55 Pa. Code § 1128.81

Current through Register Vol. 54, No. 25, June 22, 2024
Section 1128.81 - Provider misutilization

A provider determined to have billed for services inconsistent with MA Program regulations, to have provided services outside the scope of customary standards of medical practice or to have otherwise violated the standards in the provider agreement, is subject to the sanctions described in Chapter 1101 (relating to general provisions).

55 Pa. Code § 1128.81