Pennsylvania Code
Title 55 - HUMAN SERVICES
Part VIII - Intellectual Disability and Autism Manual
Subpart C - Administration and Fiscal Management
Chapter 6210 - PARTICIPATION REQUIREMENTS FOR THE INTERMEDIATE CARE FACILITIES FOR THE INTELLECTUAL DISABILITY PROGRAM
UTILIZATION CONTROL
Section 6210.101 - Scope of claims review procedures

Universal Citation: 55 PA Code § 6210.101

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

Claims submitted for payment under the MA Program are subject to the utilization review procedures established in Chapter 1101 (relating to general provisions). In addition, the Department will perform the reviews specified in this section and §§ 6210.102-6210.109 for controlling the utilization of ICF/ID services.

The provisions of this §6210.101 amended under section 443.1(2) and (3) of the Human Services Code (62 P.S. § 443.1(2) and (3)).

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