Pennsylvania Agency Reinstates Provider Enrollment Requirements

The Pennsylvania Department of Human Services, Office of Medical Assistance Programs has issued MA Bulletin 99-22-11, Reinstatement of Provider Enrollment Requirements. In response to the COVID-19 pandemic, DHS requested provider enrollment flexibilities under Section 1135 of the Social Security Act. CMS approved DHS’ Section 1135 request for provider enrollment flexibilities on March 27, 2020. Providers were advised of these flexibilities in Provider Quick Tip 240, which was issued on April 9, 2020. Effective Feb. 27, 2023, this Bulletin reinstates the requirements for provider payment for enrollment application fees, fingerprint-based backgrounds, and site visits for providers. Providers temporarily enrolled in the MA Program during the Public Health Emergency who did not satisfy the enrollment requirements that were suspended under the Section 1135 flexibilities must satisfy the enrollment requirements as described in the Bulletin.