Medical Assistance Program; Prior Authorization List [36 Pa.B. 2246] The purpose of this notice is to announce that the Department of Public Welfare (Department) will add items to the Medical Assistance (MA) Program's list of items and services requiring prior authorization.
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 Revatio dispensed on and after May 1, 2006, for MA recipients.
Fiscal Impact
Revatio received United States Food and Drug Administration approval in June 2005; therefore, as of the date of the preparation of this fiscal note, there is minimal paid claims history for this drug. Savings are anticipated as the result of the addition to the prior authorization list; however, there is no measurable fiscal impact to the Medical Assistance--Outpatient program.
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-476. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 06-787. Filed for public inspection May 5, 2006, 9:00 a.m.]
