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PA Bulletin, Doc. No. 06-1031


Medical Assistance Program; Prior Authorization List

[36 Pa.B. 2867]
[Saturday, June 10, 2006]

   Section 443.6(b)(7) of the Public Welfare Code (62 P. S. § 443.6(b)(7)) authorizes the Department of Public Welfare (Department) to add items and services to the Medical Assistance (MA) Program's list of services that require prior authorization by publication of notice in the Pennsylvania Bulletin.

   The purpose of this notice is to announce that the Department has added prescriptions, including refills, for Botox, Synagis and Xolair to the MA Program's list of services that require prior authorization.

Fiscal Impact

   The savings associated with the addition of these drugs to the prior authorization list are estimated at $0.303 million ($0.136 million in State funds) in Fiscal Year (FY) 2005-2006. Annualized savings of $1.903 million ($0.865 million in State funds) are estimated in FY 2006-2007.

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).


   Fiscal Note:  14-NOT-477. No fiscal impact; (8) recommends adoption. Savings associated with adding these drugs to the prior authorization list are estimated at $.136 million for Fiscal Year 05-06 and $.865 million for 06-07.

[Pa.B. Doc. No. 06-1031. Filed for public inspection June 9, 2006, 9:00 a.m.]

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