Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1181 - NURSING FACILITY CARE
Subchapter A - NURSING FACILITY CARE
UTILIZATION CONTROL
Section 1181.81 - Scope of claims review procedures
Universal Citation: 55 PA Code ยง 1181.81
Current through Register Vol. 54, No. 44, November 2, 2024
All claims submitted for payment under the Medical Assistance Program are subject to the utilization review procedures established in Chapter 1101 (relating to general provisions). In addition, the Department will perform the reviews specified in these sections for controlling the utilization of nursing facility services.
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