Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1121 - PHARMACEUTICAL SERVICES
SCOPE OF BENEFITS
Section 1121.22 - Scope of benefits for the medically needy
Universal Citation: 55 PA Code ยง 1121.22
Current through Register Vol. 54, No. 44, November 2, 2024
Medically needy recipients are not eligible for pharmaceutical services covered by the MA Program unless one of the following occurs:
(1) If a compensable item or service is prescribed through the School Medical Program as described in § 1101.32(a)(2) (relating to coverage variations).
(2) If a compensable item or service is prescribed for the purpose of family planning.
(3) If a compensable vaccine is prescribed through the Early and Periodic Screening, Diagnosis and Treatment Program as described in § 1101.32(a)(1).
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