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PA Bulletin, Doc. No. 07-852

NOTICES

Medical Assistance Program; Prior Authorization List

[37 Pa.B. 2257]
[Saturday, May 12, 2007]

   The Department of Public Welfare (Department) announces additions to the Medical Assistance (MA) Program's list of services requiring prior authorization effective May 15, 2007.

   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 Aranesp, Enbrel, Humira, Kineret, Pegasys, Procrit, Toradol and Tysabri dispensed on and after May 15, 2007.

Fiscal Impact

   It is estimated that the change will result in savings of $0.223 million ($0.104 million in State funds) in the MA-Outpatient Program in Fiscal Year (FY) 2006-2007 and annualized net savings of $2.682 million ($1.251 million in State funds) in FY 2007-2008.

Public Comment

   Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Medial 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,   
Secretary

   Fiscal Note: 14-NOT-506. No fiscal impact; (8) recommends adoption. Implementation of this notice is expected to generate $104,000 in savings for FY 2006-2007, and $1,251,000 in FY 2007-2008.

[Pa.B. Doc. No. 07-852. Filed for public inspection May 11, 2007, 9:00 a.m.]


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