Current through Register Vol. 54, No. 24, June 15, 2024
Section 1243.54 - Noncompensable servicesPayment will not be made to a laboratory for the following services regardless of where or to whom they are provided:
(1) Procedures not listed in the fee schedule in the MA Program fees schedule.(2) Travel to a recipient's place of residence to collect a specimen. The provider will be reimbursed for performing the procedure if it is compensable; however, no extra payment will be made for mileage.(3) Procedures that the laboratory is not CLIA-certified to perform.The provisions of this § 1243.54 adopted December 5, 1980, effective 12/1/1980, 10 Pa.B. 4614; amended December 23, 1983, effective 1/1/1983, 13 Pa.B. 3932; amended September 30, 1988, effective 10/1/1988, 18 Pa.B. 4418; amended September 5, 2008, effective 9/6/2008, 38 Pa.B. 4898.The provisions of this section are amended under sections 201(2), 403 and 443.3 of the Public Welfare Code (62 P. S. §§ 201(2), 403 and 443.3).