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 § 1187.109. Medicare upper limit on payment.

§ 1187.109. Medicare upper limit on payment.

 Nursing facilities shall submit Medicare information on the MA-11. MA payments will not exceed in the aggregate the comparable amount that Medicare would have paid had the Medicare Program reimbursed for the services rendered.

Cross References

   This section cited in 55 Pa. Code §  1187.108 (relating to gross adjustments to nursing facility payments).


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