Statutes, codes, and regulations
Pennsylvania Code (Rules and Regulations)
Title 55 - HUMAN SERVICESPart III - MEDICAL ASSISTANCE MANUALChapter 1151 - INPATIENT PSYCHIATRIC SERVICES
UTILIZATION CONTROL
Section 1151.70 - Scope of claim review process

55 Pa. Code § 1151.70

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Current through Register Vol. 54, No. 45, November 9, 2024
Section 1151.70 - Scope of claim review process

Inpatient psychiatric services provided to MA recipients are subject to the utilization review procedures in this chapter and in Chapter 1101 (relating to the general provisions).

55 Pa. Code § 1151.70

The provisions of this §1151.70 adopted September 30, 1983, effective 7/1/1983, 13 Pa.B. 2796; amended June 18, 1993, effective 7/1/1993, 23 Pa.B. 2917.

The provisions of this §1151.70 amended under sections 201 and 443.1(1) of the Public Welfare Code (62 P. S. §§ 201 and 443.1(1)).

This section cited in 55 Pa. Code § 1151.61 (relating to payment conditions: general); and 55 Pa. Code § 1151.67 (relating to payment conditions related to the recipient's continued need for care).