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​Remittance Advice Alerts/PROMISeTM Banner Pages

Request a Duplicate Remittance Advice

​SUBJECT
 ​PROVIDER TYPE(S)
 ​CYCLES
 ​ALERT DATED
​Fee-for-Service (FFS) Severity of Illness (SOI) Adjustments 
​01/01
​43, 44, and 45
​04/20/2024-05/14/2024
​Fee-for-Service (FFS) Relative Weight Adjustments
​01/010
​43, 44, and 45
​04/20/2024-05/14/2024
​Revisions to Participating Drug Company list for Medicaid Drug Rebate Program  
​07, 08, 24, and 31
​39, 40, and 41
​03/22/2024 - 04/16/2024
​Date of Death Recovery
​All (Exception 07)
​33
​02/14/2024
​Pharmacist Enrollment in Medical Assistance Program
​01, 07, 08, 10, 24, 31
​33, 34, 35, and 36
​02/14/2024
​EVV Communication Alert for HHCS
​05/050, 05/361, 05/362
16/160, 16/161
​ 26, 27, 28, 29, 30, and 31
​12/22/2023 - 02/06/2024
​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program
​07, 08, 09, 24, & 31
​26, 27, 28, and 29
​12/22/2023 - 01/23/2024
​HHCS EVV HARD LAUNCH REMINDER
05/050, 05/051, 05/361, 05/362
16/160, 16/161
59/170, 59/171, 59/173, 59/160, 59/161
17/173, 17/171, 17/170
19/425
31/426
11/421, 11/422, 11/423, 11/424
​20, 21, 22, 23, 24, 25, and 26
​11/10/2023 - 01/02/2024
​Date of Death Recovery
​All (exception 07)
​19
​11/03/2023
​PROMISe Maintenance October 20th – 22nd
​ALL
​16
​10/13/2023 - 10/24/2023
Revisions to Participating Drug Company List for Medicaid Drug Rebate Program
07, 08, 09, 24, & 31
15, 16, and 17
10/06/2023 - 10/31/2023
New Quick TIp for Group and Individual Providers
​ALL
​15, 16, 17, 18, 19, 20, 21, and 22
​10/06/2023 - 12/05/2023
​Community Support Service Providers - Federal Financial Participation Rate Change and Continued Billing Requirements
​11/115; 21/221 and 21/222
​​11, 12, 13, and 14
​​09/08/2023 - 10/10/2023
​​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program  
​​​07, 08, 08, 24, & 31
​01, 02, 03, and 04
​06/30/2023 - 08/01/2023
​APR DRG v38 & 39 Update
​01/010; Claim Types I and A
​52, 01, 02, and 03
​06/23/2023 - 07/25/2023
​Implementation of ADA Claim Form - Version 2019
​27
​45, 46, 47, and 48
​05/05/2023 - 05/30/2023
​Quick Tip #263 - 180 Day Exception Electronic
​ALL
​45, 46, 47, 48, 49, 50, 51, and 52
​04/28/2023 - 06/27/2023
​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program  
​​07, 08, 08, 24, & 31
​39, 40 ,41, and 42
​03/24/2023 - 04/25/2023
​Date of Death Recovery
​All (exception 07)
​36
​03/06/2023
​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program  
 07, 08, 08, 24, & 31
​26, 27, 28, and 29
12/23/2022 - 01/24/2023
​Provider Enrollment Summary Enhancements
​ALL
​13, 14, 15, and 16 
​09/23/2022 - 10/25/2022
​​​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program  
​07, 08, 09, 24, & 31
​13, 14, 15, and 16
​09/23/2022 - 10/25/2022
​Delay in Hospice Rates for FY 2023
​06/060
​12, 13, 14, 15, 16, 17, 18, 19, 20, 21, and 22
​09/16/2022 - 11/30/2022
​Provider Enrollment Summary Enhancements
​ALL 
​11 and 12
​09/09/2022 - 09/27/2022
​Community Support Service Providers - Federal Financial Participation Rate Change and Continued Billing Requirements
​11/115; 21/221 and 21/222
​11, 12, 13, and 14
​09/09/2022 - 10/11/2022
​Corrections to Cycle 07 & 66 Credits (Accounts Receivables) recoupments
Specific Providers
​10
​09/02/2022 - 09/13/2022
​Date of Death Recovery
​All (exception 07)
​08
​08/22/2022
​Financial Cycle 66 Continuation of Financial Cycle 07
​ALL
​66
​08/15/2022 - 08/18/2022
​​​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program
​07, 08, 09, 24 & 31
​52, 01 and 02
​06/24/2022 - 07/19/2022
​Date of Death Recovery
​All (exception 07)
​43 & 44
​04/25/2022
​New Procedure Codes added to PA Medical Assistance Program Fee Schedule
​05/050
​43
​04/21/2022 - 05/03/2022
​Provider Electronic Solution Software or PES is Sunsetting
​ALL
​41, 42, 43, 44, 45 and 46
​04/08/2022 - 05/24/2022
​Ordering, Referring and Prescribing Provider Enrollment Requirements 
​ALL
​40,41, 42, 43, 44 and 45
​04/01/2022 - 05/17/2022
​​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program
​07, 08, 09, 24 & 31
​39, 40 and 41
​03/25/2022 - 04/19/2022
​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program
07, 08, 09, 24 & 31
​26, 27 and 28
​12/24/2021 - 01/11/2022
​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program
​07, 08, 09, 24 & 31
​13, 14, 15 and 16
​09/24/2021 - 10/19/2021
​Provider Revalidation Reinstated June 1, 2021
​All
​12, 13, 14, 15 and 16
​09/17/2021
​Community Support Service Providers - Federal Financial Participation Rate Change and Continued Billing Requirements
​11/115, 21/221 and 21/222
​11, 12, 13 and 14
​09/08/2021
​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program
​07, 08, 09, 24 & 31
​52, 01 and 02
​06/24/2021
Revisions to Participating Drug Company List for Medicaid Drug Rebate Program​07, 08, 09, 24 & 31​39, 40 and 41​03/22/2021
​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program​07, 08, 09, 24 & 31​26, 27 and 28​12/16/2020
​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program​07, 08, 09, 24 & 31​13, 14 and 15​09/22/2020
​Community Support Service Providers - Federal Financial Participation Rate Change and Continued Billing Requirements​11/115, 21/221 and 21/222​11, 12, 13 and 14​08/26/2020
​Behavioral Health MCO corrections to credits setup erroneously on the cycle 06 RA dated August 10, 2020​07/072​07​08/12/2020
Revisions to Participating Drug Company List for Medicaid Drug Rebate Program​07, 08, 09, 24, & 3101, 02 and 03​06/26/2020
​Pharmacy Fee-for-Service Claims with COVID-19 Related Outpatient Drugs/Drug Classes​24​50, 51 and 52​06/05/2020
​Reprocessing of Fee-for-Service Claims with COVID19 related Diagnosis code and Copay collection ​All​47​05/13/2020
​Fee-for-Service Relative Weight Adjustments​01/010​40, 41, & 42​03/26/2020
​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program​07, 08, 09, 24, & 31​40, 41, & 42​03/26/2020
​Waiver of Prudent Pay during COVID-19 emergency​All​39, 40​03/20/2020
​Fee-for-Service Relative Weight Adjustments​01/010​39, 40, 41​03/20/2020
 Date of Death Recovery All (exception 07)
1911/01/2019
Statewide Preferred Drug List (PDL) Implementation​07, 08, 09, 24, & 31​19, 20, 21, 22, 23, 24,  25, 26, 27​11/01/2019 - 12/31/2019
​Revisions to Participating Drug Company List for Medicaid Drug Rebate Program​​07, 08, 09, 24, & 31​14, 15 and 16​09/27/2019 - 10/15/2019
​Community Support Service Providers - Federal Financial Participation Rate Change and Continued billing Requirements​11/115, 21/221 and 21/222​12, 13, 14, 15​09/13/2019 - 10/08/2019
Revisions to Participating Drug Company  list for Medicaid Drug Rebate Program
07, 08, 09, 24, & 3101, 02, 0307/ 28/2019 - 07/16/2019
Eligibility Verification SystemProvider Type/Specialty: 01/010, 011, 013, 018, 019, 022, 183, 370, 441; 05/370; 07/072; 08/074, 076, 080, 081, 082, 083, 084, 110, 184, 340, 370, 558, 800, 801, 802, 803, 804, 805, 806, 807, 808, 809, 810, 811; 09/093, 103, 370, 548, 549, 558, 559; 11/076, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 123, 127, 128, 129, 131, 132, 133, 134, 184, 340, 442, 443, 444, 445, 446, 447, 448, 449, 450, 451, 452, 453, 548, 549, 558, 559, 561, 562; 16/162; 17/171, 174, 175; 19/190, 370, 548, 549, 558, 559; 21/076, 138, 212, 221, 222; 27/370; 31/315, 316, 322, 339, 345, 370, 548, 549, 558, 559; 37/370; 52/520, 523; 56/56002, 03, 0407/05/2019 - 07/23/2019
Date of Death Recovery
All (exception 07)4204/12/2019
ESRD Transitional Drug Adjustment from Medicare
Provider Specific: 102016236-0002, 102286948-0006, 001101797-0003, 001833233-0003, 100748293-0136, 102707271-0001, 100748293-0058, and 100735393-0010; Claim Types: All4204/12/2019
Revisions to Participating Drug Company list for Medicaid Drug Rebate Program
07, 08, 09, 24, 3140, 41, 42

03/29/2019 - 

04/16/2019

Fee-for-Service Relative Weight Adjustments
01/010; Claim Types I and A39, 40, 41

03/22/2019 - 

04/09/2019

Implementation of the All-Patient Refined Diagnosis Related Group version 36
01/010; Claim Types I and A35, 36, 37

02/22/2019 -

03/12/2019

Service Location Enrollment Deadline
All30 through 52

01/18/2019 -

07/02/2019

Revisions to Participating Drug Company list for Medicaid Drug Rebate Program
07, 08, 09, 24, 3127, 28, 29

12/26/2018 -

01/15/2019

Reprocessing of Fee-for-Service Claims for Community Health Choices (CHC) Recipients
All1911/02/2018
Date of Death Recovery
All (exception 07)1610/12/2018
Deadline Extension for $193,000 in Incentives for Implementing Opioid Guidelines
01/01016, 17, 18, 19, 20, 21, 22, 23

10/12/2018 -

12/04/2018

Revisions to Participating Drug Company List for Medicaid Drug Rebate Program
07, 08, 09, 24, 3114, 15, 16, 17

09/28/2018 -

10/23/2018

Reminder for Prescribers and Providers to Verify by Procedure Code Whether Prior Authorization is Required for a Service, Including a Laboratory Service
All12, 13, 14, 15, 16

09/14/2018 -

10/16/2018

Community Support Service Providers - Federal Financial Participation Rate Change and Continued Billing Requirements
11/115; 21/221 and 21/22212, 13, 14, 15, 16

09/14/2018 -

10/16/2018

Deadline Approaching for $193,000 in Incentives for Implementing Opioid Guidelines
01/010September 14, 2018 through October 2, 201809/14/2018
Reprocessing of Fee-for-Service Claims for Community Health Choices (CHC) Recipients
All01

06/29/18 -

07/03/18

Reduction of Paper RA Mailings
All03, 04, 05, 06, 07, 08, 09, 1007/06/18 - 09/04/18
Revisions to Participating Drug Company list for Medicaid Drug Rebate Program
07, 08, 09, 24, 3152, 01, 0206/22/18 - 07/06/18
Reminder to Providers to Update Provider Information in PROMISe™/ePEAP in Preparation for the 2019 Payment Error Rate Measurement (PERM) Initiative
All49, 50, 51, 52, 01,02, 03, 04, 0506/01/18 - 07/31/18
Fee-for-Service Relative Weight Adjustments
01/010; Claim Types I, A41, 42, 4304/06/2018
Revisions to Participating Drug Company list for Medicaid Drug Rebate Program
07, 08, 09, 24, 3140, 41, 4203/30/2018
Date of Death Recovery
All (exception 07)4003/30/2018
Reprocessing of Claims
Specific Providers38, 3903/17/2018
Medical Assistance Payment Name Change
All – except 35, 65, and 70; Provider Specialties - All; Claim Types - All38, 39, 40, 4103/16/2018
Implementation of the All-Patient Refined Diagnosis Related Group version 35
01/010; Claim Type I35, 36, 3702/23/2018