Pennsylvania Code
Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 5598 (August 31, 2024).

55 Pa. Code § 1140.53. Limitations on payment.

§ 1140.53. Limitations on payment.

 HBP payment limitations are as follows:

   (1)  Payment for the trimester component includes all prenatal visits during the trimester.

   (2)  Qualified providers may bill for either the high risk maternity care package or the basic maternity care package for each trimester.

   (3)  The fee for the applicable trimester maternity care packages includes payment to the practitioner for performing the delivery and postpartum care.


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