Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1151 - INPATIENT PSYCHIATRIC SERVICES
PROVIDER RIGHT OF APPEAL
Section 1151.101 - Provider right of appeal
Universal Citation: 55 PA Code ยง 1151.101
Current through Register Vol. 54, No. 44, November 2, 2024
(a) Providers have the right to appeal adverse actions of the Department under Chapter 1101 (relating to general provisions).
(b) Inpatient psychiatric facilities and practitioners do not have the right to a separate appeal on the same case.
(c) If an inpatient psychiatric facility appeals a decision by the Department to fully or partially deny payment for a case, the Department will withhold the denied payments pending decision on the appeal.
The provisions of this §1151.101 amended under sections 201 and 443.1(1) of the Public Welfare Code (62 P. S. §§ 201 and 443.1(1)).
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