DHS COVID-19 PROVIDER RESOURCES // OMAP
Provider Quick Tips: Waiver of Prudent Pay during COVID-19 emergency
Issued: March 20, 2020
On March 6, 2020, Governor Wolf issued an emergency disaster declaration in
response to the presence of the COVID-19 (coronavirus) in Pennsylvania.
The Department of Human Services (Department) recognizes many providers in the
Medical Assistance (MA) Program provide vital services to their recipients/patients. The
Department understands organizations and agencies will need to adapt to the changing
public health emergency situation and resulting economic downturn.
Effective for claims with a Remittance Advice (RA) date of March 23, 2020 and a
payment date of April 1, 2020, in the MA fee-for-service program, the Department will
waive the Prudent Payment of claims process outlined in Medical Assistance Bulletin99-06-04 to ease the financial burden of MA providers.
This will allow providers to
submit claims and be paid in the next financial cycle after the claim is approved for
payment. Please note all claims must still meet all other billing requirements before
This waiver will remain in effect while a valid disaster declaration by the Governor
related to the COVID19 virus remains in effect. OMAP may re-issue these guidelines as
Providers should continue to check the Department’s COVID-19 website for updates.
For questions regarding this information, please contact 1-800-537-8862, option 2,
option 6, option 1.