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  1. LII
  2. State Regulations
  3. Pennsylvania Code (Rules and Regulations)
  4. Pa. Code tit. 55 - HUMAN SERVICES
  5. Pa. Code tit. 55, pt. III - MEDICAL ASSISTANCE MANUAL
  6. Pa. Code tit. 55, pt. III, ch. 1101 - GENERAL PROVISIONS
  7. FEES AND PAYMENTS

FEES AND PAYMENTS

  • State Regulations
  • Compare
  1. § 1101.61 - Reimbursement policies
  2. § 1101.62 - Maximum fees
  3. § 1101.63 - Payment in full
  4. § 1101.63a - Full reimbursement for covered services rendered-statement of policy
  5. § 1101.64 - Third-party medical resources (TPR)
  6. § 1101.65 - Method of payment
  7. § 1101.66 - Payment for rendered, prescribed or ordered services
  8. § 1101.66a - Clarification of the terms "written" and "signature"-statement of policy
  9. § 1101.67 - Prior authorization
  10. § 1101.68 - Invoicing for services
  11. § 1101.69 - Overpayment-underpayment
  12. § 1101.69a - Establishment of a uniform period for the recoupment of overpayments from providers (COBRA)
  13. § 1101.70 - Reserved
  14. § 1101.71 - Utilization control
  15. § 1101.72 - Invoice adjustment
  16. § 1101.73 - Provider misutilization and abuse
  17. § 1101.74 - Provider fraud
  18. § 1101.75 - Provider prohibited acts
  19. § 1101.75a - Business arrangements between nursing facilities and pharmacy providers-statement of policy
  20. § 1101.76 - Criminal penalties
  21. § 1101.77 - Enforcement actions by the Department
  22. § 1101.77a - Termination for convenience and best interests of the Department-statement of policy

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.

State Regulations Toolbox



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