If the facility's failure to comply with the requirements that the physician certify and recertify the need for care as described under §§ 1181.53 and 1181.54 (relating to payment conditions related to the recipient's initial need for care; and payment conditions related to the recipient's continued need for care), results in a penalty being imposed by DHHS on the Department, the penalty will be imposed on the facility.
55 Pa. Code § 1181.94
This section cited in 55 Pa. Code § 1181.215 (relating to efficiency incentive); 55 Pa. Code § 1181.216 (relating to depreciation and interest reimbursement); and 55 Pa. Code § 1181.224 (relating to final per diem rate).