Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1221 - CLINIC AND EMERGENCY ROOM SERVICES
ADMINISTRATIVE SANCTIONS
Section 1221.81 - Provider misutilization
Universal Citation: 55 PA Code ยง 1221.81
Current through Register Vol. 53, No. 52, December 30, 2023
Providers determined to have billed for services inconsistent with MA Program regulations, to have provided services outside the scope of customary standards of medical practice, or to have otherwise violated the standards set forth in the provider agreement, are subject to the sanctions described in Chapter 1101 (relating to general provisions).
The provisions of this § 1221.81 adopted December 5, 1980, effective 12/1/1980, 10 Pa.B. 4599.
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