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. 53, No. 52, December 30, 2023

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.

The provisions of this § 1221.52 adopted December 5, 1980, effective 12/1/1980, 10 Pa.B. 4599.

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