55 Pa. Code § 1223.81

Current through Register Vol. 54, No. 49, December 7, 2024
Section 1223.81 - Provider misutilization

Providers determined to have billed for services inconsistent with Medical Assistance program regulations, to have provided services outside the scope of customary standards of medical practice or to have otherwise violated the standards set forth in the provider agreement, are subject to the sanctions imposed in Chapter 1101 (relating to general provisions).

55 Pa. Code § 1223.81