Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1140 - HEALTHY BEGINNINGS PLUS PROGRAM
PAYMENT FOR HBP SERVICES
Section 1140.53 - Limitations on payment

Universal Citation: 55 PA Code ยง 1140.53

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

HBP payment limitations are as follows:

(1) Payment for the trimester component includes all prenatal visits during the trimester.

(2) Qualified providers may bill for either the high risk maternity care package or the basic maternity care package for each trimester.

(3) The fee for the applicable trimester maternity care packages includes payment to the practitioner for performing the delivery and postpartum care.

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