You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page.
Skip Ribbon Commands
Skip to main content
Turn off Animations
Turn on Animations
An Official
Pennsylvania
Government Website
Translate
DHS
Department of Human Services
Services
Services
Assistance
Children
Disabilities & Aging
Mental Health in PA
Mass Care and Emergency Assist
Other Services
Find a Document
Find a Document
For Providers
Publications
The Impact
Forms
About
About
DHS Online Services
DHS Leadership
DHS Facilities
Data Dashboards
Fraud and Abuse
Accessibility
Procurement, Contracts & Grant
ECM Enterprise Case Management
Contact Us
Contact Us
Helpful Phone Numbers
Feedback Form
DHS Offices
County Assistance Offices
DHS Press Office
Text Messaging
For Providers
For Providers
Sort by Industry
Clearances
Licensing
FAQs
Search
Search
Menu
Department of Human Services
Menu
Services
Services
Assistance
Children
Disabilities & Aging
Mental Health in PA
Mass Care and Emergency Assist
Other Services
Find a Document
Find a Document
For Providers
Publications
The Impact
Forms
About
About
DHS Online Services
DHS Leadership
DHS Facilities
Data Dashboards
Fraud and Abuse
Accessibility
Procurement, Contracts & Grant
ECM Enterprise Case Management
Contact Us
Contact Us
Helpful Phone Numbers
Feedback Form
DHS Offices
County Assistance Offices
DHS Press Office
Text Messaging
For Providers
For Providers
Sort by Industry
Clearances
Licensing
FAQs
Apply for Benefits
COMPASS
Report Fraud & Abuse
Licensing
Review Data
SNAP
Keystones of Health 1115
Medicaid & CHIP Renewals
Department of Human Services
>
Find a Document
>
For Providers
>
Regulations Handbooks Guides and Manuals
Begin Main Content Area
Page Content
Regulations, Handbooks, Guides and Manuals
If you are having difficulty finding the information you need, please contact DHS.
CMS-1500 Reference Guide for PROMISe
™ (PDF download)
Contact Information/Help for Medical Assistance Providers
Copayment Desk Reference Rev 6/17
DRG Relative Value Tables (Acute Care - Inpatient)
APR DRG v41 (Dates of Discharge on or after 10/1/2023
APR DRG v40 (Dates of Discharge on or after 10/1/2022
APR DRG v39 (Dates of Discharge on or after 10/1/21)
APR DRG v38 (Dates of Discharge on or after 10/1/20
)
APR DRG v37 (Dates of Discharge on or after 10/1/19
)
APR DRG v36 (Dates of Discharge on or after 10/1/18)
APR DRG v35 (Dates of Discharge on or after 10/1/17)
APR DRG v34 (Dates of Discharge on or after 10/1/16)
APR DRG v33 (Dates of Discharge on or after 10/1/15)
APR DRG v31 (Dates of Discharge on or after 7/1/15)
APR DRG v27 (Dates of Discharge 7/1/10 - 6/30/15)
DRG v23 (Dates of Discharge 10/1/05 - 6/30/10)
Early Learning Resource Center (ELRC) Audit Guidelines for Fiscal Year 2020-2021
Early Learning Resource Center (ELRC) Audit Guidelines for Fiscal Year 2021-2022
Early Learning Resource Center (ELRC) Audit Guidelines for Fiscal Year 2022-2023
EPSDT Program Periodicity Schedule and Coding Matrix, Effective September 19, 2022
EPSDT - 2008 Age Range Requirements for Screening Visits Desk Guide, Effective September 1, 2008
(PDF download)
EPSDT Immunization Guidelines (MAB 99-22-03 PDF download)
Fraud and Abuse Information and Prevention
Frequently Asked Questions
(MA Providers)
Disproportionate Share Hospital (DSH) Upper Payment Limit (UPL) Information
FY2019-2020 Frequently Asked Questions Related to CMS Disproportionate Share Hospital Report and Audit
FY2018-2019 Frequently Asked Questions Related to CMS Disproportionate Share Hospital Report and Audit
FY2017-2018 Frequently Asked Questions Related to CMS Disproportionate Share Hospital Report and Audit
FY2016-2017 Frequently Asked Questions Related to CMS Disproportionate Share Hospital Report and Audit
FY2015-2016 Frequently Asked Questions Related to CMS Disproportionate Share Hospital Report and Audit
FY2014-2015 Frequently Asked Questions Related to CMS Disproportionate Share Hospital Report and Audit
FY2013-2014 Frequently Asked Questions Related to CMS Disproportionate Share Hospital Report and Audit
FY2012-2013 Frequently Asked Questions Related to CMS Disproportionate Share Hospital Report and Audit
FY2011-2012 Frequently Asked Questions Related to CMS Disproportionate Share Hospital Report and Audit
DSH UPL Training Document – May 2015
Cost Center and Revenue Code Groupings (FY 2013-14 through 2017-18)
Cost Center Groupings for Retrospective DSH Limit Report
Revenue Code Groupings for Retrospective DSH Limit Report
Healthcare Benefits Packages Reference Chart
(MA 446; PDF download)
HIPAA Privacy Information
Introduction to DHS Audit Policy
Medical Assistance Eligibility Handbook
Medical Assistance Forms
Medical Assistance Regulations
PROMISe™ Provider Handbooks and Billing Guide
Single Audit Supplement - 2019
Single Audit Supplement - 2020-2021