Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1123 - MEDICAL SUPPLIES
PAYMENT FOR MEDICAL SUPPLIES
Section 1123.51 - General payment policy
Universal Citation: 55 PA Code ยง 1123.51
Current through Register Vol. 54, No. 12, March 23, 2024
Payment is made for covered services provided by participating providers subject to the conditions and limitations established in this section, §§ 1123.52 and 1123.60-1123.62, and Chapters 1101 and 1150 (relating to general provisions; and MA Program payment policies) and the MA Program fee schedule. Items and services shall be prescribed by a licensed medical practitioner and prescriptions and orders shall specify the patient's diagnosis. Payment will not be made for a compensable medical supply if payment is available from another agency or another insurance or health program.
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