Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1221 - CLINIC AND EMERGENCY ROOM SERVICES
PAYMENT FOR CLINIC AND EMERGENCY ROOM SERVICES
Section 1221.52 - Payment conditions for various services
Universal Citation: 55 PA Code ยง 1221.52
Current through Register Vol. 54, No. 44, November 2, 2024
In order for payment to be made for a clinic visit or for emergency room services, the following conditions shall be met:
(1) The services shall be provided at the clinic or emergency room site.
(2) The services shall be provided by, or under the supervision of a physician.
(3) Payment for the service shall not be available through another public or private agency.
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