55 Pa. Code § 6210.75 - Noncompensable services
Payment will not be made for:
(1) Services provided to a recipient who no
longer requires the level of care for which payment is authorized by the
CAO.
(2) Reserved bed days that
exceed the limits specified in §
6210.71 (relating to limitations
on payment for reserved bed days).
(3) Services provided to a recipient
occupying a bed which is not certified for the level of care for which payment
is authorized by the CAO.
(4)
Services covered but disallowed by Medicare.
(5) Services rendered by a provider that do
not meet the conditions for payment established by this chapter and Chapters
1101 and 6211 (relating to general provisions; and allowable cost reimbursement
for non-State operated intermediate care facilities for individuals with an
intellectual disability).
(6)
Services directly reimbursable under the MA Program.
Notes
The provisions of this § 6210.75 amended under section 443.1(2) and (3) of the Human Services Code (62 P.S. § 443.1(2) and (3)).
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