55 Pa. Code § 1225.81. Provider misutilization.

ADMINISTRATIVE SANCTIONS

§ 1225.81. Provider misutilization.

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

Source

The provisions of this § 1225.81 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. 4607.
APPENDIX A. [Reserved]

Source

The provisions of this Appendix A reserved December 23, 1983, effective January 1, 1983, 13 Pa.B. 3930. Immediately preceding text appears at serial pages (58153) to (58154).

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