55 Pa. Code § 1123.51 - General payment policy

Payment is made for covered services provided by participating providers subject to the conditions and limitations established in this section, §§ 1123.52 and 1123.60-1123.62, and Chapters 1101 and 1150 (relating to general provisions; and MA Program payment policies) and the MA Program fee schedule. Items and services shall be prescribed by a licensed medical practitioner and prescriptions and orders shall specify the patient's diagnosis. Payment will not be made for a compensable medical supply if payment is available from another agency or another insurance or health program.

Notes

55 Pa. Code § 1123.51

The provisions of this § 1123.51 adopted May 9, 1980, effective 7/1/1980, 10 Pa.B. 1882; amended December 23, 1983, effective 1/1/1983, 13 Pa.B. 3932; amended September 30, 1988, effective 10/1/1988, 18 Pa.B. 4418.