​Office of Medical Assistance Programs (OMAP) COVID-19 Provider Resources

DHS-Issued Guidance

• Providing Direct Services via Telemedicine in the School-Based ACCESS Program (SBAP) During the 2020-2021 School Year  
  — Updated: June 24, 2021
  


• OMAP Announcement 05-08-2020-01: MATP Guidance during the COVID-19 Pandemic — May 26, 2021
  
  
• OMAP Announcement 04-07-2020-03: MATP Mileage Reimbursement  
  — May 26, 2021

• Medical Assistance Bulletin 99-21-03: Reinstatement of Prior Authorization Requirements for Certain Services — April 30, 2021
  

• Medical Assistance Bulletin 01-21-03, 08-21-04, 09-21-02, 24-21-02, 31-21-03,
  30-21-01, 33-21-02: Fee Increase for the Administration of SARS-CoV-2 Vaccines — May 1, 2021
  

• Medical Assistance Bulletin 99-21-01: Restoration of Provider Revalidation Requirements — March 23, 2021
  

• Medical Assistance Bulletin 01-20-62: Update to the Medical Assistance Program Fee Schedule for Administration of SARS-CoV-2 Vaccines — January 26, 2021
  

• Medical Assistance Bulletin 01-20-60, 02-20-52, 03-20-52, 08-20-63, 09-20-59, 11-20-52, 14-20-52, 14-20-53, 24-20-53, 27-20-54, 30-20-51, 31-20-60, 32-20-51, 33-20-56: SARS-CoV-2 Vaccine Administration by Pharmacists — December 30, 2020

• Medical Assistance Bulletin 99-20-07: "Payment in Full" and Personal Protective Equipment — June 12, 2020
  

• Medical Assistance Bulletin: Pharmacy Services for Medical Assistance Beneficiaries Related to the COVID-19 Public Health Emergency
  — May 27, 2020

• MCOPS Memo #05/2020-013: Removal of Prior Authorization for Sublocade (buprenorphine extendedrelease) Injection — May 26, 2020

• Medical Assistance Bulletin 99-20-06: ICD-10-CM Official Coding Guidelines Related to COVID-19 — May 20, 2020

• OMAP Announcement 05-08-2020-02: MATP Consumer Notice
  — May 8, 2020
  

• Medical Assistance Bulletin 01-20-05, 08-20-09, 09-20-04, 28-20-01, 31-20-04, 33-20-02: Addition of Coronavirus Laboratory Test Codes to the MA Program Fee Schedule — May 1, 2020

• Medical Assistance Bulletin 09-20-05, 10-20-02, 14-20-01, 31-20-05, 33-20-03: Home Health Services, Medical Supplies, Equipment and Appliances Prescribed by Nonphysician Practitioners — May 1, 2020

• Medical Assistance Bulletin 09-20-05: COVID-19 Testing and Related Treatment Exempt from MA Copayment Requirements — May 1, 2020

• Medical Assistance Bulletin 09-20-06, 10-20-03,14-20-02. 24-20-01, 25-20-01, 31-20-06: Addition of the Multi-Function Ventilator to the Medical Assistance Program Fee Schedule — May 1, 2020
  

• Request for State Plan Amendments Related to Novel Coronavirus Disease (COVID-19) National Emergency/Public Health Emergency — April 22, 2020 
  

• Aviso del Programa de Seguro Médico Infantil — April 16, 2020

• Managed Care Ops Memo 04/2020-009: Telemedicine Guidelines Related to COVID-19 — April 15, 2020

• Cobertura de las Pruebas de Coronavirus y Servicios Relacionados Bajo el Programa de Asistencia Médica Preguntas Más Frecuentes — April 7, 2020
  

• Medical Assistance (MA) Program Coverage of 2019-Novel Coronavirus Testing and Related Services Frequently Asked Questions (FAQs) — March 24, 2020
  

• Approval of Federal Section 1135 Waiver Request — March 27, 2020
  

• 1135 Waiver Request Checklist — March 25, 2020
  

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Provider Quick Tips

• No. 247: Nonemergency Ambulance Transportation
  

• No. 245: All Patient Refined-Diagnosis Related Group (APR- DRG) to be Updated with COVID-19 Billing Codes

• No. 244: MA Eligibility During COVID-19 Emergency Disaster Declaration 

• No. 242: Telemedicine Guidelines Related to COVID-19 

• No. 241: Prior Authorization Changes in the Medical Assistance Program for Certain Services during COVID-19 Emergency Disaster 

• Provider Quick Tips: Teledentistry Guidelines Related to COVID-19 for Dentists, Federally Qualified Health Centers, and Rural Health Clinics 
  

• Waiver of Prudent Pay during COVID-19 emergency 

• No. 232: Billing Guidance for Alternative Screening Sites Related to COVID-19

• Pharmacies May Override Early Refill Alerts for Medications
  
  

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Children's Health Insurance Program (CHIP) Guidance

• CHIP Policy Clarification 2020-04: COVID-19 Response: Pharmacies May Override Early Refill Alerts for Medications — Updated: June 21, 2021

• CHIP Policy Clarification 2020-05: Self-attestation on applications and renewals; enrolling children prior to initial premium payment; and continuation of coverage — Updated: June 21, 2021

• Billing Guidance for Alternative Screening Sites Related to COVID-19 
  — Updated: June 21, 2021

• CHIP Policy Clarification 2020-08: Unemployment Compensation Calculations — May 7, 2020

• Disaster Relief State Plan Amendment (SPA) Submission, Pennsylvania 2020-01 — April 12, 2020