Medical Assistance Program; Prior Authorization List [35 Pa.B. 7067] The Department of Public Welfare (Department) will add items to the Medical Assistance (MA) Program's list of services requiring prior authorization, effective January 1, 2006.
Section 443.6(b)(7) of the Public Welfare Code (62 P. S. § 443.6(b)(7)) authorizes the Department to add items and services to the list of services requiring prior authorization by publication of notice in the Pennsylvania Bulletin.
The MA Program will require prior authorization of prescriptions, including refills, for Prilosec Over-The-Counter (OTC) and Loratadine OTC, prescribed on and after January 1, 2006, for MA recipients who qualify for pharmacy services and also receive Medicare benefits.
Fiscal Impact
This change is anticipated to have minimal fiscal impact.
Public Comment
Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Deputy Secretary's Office, Attention: Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 days will be reviewed and considered for any subsequent changes to these prior authorization requirements.
Persons with a disability who require an auxiliary aid or service may submit comments using the AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).
ESTELLE B. RICHMAN,
SecretaryFiscal Note: 14-NOT-461. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 05-2414. Filed for public inspection December 30, 2005, 9:00 a.m.]
