The following Medical Assistance (MA) Bulletin applies to 340B covered entities that bill the MA Fee-for-Service (FFS) program and/or a MA Program managed care organization (MCO) for drugs purchased under the 340B Drug Pricing Program and dispensed to MA program beneficiaries:
The following MA Bulletins apply to 340B covered entities that bill the MA FFS program for 340B purchased drugs:
2024 Pennsylvania Medical Assistance BIN/PCN/Group Numbers
| FFS/MCO | BIN | PCN | Group Number |
|---|---|---|---|
| Fee-For-Service | 600760 | N/A | N/A |
| AmeriHealth Caritas Pennsylvania | 019595 | 01940000 | N/A |
| AmeriHealth Community Health Choices | 019595 | 07630000 | N/A |
| Geisinger Health Plan (Effective 1/1/2024) | 026010 | MCDG | N/A |
| Health Partners of Philadelphia | 004336 | MCAIDADV | RX3892 |
| Highmark Wholecare (Medicaid Primary) | 004336 | MCAIDADV | RX2338 |
| Highmark Wholecare (Medicaid Secondary to Medicare) | 012114 | MCAIDADV | RX2338 |
| Highmark Wholecare (Medicaid Secondary to Commercial Insurance) | 013089 | MCAIDADV | RX2338 |
| Keystone First Community Health Choices | 019595 | 07630000 | N/A |
| Keystone First | 019595 | 01940000 | N/A |
| Pennsylvania Health & Wellness (Effective 1/1/2024) | 003858 | MA | 2FBA |
| United Healthcare Community Plan | 610494 | 4200 | ACUPA |
| UPMC for You | 003858 | A4 | PMDM |
Last Updated: December 19, 2023