Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1163 - INPATIENT HOSPITAL SERVICES
Subchapter A - ACUTE CARE GENERAL HOSPITALS UNDER THE PROSPECTIVE PAYMENT SYSTEM
UTILIZATION CONTROL
- Section 1163.70 - Changes of ownership or control
- Section 1163.71 - Scope of utilization review process
- Section 1163.72 - Utilization review: general
- Section 1163.73 - Hospital utilization review plan
- Section 1163.74 - Requirements for hospital utilization review committees
- Section 1163.75 - Responsibilities of the hospital utilization review committee
- Section 1163.76 - Plan of care
- Section 1163.77 - Admission review requirements
- Section 1163.78 - Reserved
- Section 1163.78a - Review requirements for day outliers
- Section 1163.78b - Review requirements for cost outliers
- Section 1163.79 - Medical Care Evaluation studies
- Section 1163.80 - Adverse determinations
- Section 1163.81 - Reserved
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