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 § 1230.81. Provider misutilization.

ADMINISTRATIVE SANCTIONS


§ 1230.81. Provider misutilization.

 Providers who bill for service inconsistent with MA Program regulations, provide service outside the scope of customary standards of practice, or otherwise violate 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 §  1230.81 adopted August 13, 1982, effective August 14, 1982, 12 Pa.B. 2688.

APPENDIX A. [Reserved]



Source

   The provisions of this Appendix A reserved December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932. Immediately preceding text appears at serial pages (75121) to (75122).



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