Pennsylvania Code
Title 28 - HEALTH AND SAFETY
Part VI - Health Care Cost Containment Council
Chapter 912 - DATA REPORTING REQUIREMENTS
Subchapter D - OTHER REQUIREMENTS
Section 912.81 - Provider information
Current through Register Vol. 54, No. 44, November 2, 2024
A provider shall submit the following information annually on a form designed by the Council and in accordance with a submission schedule developed by the Council.
(1) Physicians on staff. A health care facility shall submit a listing of hospital-based and nonhospital-based physicians on the active, associate, courtesy and consulting medical staff. The listing shall include physician name, Pennsylvania license number and clinical specialty. The listing shall indicate whether the physician is Board-certified in the listed specialties.
(2) Medicare assignment. A physician shall indicate whether the physician accepts Medicare assignment as full payment for services.
(3) Medical Assistance participation. A physician shall indicate whether the physician is registered as a provider with the Commonwealth's Medical Assistance Program. If the physician is registered, the number assigned by the Medical Assistance Program shall be listed.
(4) Accreditation, certification and licensure. A provider shall submit information concerning accreditation, certification and licensure of the facility by the Commonwealth; the Joint Commission on the Accreditation of Health Care Organizations, the American Osteopathic Association, or certified for Medicare Conditions of Participation; and the Commission on the Accreditation of Rehabilitation Facilities. The information shall include the accrediting/certifying/licensing agency, the type of accreditation/certification/licensure and the term, including the expiration date.
