55 Pa. Code § 1181.95 - Failure to adhere to medical evaluation requirements
If the facility fails to comply with the requirements that the physician perform a medical evaluation before admission or before authorization for payment, as described under § 1181.53 (relating to payment conditions related to the recipient's initial need for care), which results in a penalty being imposed by DHHS on the Department, the penalty will be imposed on the facility.
Notes
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