55 Pa. Code § 1155.1 - Policy
(a) The Medical
Assistance (MA) Program provides payment for intensive behavioral health
services (IBHS) when the services are medically necessary and provided to
eligible children, youth or young adults with a behavioral health diagnosis by
licensed IBHS agencies enrolled in the MA Program as providers under this
chapter.
(b) Payment for IBHS is
subject to the provisions in this chapter, Chapter 1101 (relating to general
provisions), the limitations in Chapter 1150 (relating to MA Program payment
policies) and the MA Program fee schedule.
(c) This chapter does not apply to individual
licensed practitioners or group arrangements of licensed practitioners that
bill only for services provided directly by the licensed
practitioners.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.