Statutes, codes, and regulations
Pennsylvania Code (Rules and Regulations)
Title 55 - HUMAN SERVICESPart III - MEDICAL ASSISTANCE MANUALChapter 1163 - INPATIENT HOSPITAL SERVICESSubchapter B - HOSPITALS AND HOSPITAL UNITS UNDER COST REIMBURSEMENT PRINCIPLES
UTILIZATION CONTROL
Section 1163.471 - Scope of claim review process

55 Pa. Code § 1163.471

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Current through Register Vol. 54, No. 24, June 15, 2024
Section 1163.471 - Scope of claim review process

All cost reimbursed services provided to MA recipients are subject to the utilization review procedures set forth in this chapter and in Chapter 1101 (relating to general provisions).

55 Pa. Code § 1163.471

The provisions of this § 1163.471 adopted June 22, 1984, effective 7/1/1984, 14 Pa.B. 2185.

This section cited in 55 Pa. Code § 1163.454 (relating to limitations on payment); 55 Pa. Code § 1163.457 (relating to payment policies relating to out-of-State hospitals); and 55 Pa. Code § 1163.458 (relating to payment policies relating to same-calendar-day admissions and discharges).