55 Pa. Code § 1155.51

Current through Register Vol. 54, No. 25, June 22, 2024
Section 1155.51 - Provider misutilization

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

55 Pa. Code § 1155.51