Pennsylvania Adds Psychiatric Rehabilitation Services To Medicaid State Plan

Pennsylvania Medicaid added psychiatric rehabilitation services (PRS) as a state plan service effective January 1, 2026. Prior to that date, PRS was available only to Medicaid beneficiaries enrolled in a Medicaid Behavioral Health HealthChoices managed care plan and was offered as an “in lieu of” service.

Going forward, PRS is available as a state plan service to Medicaid beneficiaries in both the fee-for-service and Behavioral Health HealthChoices delivery systems.

The Pennsylvania Office of Mental Health and Substance Abuse Services (OMHSAS) added PRS to the Medical Assistance (MA) Program Fee Schedule after receiving approval from the Centers for Medicare . . .