PROMISe

​Remittance Advice Alerts/PROMISe Banner Pages

Request a Duplicate Remittance Advice

​SUBJECT

​PROVIDER TYPE(S)

​CYCLES

​ALERT DATED

Revisions to Participating Drug Company list for Medicaid Drug Rebate Program07, 08, 09, 24, and 3113, 14, 15, and 1609/20/2024 - 10/22/2024
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

​​09/06/2024 - 10/08/2024

Changes to Electronic Funds Transfer (EFT) procedureAll01, 02, 03, 04, 05, 06, 07, and 0806/28/2024-08/27/2024

Revisions to Participating Drug Company list for Medicaid Drug Rebate Program

07, 08, 09, 24, and 31

01, 02, 03 and 04

06/28/2024 – 07/30/2024

Date of Death Recovery

​All (Exception 07)

52

06/24/2024

​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, 05/36216/160, 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, & 31

01, 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)

19

11/01/2019

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, & 31

01, 02, 03

07/ 28/2019 - 07/16/2019

Eligibility Verification System

Provider 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; 56/560

02, 03, 04

07/05/2019 - 07/23/2019

Date of Death Recovery

All (exception 07)

42

04/12/2019

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: All

42

04/12/2019

Revisions to Participating Drug Company list for Medicaid Drug Rebate Program

07, 08, 09, 24, 31

40, 41, 42

03/29/2019 -

04/16/2019

Fee-for-Service Relative Weight Adjustments

01/010; Claim Types I and A

39, 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 A

35, 36, 37

02/22/2019 -

03/12/2019

Service Location Enrollment Deadline

All

30 through 52

01/18/2019 -

07/02/2019

Revisions to Participating Drug Company list for Medicaid Drug Rebate Program

07, 08, 09, 24, 31

27, 28, 29

12/26/2018 -

01/15/2019

Reprocessing of Fee-for-Service Claims for Community Health Choices (CHC) Recipients

All

19

11/02/2018

Date of Death Recovery

All (exception 07)

16

10/12/2018

Deadline Extension for $193,000 in Incentives for Implementing Opioid Guidelines

01/010

16, 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, 31

14, 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

All

12, 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 21/222

12, 13, 14, 15, 16

09/14/2018 -

10/16/2018

Deadline Approaching for $193,000 in Incentives for Implementing Opioid Guidelines

01/010

September 14, 2018 through October 2, 2018

09/14/2018

Reprocessing of Fee-for-Service Claims for Community Health Choices (CHC) Recipients

All

01

06/29/18 -

07/03/18

Reduction of Paper RA Mailings

All

03, 04, 05, 06, 07, 08, 09, 10

07/06/18 - 09/04/18

Revisions to Participating Drug Company list for Medicaid Drug Rebate Program

07, 08, 09, 24, 31

52, 01, 02

06/22/18 - 07/06/18

Reminder to Providers to Update Provider Information in PROMISe™/ePEAP in Preparation for the 2019 Payment Error Rate Measurement (PERM) Initiative

All

49, 50, 51, 52, 01,02, 03, 04, 05

06/01/18 - 07/31/18

Fee-for-Service Relative Weight Adjustments

01/010; Claim Types I, A

41, 42, 43

04/06/2018

Revisions to Participating Drug Company list for Medicaid Drug Rebate Program

07, 08, 09, 24, 31

40, 41, 42

03/30/2018

Date of Death Recovery

All (exception 07)

40

03/30/2018

Reprocessing of Claims

Specific Providers

38, 39

03/17/2018

Medical Assistance Payment Name Change

All – except 35, 65, and 70; Provider Specialties - All; Claim Types - All

38, 39, 40, 41

03/16/2018

Implementation of the All-Patient Refined Diagnosis Related Group version 35

01/010; Claim Type I

35, 36, 37

02/23/2018