Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1181 - NURSING FACILITY CARE
Subchapter A - NURSING FACILITY CARE
PAYMENT FOR NURSING FACILITY CARE
- Section 1181.51 - General payment policy
- Section 1181.52 - Payment conditions
- Section 1181.53 - Payment conditions related to the recipient's initial need for care
- Section 1181.54 - Payment conditions related to the recipient's continued need for care
- Section 1181.55 - General limitations on payment
- Section 1181.56 - Limitations on payment for reserved beds
- Section 1181.56a - Limitations on payment for reserved beds-statement of policy
- Section 1181.56b - Charges for bed hold days-statement of policy
- Section 1181.56c - Reimbursement for hospital reserved bed days during a Medicare benefit period-statement of policy
- Section 1181.57 - Limitations on payment for prescription drugs
- Section 1181.58 - Limitations on payment during strike or disaster situations requiring patient evacuation
- Section 1181.58a - Reserved
- Section 1181.59 - Payment to a nursing facility for heavy care/intermediate services or intermediate care provided in a dually certified skilled bed
- Section 1181.60 - Utilizing Medicare as a resource
- Section 1181.61 - Services included in the interim per diem rate
- Section 1181.61a - Nurse-aide programs-statement of policy
- Section 1181.62 - Noncompensable services
- Section 1181.63 - Method of payment
- Section 1181.64 - Cost reporting
- Section 1181.65 - Cost-finding
- Section 1181.66 - Setting ceilings on allowable net operating costs
- Appendix A - CEILINGS ON NET OPERATING COST REIMBURSEMENT FOR GENERAL AND COUNTY NURSING FACILITIES
- Section 1181.67 - Setting interim per diem rates
- Section 1181.68 - Upper limits of payment
- Section 1181.69 - Annual adjustment
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