I live in PA and doctors outside of the state will not take Medicaid, what can I do to see a specialist out of state?

Well yes of course, I am assuming that the out of state doctor or facility has encouraged you to explore getting the PA, so that they can make an appt for you. That is an essential part of the equation.

getting prior approval will not get that specialist to accept you, his rules are his rules, can't blame the doctors, surely you can find one in PA that's the same equivalent of the out of state Dr.

I used to work for a major hospital accounts department. The process is.different for each state's Medicaid. You will.need to have your state's Medicaid involved, getting a Prior Authorization, and the other state facility/doctor will have to accept (or.negotiate) a reimbursement rate before services rendered. If you go ahead and try to get services it would be a big headache. Get PA in advance!

True, Medicaid is run state by state. So ask your MD to refer you to the same specialist within your state.