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 1181.62 - Noncompensable services

Universal Citation: 55 PA Code ยง 1181.62

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

Payment will not be made to a nursing facility for:

(1) Services provided to a recipient who no longer requires the level of care for which payment is authorized by the County Assistance Office.

(2) Reserved bed days that exceed the limits set for the different levels of care in § 1181.56 (relating to limitations on payment for reserved beds).

(3) Services provided to a recipient occupying a bed which is not certified for the level of care for which payment is authorized by the County Assistance Office.

(4) Services covered but disallowed by Medicare.

(5) Services rendered by a provider that do not meet the conditions for payment established by this chapter and Chapter 1101 (relating to general provisions).

This section cited in 55 Pa. Code § 1181.52 (relating to payment conditions).

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