Current through Register Vol. 54, No. 24, June 15, 2024
(a) This subchapter applies to psychiatric transitional facilities that are enrolled in the MA Program. To the extent that this subchapter is inconsistent with Subchapter B (relating to manual for allowance cost reimbursement for skilled nursing and intermediate care facilities), Subchapter B prevails for psychiatric transitional facilities.(b) The MA Program provides payment for psychiatric transitional facility services provided to eligible recipients by enrolled providers. Payment for services is made subject to this subchapter, Subchapter B for psychiatric transitional facilities, and Chapter 1101 (relating to general provisions). The upper limit of payment of the MA Program is specified in § 1181.68 (relating to upper limits of payment).(c) Any section of this subchapter may not be applied or interpreted out of context.(d) Extensions of time will be as follows: (1) The time limits established by this chapter for the filing of an application, cost report, waiver request or appeal cannot be extended except as provided in this section.(2) Extensions of time in addition to the time otherwise prescribed for providers by this chapter with respect to the filing of an application, cost report, waiver request or appeal may be permitted only if required because of a breakdown in Department procedures justifying relief nunc pro tunc or because of an intervening natural disaster making timely compliance impossible or unsafe.(3) This subsection supersedes 1 Pa. Code § 31.15 (relating to extensions of time).The provisions of this § 1181.1 codified July 24, 1981, effective 7/25/1981, 11 Pa.B. 2610; amended August 5, 1983, effective 7/1/1983, 13 Pa.B. 2402; amended May 3, 1985, effective retroactively as of July 1, 1984, 15 Pa.B. 1629; amended March 10, 1989, effective immediately and applies retroactively to January 1, 1989, 19 Pa.B. 1005; amended October 13, 1995, effective 1/1/1996, 25 Pa.B. 4477.