Current through Register Vol. 54, No. 25, June 22, 2024
Section 6210.75 - Noncompensable servicesPayment will not be made for:
(1) Services provided to a recipient who no longer requires the level of care for which payment is authorized by the CAO.(2) Reserved bed days that exceed the limits specified in § 6210.71 (relating to limitations on payment for reserved bed days).(3) Services provided to a recipient occupying a bed which is not certified for the level of care for which payment is authorized by the CAO.(4) Services covered but disallowed by Medicare.(5) Services rendered by a provider that do not meet the conditions for payment established by this chapter and Chapters 1101 and 6211 (relating to general provisions; and allowable cost reimbursement for non-State operated intermediate care facilities for individuals with an intellectual disability).(6) Services directly reimbursable under the MA Program.The provisions of this § 6210.75 amended June 17, 2016, effective 6/18/2016, 46 Pa.B. 3177.The provisions of this § 6210.75 amended under section 443.1(2) and (3) of the Human Services Code (62 P.S. § 443.1(2) and (3)).