Medical Assistance Handbook Operations Memoranda

OPS NUMBER

DESCRIPTION

Chapter(s)
Section(s)

OPS Date

OPS 21-03-01

Modified Adjusted Gross Income (MAGI) Medical Assistance (MA) for Children Age 6-18 with Minimum Essential Coverage (MEC) Health Insurance

Not linked

Revised April 5, 2021

March 10, 2021

OPS-21-02-01

Limited English Proficiency (LEP) Resources and Procedures

Not linked

February 1, 2021

OPS-20-12-05

Medical Assistance (MA) Cost of Living Adjustment (COLA) Changes for 2021

Not linked

Revised January 26, 2021

December 18, 2020

OPS-20-12-04

Referral Process Between the Children’s Health Insurance Program (CHIP) and the Children with Special Needs (PH95) Program

Not linked

December 17, 2020

OPS-20-12-03

Exceptions to Maintaining Medical Assistance (MA), Including Long-Term Care (LTC) and Home and Community-Based Services (HCBS) Enrollment during the Public Health Emergency (PHE) - Coronavirus (COVID-19)

Not linked

Revised May 12, 2021

Revised January 27, 2021

December 7, 2020

OPS-20-11-01

Introduction of the Physician Certification for Child with Special Needs Form (PA 1960)

Not linked

November 6, 2020

OPS-20-09-06

Suspended Medical Assistance Applications for MG99 and Other System Updates for Incarcerated Individuals

Not linked

Revised December 10, 2020

September 22, 2020

OPS-20-09-05

Adding Reconsideration to Disability Advocacy Program (DAP) Automation and Other DAP System Updates

Not linked

September 22, 2020

OPS-20-09-03

Transition from the Federally Facilitated Marketplace (FFM) to the State- Based Exchange (SBE) called Pennie

Not linked

September 18, 2020

OPS-20-09-02

New Work Expense Deduction

Not linked

September 17, 2020

OPS-20-08-02

Extended Refugee Cash Assistance and Refugee Medical Assistance 

Not linked

Revised June 30, 2021

Revised February 26, 2021

Revised December 30, 2020

August 19, 2020

OPS-20-05-02

Unemployment Income COVID-19

Not linked

May 5, 2020

OPS-20-03-02

Medical Assistance (MA) Processing Procedures during Coronavirus 2019 (COVID-19) Emergency

Not linked

March 23, 2020

OPS-20-01-03

Medical Assistance (MA) Work Supports Program Implementation

Not linked

Revised May 3, 2021

January 28, 2020

OPS-18-04-02

Family Planning Services (FPS) Eligibility and Medical Assistance (MA) Overpayment Determinations

910.1

April 30, 2018

OPS-18-03-06

Social Security Administration (SSA) New Medicare Card Project- Revised April 12, 2018

337

March 26, 2018

OPS-18-03-05

Social Security Administration (SSA) Renewal and Redetermination Verification (RRV) Interface Service at Enhanced Medical Assistance Renewal (EMAR)

376.23, 378.32, 950.3

March 22, 2018

OPS-18-03-03

Automated Medical Assistance (MA) Suspensions and Openings for Incarcerated Individuals

392.21, 392.211

March 15, 2018

OPS-18-03-02

Disability Advocacy Program (DAP) Changes

319.2, 820.5

March 13, 2018

OPS-18-03-01

Medical Assistance (MA) Continuous Eligibility for Children under Age Four

305, 309.2, 850.27

March 13, 2018

OPS-18-01-03

Manual Requests for Asset Verification through the Asset Verification System (AVS)

319.5, 340.31, 340.6, 376.2, 378.3, 378.61

January 30, 2018

OPS-17-12-04

Office of Inspector General (OSIG) investigation referrals, forms and domestic violence policy changes

Not linked

December 21, 2017

OPS-17-09-04

Medical Assistance (MA) Expedited Fair Hearing- Revised 11/17/17

870.2

September 29, 2017

OPS-17-08-05

Medical Assistance (MA) Fast Track Enrollment Enhancements - Revised 3/15/18

304.2, 312.31

August 30, 2017

OPS-17-08-03

Affordable Care Act (ACA) - Technological Enhancements Expansion - Automated Case Actions, Real Time Eligibility, and Enhanced Medical Assistance Renewals- Revised 8/31/17

376.23, 378.6

August 15, 2017

OPS-17-07-01

Policy Changes Due to the Achieving a Better Life Experience (ABLE) Act

319.5, 340.1, 340.8

July 10, 2017

OPS-16-12-02

Cost of Living Adjustment (COLA) Increase Affecting Long Term Care (LTC) Budgets Effective January 1, 2017

Not linked

December 7, 2016

OPS-16-12-01

Minimum Essential Coverage (MEC) Reporting to the Internal Revenue Service (IRS) and Individuals

312.1, 338.1

December 6, 2016

OPS-16-11-05

Shortened COMPASS Application and Expedited Processing of Medical Assistance Applications for Inmates Being Released from Correctional Facilities - Revised 12/30/2016

304, 392.211

November 7, 2016

OPS-16-11-03

Commonwealth of Pennsylvania Access to Social Services (COMPASS) Improvements for Former Foster Care Youth

304, 312.8

November 7, 2016

OPS-16-11-02

Commonwealth of Pennsylvania Access to Social Services (COMPASS) Mobile App - 'myCOMPASS PA'

Not linked

November 7, 2016

OPS-16-08-01

County Assistance Office Advancement Account (CAOAA) Policy

Not linked

August 19, 2016

OPS-16-07-01

New Shortened Application for Medicaid for Former Foster Care Youth

304, 312.8

July 6, 2016

OPS-16-06-01

Notice changes for individuals applying for Home and Community-Based Services (HCBS) in the Office of Long-Term Living (OLTL) Waiver

Not linked

June 8, 2016

OPS-16-03-05

Medical Assistance Program Changes due to the Introduction of Enhanced Federal Medical Assistance Percentage

305, 312, 316, 319

March 10, 2016

OPS-16-03-01

MNO Reinstatement for Non-pregnant Adults Age 21 through 64

305, 340, 361, 369, 350

 

 

March 7, 2016

OPS-15-09-01

Denial process and notice changes for individuals applying for Home and Community Based Services (HCBS) in an Office of Long Term Living (OLTL) Waiver

Not linked

Revised March 1, 2016

Orig date:  September 3, 2015.

OPS-15-12-09

Hospital-based Presumptive Eligibility (PE) Commonwealth of Pennsylvania Access to Social Services (COMPASS) Application and PE Processing Procedures

Not linked

December 14, 2015

OPS-15-12-04

Expedited Processing of Medical Assistance Applications for Inmates Being Released From State Correctional Institutions

Not linked

December 4, 2015

OPS-15-12-03

Expedited Processing of Medical Assistance Applications for Inmates Being Released From County Prisons and Immediately Being Transferred to a Residential Drug & Alcohol Treatment Facility - Revised 12/30/2016

Not linked

December 4, 2015

OPS-15-09-05

Updates to the PA 600 B-- Pennsylvania Breast and Cervical Cancer Prevention and Treatment Program (BCCPT)

Not linked

September 29, 2015

OPS-15-09-01

Denial process and notice changes for individuals applying for Home and Community Based Services (HCBS) in an Office of Long Term Living (OLTL) Waiver

Not linked

September 3, 2015

OPS-15-07-02

Implementation of the Family Planning Services (FPS) Program under HealthChoices Expansion (HCE)

Not linked

July 30, 2015

OPS-15-07-01

Amended PA 1745.1 for TitleIV-E Placement Maintenance Eligibility

Not linked

July 21, 20105

OPS-15-06-04

Affordable Care Act (ACA) technological Enhancements-Autommated Actions and Reported Changes in COMPASS

Not linked

June 22, 2015

OPS-15-06-02

Medical Assistance Transportation Program (MATP) and HealthChoices Expansion (HCE)

Not linked

June 4, 2015

OPS-15-04-02

Medical Assistance (MA) Rule Changes Under HealthChoices Expansion (HCE) in Pennsylvania

Not linked

April 22, 2015

OPS-15-03-01

 

Health Care Program - Overpayment Referrals

Not linked

March 16, 2015

OPS-15-01-04

Hospital-Based Presumptive Eligibility Policy Changes

Not linked

January 12, 2015

OPS-15-01-01

SelectPlan for Women Transition

Not linked

January 8, 2015

 

OPS-14-12-04

 

Phone Translation Services: Propio LS LLC

Not linked

December 30, 2014

OPS-14-12-02

 

Cost of Living Adjustment (COLA) Increase Affecting Medical Assistance

Not linked

December 12, 2014

OPS-14-11-05

Changes to Presumptive Eligibility for Pregnant Women and the MA 332

Not linked

November 20, 2014

OPS-14-11-03

Transition of "Grandfathered" Children from the Children's Health Insurance Program (CHIP) to Medical Assistance (MA) Effective January 1, 2015

Not linked

November 14, 2014

OPS-14-11-02

 

Federally-Faciliated Marketplace (FFM) Open Enrollment Period for 2015

Not linked

November 14, 2014

OPS-14-07-01

 

Medical Assistance Transportation Allowances Payment Procedures  

Not linked

Revised October 9, Orig date July 22, 2014  

OPS-14-10-02

Processing Same Gender Married Couples

Not linked

October 9, 2014

OPS-14-10-01

Health Insurance Marketplace Exemption from Shared Responsibility Payment- Hardship Applications

Not linked

October 2, 2014

OPS-14-07-02

Commonwealth of Pennsylvania Access to Social Services (COMPASS) Online Eligibility and Other Automated Processes

Not linked

Revised July 23, 2014  

Original date July 22, 2014

OPS-14-0-701

Medical Assistance Transportation Allowances Payment Procedures

Not linked

July 22, 2014

OPS-14-06-02

Expedited Processing of Medical Assistance Applications for Inmates Being Released From County Prisons and Immediately Being Transferred to a Residential Drug and Alcohol Treatment Facility

Not linked

June 30, 2014

OPS-14-04-03

Change in Type of Medical Assistance Quality Control (MA-QC) Reviews Due the Implementation of the Affordable Care Act (ACA)

Not linked

April 25, 2014

OPS-14-04-02

Inbound Federally-Facilitated Marketplace (FFM) Account Transfers Effective April 1, 2014

Not linked

April 3, 2014

OPS-14-04-01

Transition of “Grand fathered” Children from the Children’s Health Insurance Program (CHIP) to Medical Assistance (MA)  

Not linked

April 3, 2014

OPS-14-03-01

Medical Assistance (MA) "Grand fathering" Processing Under the Affordable Care Act (ACA) for Renewals, Semi-Annual Reporting and Reported Changes in March 2014

Not linked

March 6, 2014

OPS-13-12-04

Outbound Federally-Facilitated Marketplace (FFM) Account Transfers

Not linked

December 16, 2013

OPS-13-10-02

Additional Online Forms and Enhancements to the Pending Verification/Application Notice Process

Not linked

October 3, 2013

OPS-13-09-05

Introduction of the Application for Health Care Coverage (PA600HC) and the Insert to Collect Additional Questions for Health Care Coverage

Not linked

September 27, 2013

OPS-13-09-03

Application Requirements Under the Affordable Care Act (ACA)

Not linked

September 27, 2013

OPS-13-06-01

Money Follows the Person (MFP) Demonstration Project

Not linked

Revised May 14, 2020

June 14, 2013

OPS-13-04-06

Commonwealth of Pennsylvania Access to Social Services (COMPASS) Service Delivery Enhancements

Not linked

April 26, 2013

OPS-13-04-05

Electronic Notices (e-Notices)

Not linked

April 26, 2013

OPS-12-07-07

Changes to General Assistance (GA)-related Medical Assistance (MA)

305.4
305.5

Updated April 19, 2013

July 30, 2012

OPS-13-04-01

Medical Assistance (MA) Program – Overpayment Referrals

Not linked

April 8, 2013

OPS-13-03-01

Act 80 of 2012 and Act 91 of 2012

Not linked

March 20, 2013

OPS-13-02-01

Enhancements to e-CIS Job Search and Sanction Process

Not linked

February 11, 2013

OPS-13-01-04

Internal Revenue Service (IRS) Income Eligibility Verification System (IEVS) Safeguarding Requirements

Not linked

January 29, 2013

OPS-12-12-03

Process for Applications for Home and Community-Based Services (HCBS)

Not linked

December 10, 2012

OPS-12-10-04

"Ex Parte” Review of Medical Assistance (MA) Cases at Renewal and Semi-Annual Review (SAR)

Not linked

Revised 11/13/12

OPS-12-09-02

Implementation of Copayments for the Children with Special Needs Category (PH 95)

Not linked

September 17, 2012

OPS-05-09-04

 Purchase of an Irrevocable Burial Reserve and Medicaid Eligibility

340.12

August 15, 2011

OPS-11-07-04

Expediting Medical Assistance (MA) Eligibility Determinations  for Drug and Alcohol Treatment Applicants

305.44

July 12,2011

OPS-11-07-01

Requirements to Align all Budgets in a Case Record with a Common Renewal Date

311.3,  318.3

370.1,  376.24

July 6, 2011

OPS-10-10-01

Security Requirements for Using the Pennsylvania Child Support Enforcement System

Not Linked

October 5, 2010

OPS-10-09-03

Adverse Action Change from 13 Days to 15 Days for Manual Client Notices

377.4

September 9, 2010

OPS-10-03-01

Five-Year Bar

Not Linked

March 16, 2010

OPS-09-09-02

The Work Number® Express Service Pilot

Not Linked

September 18, 2009

OPS-09-06-01

Health Care Services Available Through The Department of Veterans Affairs (VA)

Not Linked

June 15, 2009

OPS-09-04-05

Rescission of Operation Memoranda OPS081103 and OPS081201

Not Linked

April 20, 2009

OPS-09-04-04

Support Received from an Income Tax Intercept

357.1

April 8, 2009

OPS-09-04-03

Increase in Unemployment Compensation

Not Linked

April 8, 2009

OPS-09-04-01

Economic Recovery Payment of $250

Not Linked

April 7, 2009

OPS-09-03-04

Consolidation of Medical Assistance and Long Term Care Notices

Not Linked

March 24, 2009

OPS-09-01-03

Specialty Pharmacy Drug Program

Not Linked

January 27, 2009

OPS-08-09-11

Health Care Handshake: Automated Process for Handling Applications for Health Care Benefits

Not Linked

October 6, 2008

OPS-08-09-07

Support Pass-Through Increase

350.31

September 29, 2008

OPS-08-02-02

Notice Dates for All Manual Notices

Not Linked

February 11, 2008

Updated June 30, 2021; Replacing May 13, 2021