Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1181 - NURSING FACILITY CARE
Subchapter B - MANUAL FOR ALLOWABLE COST REIMBURSEMENT FOR SKILLED NURSING AND INTERMEDIATE CARE FACILITIES
EXPENSES AND REVENUE ITEMS NOT ALLOWABLE IN DETERMINING NET OPERATING COSTS
Section 1181.274 - Direct provider payments not includable in costs

Costs for prescription drugs, physicians', dental, dentures, podiatry, eyeglasses, appliances, X-rays, laboratory and any other materials or services covered by payments made directly to providers other than facilities under Medical Assistance and Medicare including Part B, Champus, Blue Cross, Blue Shield or other insurers or third parties shall not be allowable in determining net operating costs.

This section cited in 55 Pa. Code § 1181.254a (relating to Medicare Part B adjustments-statement of policy).