DHS Uses Milliman Care Guidelines for Medical Necessity
Pennsylvania Fee-For-Service Subcommittee | Commonwealth of PennsylvaniaState · Harrisburg, PA- Document date
- Aug 13, 2025
- Term
- Effective July 18, 2025
The 30-second brief
The Department of Human Services is utilizing Milliman Care Guidelines (MCG) as of July 18, 2025, to determine medical necessity for services and levels of care for Medical Assistance beneficiaries. This adoption standardizes prior authorization criteria across a wide range of Medicaid-covered services.
Milliman Care Guidelines (Mcg) holds this technology contract with Pennsylvania Fee-For-Service Subcommittee | Commonwealth of Pennsylvania.
Term as filed: Effective July 18, 2025.
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Contract details
- Contract type
- Technology
- Document date
- August 13, 2025
- Term
- Effective July 18, 2025
- Vendor
- Milliman Care Guidelines (Mcg)
- Source document
- pa_dept_of_human_services_ffs_subcommittee_minutes.pdf (Minutes)
More Pennsylvania Fee-For-Service Subcommittee | Commonwealth of Pennsylvania contracts
Questions about this contract
Who was awarded the technology contract by Pennsylvania Fee-For-Service Subcommittee | Commonwealth of Pennsylvania?
Milliman Care Guidelines (Mcg) was awarded this technology contract by Pennsylvania Fee-For-Service Subcommittee | Commonwealth of Pennsylvania, as recorded on August 13, 2025.
What type of contract is this?
This is a Technology contract, documented as a minutes record.
Where was this contract approved?
This contract appears in pa_dept_of_human_services_ffs_subcommittee_minutes.pdf (Minutes), dated August 13, 2025 from Pennsylvania Fee-For-Service Subcommittee | Commonwealth of Pennsylvania. Civic IQ extracts contract records directly from agency meeting documents and solicitations.
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