Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1150 - MA PROGRAM PAYMENT POLICIES
PAYMENT FOR SERVICES
Section 1150.62 - Payment levels and notice of rate setting changes

Universal Citation: 55 PA Code ยง 1150.62

Current through Register Vol. 54, No. 44, November 2, 2024

(a) The Department will establish maximum payment rates for MA covered services. The established maximum payment rates will not exceed the Medicare upper limit.

(b) The Department will issue public notice of changes in Statewide methods and standards for setting payment rates as required by Federal law.

The provisions of this §1150.62 amended under sections 201(2), 403(b), 443.4 and 454 of the Public Welfare Code (62 P. S. §§ 201(2), 403(b), 443.4 and 454).

This section cited in 55 Pa. Code § 1126.52 (relating to payment criteria); and 55 Pa. Code § 5221.42 (relating to payment).

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