Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1153 - OUTPATIENT PSYCHIATRIC SERVICES
COVERED AND NONCOVERED SERVICES
Section 1153.12 - Outpatient services

Universal Citation: 55 PA Code ยง 1153.12
Current through Register Vol. 54, No. 12, March 23, 2024

The psychiatric outpatient clinic services specified in the MA Program Fee Schedule and the psychiatric partial hospitalization outpatient services specified in the MA Program Fee Schedule are covered only when provided by licensed psychiatric outpatient clinics or psychiatric partial hospitalization outpatient facilities under the direction of a psychiatrist. MMHT services specified in the MA Program Fee Schedule are covered only when provided by a licensed psychiatric outpatient clinic that has an approved service description for MMHT. Payment is subject to the conditions and limitations established in this chapter and Chapter 1101 (relating to general provisions).

The provisions of this § 1153.12 amended under section 201(2) of the Human Services Code (62 P.S. § 201(2)).

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