Covered Entity Details

DSH390114B UPMC Magee-Womens Hospital (Terminated) - information as of 4/29/2025 12:33:07 AM

Main Details

Name

UPMC Magee-Womens Hospital

Subdivision Name

MAGEE AT CLAIRTON

Type

Disproportionate Share Hospital

Rural

340B ID

DSH390114B

Medicare Provider Number

390114

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

10/22/2007

Participating Start Date

4/1/2003

Participating Approval Date

10/22/2007

Last Recertification Date

8/25/2023

Termination Date
Termination Reason

1/1/2024
Business decision by the Covered Entity

Contacts

Authorizing Official

UPMC
Jonathan Petrie, CFO UPMC Magee and Mercy
(412) 578-9416

Primary Contact

Magee Womens Hospital of UPMC
ROSELLA HOFFMANN, PHARMACY DIRECTOR
(412) 641-4352

Addresses

Street Address

559 MILLER AVENUE
CLAIRTON, PA 15025

Billing Address

HC Pharmacy Central
3175 East Carson St
Pittsburgh, PA 15203

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
PA	1007711570045,1007711570053,1007711570032,1007711570026,1007711570051,1007711570052,1007711570021	1952311508,1285741900,1659435501,1134301021

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	GIANT EAGLE PHARMACY #0014	7000 OXFORD DRIVE		BETHEL PARK	PA	15102	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0017	6401 PENN AVE		PITTSBURGH	PA	15206	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0018	1671 BUTLER PLANK		GLENSHAW	PA	15116	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0025	WEST VIEW PLAZA	1029 WEST VIEW PARK DRIVE	PITTSBURGH	PA	15229	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0038	1901 MURRAY AVENUE		PITTSBURGH	PA	15217	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0038	1901 MURRAY AVENUE		PITTSBURGH	PA	15217	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0040	5550 CENTRE AVE		PITTSBURGH	PA	15232	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0045	9805 MCKNIGHT ROAD		PITTSBURGH	PA	15237	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0047	100 SETTLERS RIDGE CENTER DR		PITTSBURGH	PA	15205	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0052	132 BEN AVON HTS ROAD		PITTSBURGH	PA	15237	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0060	4010 MONROEVILLE BLVD.		MONROEVILLE	PA	15146	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0061	2021 WHARTON ST		PITTSBURGH	PA	15203	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0067	8080 MCINTYRE SQUARE DRIVE		PITTSBURGH	PA	15237	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0069	9001 FRANKSTOWN RD		PITTSBURGH	PA	15235	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0072	910 FREEPORT ROAD		PITTSBURGH	PA	15238	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0078	230 RODI ROAD		PITTSBURGH	PA	15235	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0091	318 CEDAR AVENUE		PITTSBURGH	PA	15212	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #0093	600 TOWNE SQUARE WAY		BRENTWOOD	PA	15227	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #1246	51 WALSH RD		PITTSBURGH	PA	15205	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #1291	400 NORTHTOWNE SQUARE		GIBSONIA	PA	15044	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #1619	EDGEWOOD TOWNE CENTER	1705 SOUTH BRADDOCK AVE	PITTSBURGH	PA	15218	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #2404	200 ALLEGHENY RIVER BLVD		VERONA	PA	15147	08/24/2012	08/24/2012	05/14/2021	05/14/2021
Contract Detail	GIANT EAGLE PHARMACY #6379	420 EAST WATERFRONT DRIVE		HOMESTEAD	PA	15120	08/24/2012	08/24/2012	05/14/2021	05/14/2021

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH390114AA	Child	DSH	UPMC Magee-Womens Hospital	MAGEE-Womens Special Lemieux - (89020)	9100 Babcock Blvd	Pittsburgh	PA	Active
DSH390114AB	Child	DSH	UPMC Magee-Womens Hospital	MAGEE-HBC Drake St. Clair - (33521)	1000 Bower Hill Road	Pittsburgh	PA	Active
DSH390114AC	Child	DSH	UPMC Magee-Womens Hospital	MAGEE- Butler HBC - (33532)	129 Oneida Valley Road	Butler	PA	Active
DSH390114AD	Child	DSH	UPMC Magee-Womens Hospital	MAGEE- Norwin HBC - (33546)	8775 Norwin Avenue	Irwin	PA	Active
DSH390114AE	Child	DSH	UPMC Magee-Womens Hospital	MAGEE- Greensburg HBC - (33531)	200 Village Drive	Greensburg	PA	Active
DSH390114AF	Child	DSH	UPMC Magee-Womens Hospital	MAGEE- Mt Pleasant HBC - (33541)	508 South Church Street	Mt Pleasant	PA	Active
DSH390114B	Child	DSH	UPMC Magee-Womens Hospital	MAGEE AT CLAIRTON	559 MILLER AVENUE	CLAIRTON	PA	Terminated
DSH390114D	Child	DSH	UPMC Magee-Womens Hospital	MAGEE AT MONROEVILLE	CORP ONE OFFICE PARK, BLDG 2	MONROEVILLE	PA	Terminated
DSH390114E	Child	DSH	UPMC Magee-Womens Hospital	MAGEE AT WILKINSBURG	720 PENN AVENUE	PITTSBURGH	PA	Terminated
DSH390114F	Child	DSH	UPMC Magee-Womens Hospital	Mt Oliver	1630 Arlington Avenue	Pittsburgh	PA	Terminated
DSH390114G	Child	DSH	UPMC Magee-Womens Hospital	UPMC CancerCenter, Beaver	1030 Beaner Hollow Road	Beaver	PA	Active
DSH390114H	Child	DSH	UPMC Magee-Womens Hospital	Hillman CancerCenter / Second Floor	5115 Center Avenue	Pittsburgh	PA	Active
DSH390114J	Child	DSH	UPMC Magee-Womens Hospital	Hillman CancerCenter / Third Floor	5115 Center Avenue	Pittsburgh	PA	Active
DSH390114K	Child	DSH	UPMC Magee-Womens Hospital	Hillman CancerCenter / The Mario Lemieux Center for Blood Cancers	5115 Center Avenue	Pittsburgh	PA	Active
DSH390114L	Child	DSH	UPMC Magee-Womens Hospital	UPMC CancerCenter, Jefferson	1907 Lebanon Church Road	West Mifflin	PA	Active
DSH390114M	Child	DSH	UPMC Magee-Womens Hospital	UPMC CancerCenter, Monroeville	400 Oxford Drive	Monroeville	PA	Active
DSH390114N	Child	DSH	UPMC Magee-Womens Hospital	UPMC CancerCenter, Natrona Heights	1604 Burtner Road	Natrona Heights	PA	Active
DSH390114P	Child	DSH	UPMC Magee-Womens Hospital	UPMC CancerCenter at UPMC Passavant / North Hills	9100 Babcock Blvd.	Pittsburgh	PA	Active
DSH390114Q	Child	DSH	UPMC Magee-Womens Hospital	UPMC CancerCenter at St. Margaret	200 Delafield Road	Pittsburgh	PA	Active
DSH390114R	Child	DSH	UPMC Magee-Womens Hospital	UPMC CancerCenter, Washington	470 Johnson Road	Washington	PA	Active
DSH390114S	Child	DSH	UPMC Magee-Womens Hospital	UPMC CancerCenter, Sewickley	1600 Coraopolis Heights Rd.	Moon Township	PA	Active
DSH390114T	Child	DSH	UPMC Magee-Womens Hospital	UPMC CancerCenter, Upper St. Clair (Drake)	2000 Oxford Drive	Bethel Park	PA	Terminated
DSH390114U	Child	DSH	UPMC Magee-Womens Hospital	UPMC CancerCenter at UPMC Passavant / North Hills HOA HBC	9100 Babcock Blvd.	Pittsburgh	PA	Active
DSH390114V	Child	DSH	UPMC Magee-Womens Hospital	UPMC CENTER FOR REPRODUCTIVE - Reproductive and Fertility ASC	419 RODI ROAD	PITTSBURGH	PA	Active
DSH390114W	Child	DSH	UPMC Magee-Womens Hospital	Mt Oliver Midwives - (34362)	1630 Arlington Ave	Pittsburgh	PA	Terminated
DSH390114X	Child	DSH	UPMC Magee-Womens Hospital	Monroeville - (34364)	4075 Monroeville Blvd	Monroeville	PA	Terminated
DSH390114Y	Child	DSH	UPMC Magee-Womens Hospital	Pregnancy Recover Center - Clairton - (34000)	559 Miller Avenue	Clairton	PA	Terminated
DSH390114Z	Child	DSH	UPMC Magee-Womens Hospital	MAGEE-Cranberry Hospital Based Clinic - (33337)	3 St. Francis Way	Cranberry Township	PA	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	1/1/2024 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		12/29/2023 12:00:00 AM	12/11/2023 10:13 AM
Details	State	Update	Termination Request	Active	To Be Terminated	12/11/2023 10:13 AM
Terminations	Termination Date	Update	Termination Request		1/1/2024 12:00:00 AM	12/11/2023 10:13 AM
Terminations	Termination Effective Date	Update	Termination Request		1/1/2024 12:00:00 AM	12/11/2023 10:13 AM
Terminations	Termination Reason	Update	Termination Request		Business decision by the Covered Entity	12/11/2023 10:13 AM
Details	Last Recertification Date	Update	Recertification	9/1/2022 2:31:41 PM	8/25/2023 12:41:55 PM	8/25/2023 12:41 PM
Contacts	Authorizing Official	Update	AO Change Request	Deems, Ron Wesley CFO Mercy and Magee UPMC 4125768808	Petrie, Jonathan CFO UPMC Magee and Mercy UPMC 4125789416	6/20/2023 10:32 AM
Details	Last Recertification Date	Update	Recertification	9/8/2021 3:31:31 PM	9/1/2022 2:31:41 PM	9/1/2022 2:31 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		1007711570045	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		PA	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		1007711570053	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		PA	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		1007711570032	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		PA	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		1007711570026	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		PA	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		1007711570051	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		PA	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		1007711570052	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		PA	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		1007711570021	8/23/2022 1:12 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		PA	8/23/2022 1:12 PM
Medicaid Billing	NPI: Number	Insert	Group Change Request		1952311508	8/23/2022 1:12 PM
Medicaid Billing	NPI: State	Insert	Group Change Request		PA	8/23/2022 1:12 PM
Medicaid Billing	NPI: Number	Insert	Group Change Request		1285741900	8/23/2022 1:12 PM
Medicaid Billing	NPI: State	Insert	Group Change Request		PA	8/23/2022 1:12 PM
Medicaid Billing	NPI: Number	Insert	Group Change Request		1659435501	8/23/2022 1:12 PM
Medicaid Billing	NPI: State	Insert	Group Change Request		PA	8/23/2022 1:12 PM
Medicaid Billing	NPI: Number	Insert	Group Change Request		1134301021	8/23/2022 1:12 PM
Medicaid Billing	NPI: State	Insert	Group Change Request		PA	8/23/2022 1:12 PM
Details	Last Recertification Date	Update	Recertification	9/4/2020 9:22:16 AM	9/8/2021 3:31:31 PM	9/8/2021 3:31 PM
Contacts	Authorizing Official	Update	AO Change Request	Simmons, Eileen CFO UPMC Mercy 4126477713	Deems, Ron Wesley CFO Mercy and Magee UPMC 4125768808	1/29/2021 9:11 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	1007711570047 (PA)		11/30/2020 8:51 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	1007711570045 (PA)		11/30/2020 8:51 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	1007711570021 (PA)		11/30/2020 8:51 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	1007711570051 (PA)		11/30/2020 8:51 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	1007711570052 (PA)		11/30/2020 8:51 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	1007711570026 (PA)		11/30/2020 8:51 AM
Medicaid Billing	NPI: Number	Delete	Change Request	1952311508 (PA)		11/30/2020 8:51 AM
Medicaid Billing	NPI: Number	Delete	Change Request	1134301021 (PA)		11/30/2020 8:51 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/4/2020 9:22 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1007711570045	9/4/2020 9:22 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		PA	9/4/2020 9:22 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/4/2020 9:22 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1007711570021	9/4/2020 9:22 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		PA	9/4/2020 9:22 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/4/2020 9:22 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1007711570051	9/4/2020 9:22 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		PA	9/4/2020 9:22 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/4/2020 9:22 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1007711570052	9/4/2020 9:22 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		PA	9/4/2020 9:22 AM
Medicaid Billing	NPI: State	Update	Recertification		PA	9/4/2020 9:22 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1134301021	9/4/2020 9:22 AM
Medicaid Billing	NPI: State	Insert	Recertification		PA	9/4/2020 9:22 AM
Details	Last Recertification Date	Update	Recertification	8/31/2019 7:22:00 AM	9/4/2020 9:22:16 AM	9/4/2020 9:22 AM
Addresses	Billing Address	Insert	Recertification		HC Pharmacy Central 3175 East Carson St Pittsburgh, PA 15203	8/31/2019 7:22 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1952311508	8/31/2019 7:22 AM
Contacts	Primary Contact	Update	Recertification	Hoffmann, Rosella Director of Pharmacy Magee Womens Hospital of UPMC 4126414352	HOFFMANN, ROSELLA PHARMACY DIRECTOR Magee Womens Hospital of UPMC 4126414352	8/31/2019 7:22 AM
Details	Last Recertification Date	Update	Recertification	8/29/2018 2:52:44 PM	8/31/2019 7:22:00 AM	8/31/2019 7:22 AM
Details	Last Recertification Date	Update	Recertification	11/21/2017 4:03:03 PM	8/29/2018 2:52:44 PM	8/29/2018 2:52 PM
Details	Entity Name	Update	Change Request	MAGEE-WOMENS HOSPITAL OF UPMC HEALTH SYS	UPMC Magee-Womens Hospital	7/27/2018 12:40 PM
Details	Last Recertification Date	Update	Recertification	8/23/2016 12:00:00 AM	11/21/2017 4:03:03 PM	11/21/2017 4:03 PM
Contacts	Primary Contact	Update	Recertification	Hoffmann, Rosella Director of Pharmacy 4126414352	Hoffmann, Rosella Director of Pharmacy Magee Womens Hospital of UPMC 4126414352	11/21/2017 4:03 PM
Contacts	Authorizing Official	Update		Simmons, Eileen CFO 4126477713	Simmons, Eileen CFO UPMC Mercy 4126477713	10/20/2017 1:33 PM
Contacts	Authorizing Official	Insert			Simmons, Eileen CFO 4126477713	7/19/2017 4:07 PM
Addresses	Main Address	Insert			559 MILLER AVENUE CLAIRTON, PA 15025	8/23/2016 8:48 AM
Contacts	Primary Contact	Update		SIRIANI, BELINDA INTERIM BUSINESS MANAGER 4122337021	Hoffmann, Rosella Director of Pharmacy 4126414352	8/23/2016 8:48 AM
Details	Last Recertification Date	Update		8/25/2015 12:00:00 AM	8/23/2016 12:00:00 AM	8/23/2016 8:48 AM
Medicaid Billing	Medicaid: Is Primary	Update		True	False	8/25/2015 2:27 PM
Contacts	Primary Contact	Insert			SIRIANI, BELINDA INTERIM BUSINESS MANAGER 4122337021	8/25/2015 2:27 PM
Details	Last Recertification Date	Update		9/5/2014 12:00:00 AM	8/25/2015 12:00:00 AM	8/25/2015 2:27 PM
Details	Last Recertification Date	Update		9/6/2013 3:52:19 PM	9/5/2014 12:00:00 AM	9/5/2014 6:26 PM
Details	Last Recertification Date	Update		7/1/2012 12:00:00 AM	9/6/2013 3:52:19 PM	9/6/2013 3:52 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	7/12/2013 1:17 PM
Medicaid Billing	Medicaid: Number	Insert			1007711570047	7/12/2013 1:17 PM
Medicaid Billing	Medicaid: State	Insert			PA	7/12/2013 1:17 PM
Medicaid Billing	Medicaid: Number	Update		0582587	1007711570026	7/12/2013 8:51 AM
Details	Last Recertification Date	Update			7/1/2012 12:00:00 AM	5/18/2012 12:31 PM
Details	Last Recertification Date	Insert				11/2/2007 12:27 PM
Details	Grant Number	Insert				11/2/2007 12:27 PM
Details	340B ID	Insert			DSH390114B	11/2/2007 12:27 PM
Details	Is Authorizing Official EHB Data	Insert				11/2/2007 12:27 PM
Dates	Last Date That 340B Drugs Purchased	Insert				11/2/2007 12:27 PM
Details	Medicare Provider Number	Insert			390114	11/2/2007 12:27 PM
Details	Entity Name	Insert			MAGEE-WOMENS HOSPITAL OF UPMC HEALTH SYS	11/2/2007 12:27 PM
Details	Program Code	Insert			DSH	11/2/2007 12:27 PM
Details	Entity Subname	Insert			MAGEE AT CLAIRTON	11/2/2007 12:27 PM
Dates	Participating Approval Date	Insert			10/22/2007 12:00:00 AM	11/2/2007 12:27 PM
Details	State	Insert			Active	11/2/2007 12:27 PM
Dates	Registration Date	Insert			10/22/2007 12:00:00 AM	11/2/2007 12:27 PM
Dates	Signed By Date	Insert				11/2/2007 12:27 PM
Dates	Start Date	Insert			4/1/2003 12:00:00 AM	11/2/2007 12:27 PM
Terminations	Termination Comments	Insert				11/2/2007 12:27 PM
Terminations	Termination Date	Insert				11/2/2007 12:27 PM
Terminations	Termination Effective Date	Insert				11/2/2007 12:27 PM
Terminations	Termination Reason	Insert				11/2/2007 12:27 PM
Medicaid Billing	Medicaid: Is Primary	Insert			True	10/22/2007 6:49 AM
Medicaid Billing	Medicaid: Number	Insert			0582587	10/22/2007 6:49 AM
Medicaid Billing	Medicaid: State	Insert			PA	10/22/2007 6:49 AM