55 Pa. Code § 1121.22

Current through Register Vol. 54, No. 25, June 22, 2024

Section 1121.22 - Scope of benefits for the medically needy

Medically needy recipients are not eligible for pharmaceutical services covered by the MA Program unless one of the following occurs:

(1) If a compensable item or service is prescribed through the School Medical Program as described in § 1101.32(a)(2) (relating to coverage variations).

(2) If a compensable item or service is prescribed for the purpose of family planning.

(3) If a compensable vaccine is prescribed through the Early and Periodic Screening, Diagnosis and Treatment Program as described in § 1101.32(a)(1).

55 Pa. Code § 1121.22