55 Pa. Code § 1181.81

Current through Register Vol. 54, No. 24, June 15, 2024

Section 1181.81 - Scope of claims review procedures

All claims submitted for payment under the Medical Assistance Program are subject to the utilization review procedures established in Chapter 1101 (relating to general provisions). In addition, the Department will perform the reviews specified in these sections for controlling the utilization of nursing facility services.

The provisions of this § 1181.81 codified July 24, 1981, effective 7/25/1981, 11 Pa.B. 2610.