55 Pa. Code § 1101.66 - Payment for rendered, prescribed or ordered services
(a) The Department pays for compensable
services or items rendered, prescribed or ordered by a practitioner or provider
if the service or item is:
(1) Within the
practitioner's scope of practice.
(2) Medically necessary.
(3) Not in an amount that exceeds the
recipient's needs.
(4) Not ordered
or prescribed solely for the recipient's convenience.
(5) Ordered with the recipient's
knowledge.
(b)
Prescriptions and orders shall be written, except telephoned prescriptions
addressed in subsection (c). The written prescriptions and orders shall contain
the practitioner's:
(1) Printed
name.
(2) Signature.
(3) Professional license number.
(c) A practitioner may telephone a
drug prescription to a pharmacist in accordance with the Pharmacy Act (63 P. S.
§§ 390-1-390-13). The pharmacist shall:
(1)
Record the complete prescription on a standard prescription form.
(2) Keep the recorded prescription on
file.
(d) The
practitioner's signature on the prescription is waived only for a telephoned
drug prescription.
(e) Payment is
not made for services or items rendered, prescribed or ordered by providers who
have been terminated from the Medical Assistance program.
Notes
This section cited in 55 Pa. Code § 1101.66a (relating to clarification of the terms "written" and "signature"-statement of policy).
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