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COMMONWEALTH OF PENNSYLVANIA

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55 Pa. Code § 1181.81. Scope of claims review procedures.

UTILIZATION CONTROL


§ 1181.81. Scope of claims review procedures.

 All claims submitted for payment under the Medical Assistance Program are subject to the utilization review procedures established in Chapter 1101 (relating to general provisions). In addition, the Department will perform the reviews specified in these sections for controlling the utilization of nursing facility services.

Source

   The provisions of this §  1181.81 codified July 24, 1981, effective July 25, 1981, 11 Pa.B. 2610.


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