55 Pa. Code § 1147.51 - General payment policy

Payment is made for covered services provided by participating optometrists subject to the conditions and limitations established in this section and §§ 1147.53 and 1147.54 (relating to limitations on payment; and noncompensable services and items), and Chapters 1101 and 1150 (relating to general provisions; and MA Program payment policies) and the MA Program fee schedule. Payment will not be made for a compensable optometric service if payment is available from another public agency or another insurance or health program. Optometric services shall be billed in the name of the optometrist providing the service.

Notes

55 Pa. Code § 1147.51

The provisions of this § 1147.51 adopted January 25, 1980, effective 2/1/1980, 10 Pa.B. 264; amended April 25, 1980, effective 5/7/1980, 10 Pa.B. 3796; reserved amended December 23, 1983, effective 1/1/1983, 13 Pa.B. 3932; corrected March 30, 1984, effective 11/14/1981, 14 Pa.B. 1089; amended September 30, 1988, effective 10/1/1988, 18 Pa.B. 4418.

This section cited in 55 Pa. Code § 1147.12 (relating to outpatient services); and 55 Pa. Code § 1147.13 (relating to inpatient services).