55 Pa. Code § 1223.51 - General payment policy

Payment is made for medically necessary professional medical and psychiatric services provided by or under the supervision and direction of a licensed physician in participating outpatient drug/alcohol clinics, subject to the conditions and limitations established in this chapter and Chapters 1101 and 1150 (relating to general provisions; and Medical Assistance program payment policies) and the Medical Assistance program fee schedule. Payment will not be made for a compensable outpatient drug/alcohol clinic service if payment is available from another public agency or another insurance or health program.

Notes

55 Pa. Code § 1223.51
The provisions of this § 1223.51 amended December 23, 1983, effective 1/1/1983, 13 Pa.B. 3932; amended September 30, 1988, effective 10/1/1988, 18 Pa.B. 4418.

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