Pennsylvania Code
Title 55 - HUMAN SERVICES
Part VIII - Intellectual Disability and Autism Manual
Subpart C - Administration and Fiscal Management
Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM
GENERAL PAYMENT PROVISIONS
Section 6100.483 - Provider billing

Universal Citation: 55 PA Code ยง 6100.483

Current through Register Vol. 54, No. 44, November 2, 2024

(a) The provider shall submit claims in accordance with § 1101.68 (relating to invoicing for services).

(b) The provider shall use the Department's information system, and forms specified by the Department, to submit claims.

(c) The provider shall only submit claims that are substantiated by documentation as specified in § 6100.226 (relating to documentation of claims).

(d) The provider may not submit a claim for a service that is inconsistent with this chapter, inappropriate to an individual's needs or inconsistent with the individual plan.

This section cited in 55 Pa. Code § 6100.805 (relating to vendor goods and services).

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