Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1229 - HEALTH MAINTENANCE ORGANIZATION SERVICES
ADMINISTRATIVE SANCTIONS
Section 1229.81 - Provider misutilization
Universal Citation: 55 PA Code ยง 1229.81
Current through Register Vol. 54, No. 12, March 23, 2024
Providers determined to have billed for services inconsistent with the Medical Assistance 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 contract of the provider, are subject to the sanctions imposed in Chapter 1101 (relating to general provisions).
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