55 Pa. Code § 1249.81

Current through Register Vol. 54, No. 49, December 7, 2024
Section 1249.81 - Provider misutilization

Providers determined to have billed for service inconsistent with MA 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 provider agreement, are subject to the sanctions described in Chapter 1101 (relating to general provisions).

55 Pa. Code § 1249.81

The provisions of this § 1249.81 adopted December 6, 1980, effective 12/1/1980, 10 Pa.B. 4618.