15/2016
99-16-05 * OMAP 2016 Recommended Childhood and Adolescent Immunization Schedules 04/15/2016 01/01/2016
00-16-02 ODP OVR Referral Process for Employment-Related Services 04/01/2016 04/01/2016
99-16-07 OMAP Enrollment of Ordering, Referring and Prescribing Providers 04/01/2016 04/01/2016
01-16-12, 05-16-02, 08-16-12, 31-16-14, 33-16-12, 47-16-01 OMAP Updates to the Medical Assistance Program Fee Schedule for Healthy Beginnings Plus 03/18/2016 03/01/2016
01-16-10, 09-16-12, 27-16-10, 02-16-10, 11-16-10, 30-16-10, 03-16-10 14-16-10, 31-16-12, 08-16-10, 24-16-11, 32-16-10, 33-16-10 OMAP Prior Authorization of Lipotropics, Other - Pharmacy Service 03/14/2016 03/14/2016
01-16-09, 09-16-11, 27-16-09, 02-16-09, 11-16-09, 30-16-09, 03-16-09, 14-16-09, 31-16-11, 08-16-09, 24-16-10, 32-16-09, 33-16-09 OMAP Prior Authorization of Anticonvulsants, Oral; Duloxetine Agents; and Neuropathic Pain Agents - Pharmacy Service 03/14/2016 03/14/2016
01-16-11, 09-16-13, 27-16-11, 02-16-11, 11-16-11, 30-16-11, 03-16-11, 14-16-11, 31-16-13, 08-16-11, 24-16-12, 32-16-11, 33-16-11 OMAP Prior Authorization of Stimulants and Related Agents - Pharmacy Service 03/14/2016 03/14/2016
OMHSAS-16-02 OMHSAS Training and Supervision Requirements for Therapeutic Staff Support Workers that Implement Treatment Plans that Include Applied Behavioral Analysis 03/11/2016 04/10/2016
05-16-01 OMAP Updates to the Medical Assistance Program Fee Schedule for HHA Nursing Visits 03/10/2016 03/01/2016
59-16-03 OLTL Provider Choice Protocol 03/08/2016 03/08/2016
03-16-02 OLTL Electronic Submission of Nursing Facilities’ MA-11 Cost Reports, Supporting Documentation and Signed Certification Report 03/01/2016 04/01/2016
09-16-10, 31-16-10 OMAP Required Training for the Application of Topical Fluoride Varnish 02/26/2016 02/26/2016
00-16-01 ODP Targeted Services Management for Individuals with an Intellectual Disability 01/20/2016 01/20/2016
54-16-01, 59-16-01 OLTL Overtime and Minimum Wage Requirements in Participant-Directed Models of Service 01/11/2016 01/01/2016
01-16-01, 09-16-01, 27-16-01, 02-16-01, 11-16-01, 30-16-01, 03-16-01, 14-16-01, 31-16-01, 08-16-01, 24-16-01, 32-16-01, 33-16-01 OMAP Preferred Drug List (PDL) Update January 20, 2016 – Pharmacy Services 01/08/2016 01/20/2016
OMHSAS-16-01 OMHSAS OMHSAS-16-01 Bulletin - Mental Health Emergency Services Guidelines 01/08/2016 01/08/2016
01-16-08, 09-16-08, 27-16-08, 02-16-08, 11-16-08, 30-16-08, 03-16-08, 14-16-08, 31-16-08, 08-16-08, 24-16-08, 32-16-08, 33-16-08 OMAP Prior Authorization of Antipsychotics - Pharmacy Service 01/06/2016 01/20/2016
01-16-07, 09-16-07, 27-16-07, 02-16-07, 11-16-07, 30-16-07, 03-16-07, 14-16-07, 31-16-07, 08-16-07, 24-16-07, 32-16-07, 33-16-07 * OMAP Prior Authorization of Duloxetine Agents - Pharmacy Service 01/06/2016 01/20/2016
01-16-05, 09-16-05, 27-16-05, 02-16-05, 11-16-05, 30-16-05, 03-16-05, 14-16-05, 31-16-05, 08-16-05, 24-16-05, 32-16-05, 33-16-05 OMAP Prior Authorization of Stimulants and Related Agents - Pharmacy Service 01/06/2016 01/20/2016
01-16-04, 09-16-04, 27-16-04, 02-16-04, 11-16-04, 30-16-04, 03-16-04, 14-16-04, 31-16-04, 08-16-04, 24-16-04, 32-16-04, 33-16-04 OMAP Prior Authorization of Macular Degeneration Agents - Pharmacy Service 01/06/2016 01/20/2016
01-16-03, 09-16-03, 27-16-03, 02-16-03, 11-16-03, 30-16-03, 03-16-03, 14-16-03, 31-16-03, 08-16-03, 24-16-03, 32-16-03, 33-16-03 OMAP Prior Authorization of COPD Agents – Pharmacy Service 01/06/2016 01/20/2016
01-16-02, 09-16-02, 27-16-02, 02-16-02, 11-16-02, 30-16-02, 03-16-02, 14-16-02, 31-16-02, 08-16-02, 24-16-02, 32-16-02, 33-16-02 OMAP Prior Authorization of Bile Salts - Pharmacy Service 01/06/2016 01/20/2016
01-16-06, 09-16-06, 27-16-06, 02-16-06, 11-16-06, 30-16-06, 03-16-06, 14-16-06, 31-16-06, 08-16-06, 24-16-06, 32-16-06, 33-16-06 OMAP Prior Authorization of Methotrexate - Pharmacy Service 01/06/2016 01/20/2016
06-15-02, 09-15-40, 31-15-41 OMAP Hospice Two-Tiered Routine Home Care and Service Intensity Add-On Payments 12/31/2015 01/01/2016
01-15-04, 03-15-04, 07-15-04, 55-15-04 OLTL Revised Pennsylvania Preadmission Screening Resident Review Identification (Level I) Form (MA 376) 12/15/2015 01/01/2016
01-15-05, 03-15-05 OLTL Revised Pennsylvania Preadmission Screening Resident Review Evaluation (Level II) Form (MA 376.2) 12/15/2015 01/01/2016
01-15-41, 08-15-39, 09-15-39, 31-15-40 OMAP The Addition of Three-Dimensional (3D) Mammography Procedure Codes to the Medical Assistance Program Fee Schedule 12/09/2015 12/01/2015
54-15-06, 59-15-06 * OLTL Individual Service Plan Development, Review and 12/07/2015 12/21/2015
01-15-27, 08-15-27, 09-15-27, 24-15-25, 25-15-02, 28-15-02, 31-15-27, 33-15-26 OMAP Implementation of ICD-10 Diagnosis Codes for the Family Planning Services Program 11/30/2015 10/01/2015
01-15-32 OMAP Revised Procedures for Presumptive Eligibility as Determined by Hospitals 11/30/2015 11/30/2015
01-15-38, 09-15-36, 27-15-30, 02-15-30, 11-15-29, 30-15-29, 03-15-30, 14-15-31, 31-15-37, 08-15-36, 24-15-31, 32-15-30, 33-15-35 OMAP Prior Authorization of Alpha-1 Proteinase Inhibitors - Pharmacy Service 11/30/2015 12/01/2015
01-15-39, 09-15-37, 27-15-31, 02-15-31, 11-15-30, 30-15-30, 03-15-31, 14-15-32, 31-15-38, 08-15-37, 24-15-32, 32-15-31, 33-15-36 OMAP Prior Authorization of Corlanor (ivabradine) - Pharmacy Service 11/30/2015 12/01/2015
01-15-40, 09-15-38, 27-15-32, 02-15-32, 11-15-31, 30-15-31, 03-15-32, 14-15-33, 31-15-39, 08-15-38, 24-15-33, 32-15-32, 33-15-37 OMAP Prior Authorization of Orkambi (lumacaftor/ivacaftor)- Pharmacy Service 11/30/2015 12/01/2015
01-15-34, 02-15-26, 03-15-26, 08-15-32, 09-15-32, 11-15-25, 14-15-27, 24-15-27, 27-15-26, 30-15-25, 31-15-33, 32-15-26, 33-15-31 OMAP Prior Authorization of Angiotensin Modulators - Pharmacy Service 11/18/2015 10/26/2015
01-15-36, 02-15-28, 03-15-28, 08-15-34, 09-15-34, 11-15-27, 14-15-29, 24-15-29, 27-15-28, 30-15-27, 31-15-35, 32-15-28, 33-15-33 OMAP Prior Authorization of Antibiotics, GI - Pharmacy Service 11/13/2015 10/26/2015
01-15-35, 02-15-27, 03-15-27, 08-15-33, 09-15-33, 11-15-26, 14-15-28, 24-15-28, 27-15-27, 30-15-26, 31-15-34, 32-15-27, 33-15-32 OMAP Prior Authorization of GI Motility, Chronic Agents - Pharmacy Service 11/13/2015 10/26/2015
01-15-33, 02-15-25, 03-15-25, 08-15-31, 09-15-31, 11-15-24, 14-15-26, 24-15-26, 27-15-25, 30-15-24, 31-15-32, 32-15-25, 33-15-30 OMAP Prior Authorization of Lipotropics, Other - Pharmacy Service 11/13/2015 10/26/2015
01-15-37, 02-15-29, 03-15-29, 08-15-35, 09-15-35, 11-15-28, 14-15-30, 24-15-30, 27-15-29, 30-15-28, 31-15-36, 32-15-29, 33-15-34 OMAP Prior Authorization of Kalydeco, Nuedexta and Xyrem - Pharmacy Service 11/10/2015 10/26/2015
54-15-03, 59-15-03 OLTL Rescission of HCBS Directives, Bulletins and other Policy Documents 10/27/2015 10/27/2015
01-15-31, 08-15-30, 09-15-30, 31-15-31, 33-15-29 OMAP Trumenba® and Bexsero®, Meningococcal B Vaccines 10/26/2015 11/30/2015
OMHSAS-15-02 OMHSAS OMHSAS Bulletin Series Update 10/07/2015 10/07/2015
99-15-10 OMAP New Breast and Cervical Cancer Prevention and Treatment (BCCPT) Program Application for Benefits and updated ICD-10 codes 09/21/2015 10/01/2015
00-15-03 ODP Rescission of OMH-94-10, Account Structure Manual - Revised Cost Centers for County Mental Health and Mental Retardation Programs 09/16/2015 09/16/2015
99-15-11 OMAP Implementation of ICD-10 Diagnosis Sets for Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Screens 09/14/2015 10/01/2015
01-15-25, 09-15-25, 27-15-22, 02-15-22, 11-15-22, 30-15-22, 03-15-22, 14-15-22, 31-15-25, 08-15-25, 24-15-23, 32-15-22, 33-15-24 OMAP Prior Authorization of Opiate Dependence Treatments, Oral Buprenorphine Agents - Pharmacy Service 09/04/2015 09/09/2015
01-15-24, 09-15-24, 27-15-21, 02-15-21, 11-15-21, 30-15-21, 03-15-21, 14-15-21, 31-15-24, 08-15-24, 24-15-22, 32-15-21, 33-15-23 OMAP Prior Authorization of Analgesics, Narcotic Long Acting and Analgesics, Narcotic Short Acting – Pharmacy Service 09/04/2015 09/09/2015
09-15-14, 31-15-14 OMAP Procedure Code Changes for Application of Topical Fluoride Varnish by Physicians and CRNPs 09/01/2015 09/01/2015
01-15-28, 03-15-24, 09-15-28, 18-15-02, 31-15-28, 33-15-27, 02-15-24, 08-15-28, 14-15-24, 27-15-24, 32-15-24, 47-15-01 OMAP Provider Preventable Conditions 09/01/2015 07/01/2015
99-15-06 OMAP 2015 HCPCS Updates and Other Procedure Codes 08/31/2015 09/01/2015
01-15-30, 14-15-25, 31-15-30 OMAP Prior Authorization Requirements and Fee Schedule Updates for Hyperbaric Oxygen Therapy 08/31/2015 09/01/2015
01-15-29, 08-15-29, 09-15-29, 31-15-29, 33-15-28 OMAP Addition to the Medical Assistance Program Fee Schedule for Administration of HPV 9 Vaccine 08/31/2015 09/01/2015
99-15-09 OMAP Medical Assistance (MA) Program’s Implementation of ICD-10 Diagnosis and Procedure Code Sets 08/28/2015 10/01/2015
99-15-08 OMAP Specialty Pharmacy Drug Program – Pharmacy Services 08/20/2015 09/28/2015
99-15-07 OMAP Revisions to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 08/10/2015 08/10/2015
01-15-26, 02-15-23, 03-15-23, 08-15-26, 09-15-26, 11-15-23, 14-15-23, 24-15-24, 27-15-23, 30-15-23, 31-15-26, 32-15-23, 33-15-25 OMAP Preferred Drug List (PDL) Update July 20, 2015 Corrections - Pharmacy Services 08/07/2015 07/20/2015
3490-15-01 OCYF Implementation of Child Fatality and Near Fatality Review and Report Protocols As Required by Act 33 of 2008 and Act 44 of 2014 07/15/2015 12/31/2014
01-15-11, 02-15-09, 03-15-09, 08-15-11, 09-15-10, 11-15-09, 14-15-09, 24-15-09, 27-15-09, 30-15-09, 31-15-10, 32-15-09, 33-15-10 OMAP Prior Authorization of Opiate Dependence Treatments - Pharmacy Service 07/13/2015 07/13/2015
OA-2015-04 OA Issuance of the Single Audit Supplement 06/30/2015 07/01/2015
01-15-21, 02-15-18, 03-15-18, 08-15-21, 09-15-21, 11-15-18, 14-15-18, 24-15-19, 27-15-18, 30-15-18, 31-15-21, 32-15-18, 33-15-20 OMAP Prior Authorization of Hepatitis C Agents – Pharmacy Service 06/30/2015 07/20/2015
01-15-15, 08-15-15, 09-15-15, 24-15-13, 25-15-01, 28-15-01, 31-15-15, 33-15-14 OMAP Family Planning Services 06/29/2015 07/01/2015
01-15-20, 02-15-17, 03-15-17, 08-15-20, 09-15-20, 11-15-17, 14-15-17, 24-15-18, 27-15-17, 30-15-17, 31-15-20, 32-15-17, 33-15-19 OMAP Prior Authorization of Platelet Aggregation Inhibitors - Pharmacy Service 06/25/2015 07/20/2015
01-15-22, 02-15-19, 03-15-19, 08-15-22, 09-15-22, 11-15-19, 14-15-19, 24-15-20, 27-15-19, 30-15-19, 31-15-22, 32-15-19, 33-15-21 OMAP Prior Authorization of Hypoglycemics, SGLT2 Inhibitors – Pharmacy Service 06/25/2015 07/20/2015
01-15-19, 02-15-16, 03-15-16, 08-15-19, 09-15-19, 11-15-16, 14-15-16, 24-15-17, 27-15-16, 30-15-16, 31-15-19, 32-15-16, 33-15-18 OMAP Prior Authorization of Contraceptives, Other - Pharmacy Service 06/25/2015 07/20/2015
01-15-18, 02-15-15, 03-15-15, 08-15-18, 09-15-18, 11-15-15, 14-15-15, 24-15-16, 27-15-15, 30-15-15, 31-15-18, 32-15-15, 33-15-17 OMAP Prior Authorization of GI Motility, Chronic Agents (Formerly Irritable Bowel Syndrome Agents) - Pharmacy Service 06/25/2015 07/20/2015
01-15-23, 02-15-20, 03-15-20, 08-15-23, 09-15-23, 11-15-20, 14-15-20, 24-15-21, 27-15-20, 30-15-20, 31-15-23, 32-15-20, 33-15-22 OMAP Preferred Drug List (PDL) Update July 20, 2015 – Pharmacy Services 06/25/2015 07/20/2015
00-15-02 * ODP Rate-Setting Methodology for Consolidated and Person/Family Directed Support Waiver and Base- Funded Services for Individuals Participating in the Office of Developmental Programs Service System 06/22/2015 07/01/2015
01-15-17, 02-15-14, 03-15-14, 08-15-17, 09-15-17, 11-15-14, 14-15-14, 24-15-15, 27-15-14, 30-15-14, 31-15-17, 32-15-14, 33-15-16 OMAP Prior Authorization of Antifungals, Topical – Pharmacy Service 06/22/2015 07/20/2015
01-15-16, 02-15-13, 03-15-13, 08-15-16, 09-15-16, 11-15-13, 14-15-13, 24-15-14, 27-15-13, 30-15-13, 31-15-16, 32-15-13, 33-15-15 OMAP Prior Authorization of Anticoagulants – Pharmacy Service 06/22/2015 07/20/2015
OA-15-03 OA Introduction to DHS Audit Policy 06/01/2015 12/26/2014
00-15-01 * ODP 00-15-01 ODP Individual Support Plan 05/15/2015 05/15/2015
01-15-14, 02-15-12, 03-15-12, 08-15-14, 09-15-13, 11-15-12, 14-15-12, 24-15-12, 27-15-12, 30-15-12, 31-15-13, 32-15-12, 33-15-13 OMAP Prior Authorization of Idiopathic Pulmonary Fibrosis Agents – Pharmacy Service 05/11/2015 06/15/2015
01-15-12, 02-15-10, 03-15-10, 08-15-12, 09-15-11, 11-15-10, 14-15-10, 24-15-10, 27-15-10, 30-15-10, 31-15-11, 32-15-10, 33-15-11 OMAP Prior Authorization of Intra-Articular Hyaluronic Acid Agents – Pharmacy Service 05/11/2015 06/15/2015
01-15-13, 02-15-11, 03-15-11, 08-15-13, 09-15-12, 11-15-11, 14-15-11, 24-15-11, 27-15-11, 30-15-11, 31-15-12, 32-15-11, 33-15-12 OMAP Prior Authorization of Santyl Ointment (collagenase) - Pharmacy Service 05/11/2015 06/15/2015
01-15-09, 02-15-07, 03-15-07, 08-15-09, 09-15-08, 11-15-07, 14-15-07, 24-15-07, 27-15-07, 30-15-07, 31-15-08, 32-15-07, 33-15-08 OMAP Prior Authorization of Multiple Sclerosis Agents – Pharmacy Service 05/11/2015 05/18/2015
01-15-10, 02-15-08, 03-15-08, 08-15-10, 09-15-09, 11-15-08, 14-15-08, 24-15-08, 27-15-08, 30-15-08, 31-15-09, 32-15-08, 33-15-09 OMAP Prior Authorization of Hypoglycemics, Insulin – Pharmacy Service 05/11/2015 05/18/2015
99-15-05 OMAP Implementation of HealthChoices Medicaid Expansion 04/28/2015 04/27/2015
05-15-02,51-15-02,54-15-02,55-15-02,59-15-02 OLTL Critical Incident Management 04/16/2015 04/16/2015
OMHSAS-15-01 OMHSAS Community Incident Management & Report System 04/15/2015 04/01/2015
26-15-01 OMAP Non-Payment of Unloaded Ground or Air Ambulance Mileage 03/23/2015 12/28/2014
08-15-08 OMAP Payment Increase for Title XIX Medical Assistance Program Family Planning Clinics that Dispense Oral Contraceptives 03/23/2015 03/16/2015
99-15-04 OMAP 2015 Recommended Childhood and Adolescent Immunization Schedules 03/23/2015 01/01/2015
99-15-03 OMAP Medical Assistance Program Fee Schedule Revisions 03/17/2015 03/02/2015
54-15-01, 59-15-01 * OLTL Act 150 Program Sliding Fee Scale for Calendar Year 2015 03/09/2015 01/01/2015
99-15-01 * OMAP Medical Assistance Program Fee Schedule Revisions 03/02/2015 03/02/2015
01-15-08 OMAP Revised Presumptive Eligibility as Determined by Hospitals 02/24/2015 01/01/2015
01-15-02, 09-15-02, 27-15-01, 33-15-02, 02-15-01, 11-15-01, 30-15-01, 03-15-01, 14-15-01, 31-15-02, 08-15-02, 24-15-01, 32-15-01 OMAP Preferred Drug List (PDL) Update January 21, 2015 – Pharmacy Services 02/18/2015 01/21/2015
01-15-01, 08-15-01, 09-15-01, 31-15-01, 33-15-01 OMAP Addition to the Medical Assistance Program Fee Schedule for Administration of Quadrivalent Influenza Vaccine 02/18/2015 02/09/2015

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