55 Pa. Code § 1229.81 - Provider misutilization

Providers determined to have billed for services inconsistent with the Medical Assistance Program regulations, to have provided services outside the scope of customary standards of medical practice, or to have otherwise violated the standards set forth in the contract of the provider, are subject to the sanctions imposed in Chapter 1101 (relating to general provisions).

Notes

55 Pa. Code § 1229.81
The provisions of this § 1229.81 adopted October 31, 1980, effective 11/1/1980, 10 Pa.B. 4255.

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