Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1123 - MEDICAL SUPPLIES
PAYMENT FOR MEDICAL SUPPLIES
Section 1123.62 - Method of payment

Universal Citation: 55 PA Code ยง 1123.62

Current through Register Vol. 54, No. 12, March 23, 2024

(a) For medical supplies the medical supplier's maximum payment shall be the lower of either the provider's charge to the self-paying public, the upper limits set by Medicare or Medicaid, or the maximum fees or rates established in Chapter 1150 (relating to Medical Assistance program payment policies) and the Medical Assistance program fee schedule.

(b) Rental payments shall be made only for the established period of medical necessity. In the event that the item is to be purchased, rental fee of one month will be applied to the purchase price.

This section cited in 55 Pa. Code § 1123.51 (relating to general payment policy).

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