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 § 1247.81. Provider misutilization.

ADMINISTRATIVE SANCTIONS


§ 1247.81. Provider misutilization.

 Providers determined to have billed for services inconsistent with this part, to have provided services outside the scope of customary standards of practice, or to have otherwise violated the standards in the provider agreement, are subject to the sanctions described in Chapter 1101 (relating to general provisions).

APPENDIX A. TARGETED CASE MANAGEMENT SERVICES—
ELIGIBLE TARGET GROUPS


 Target groups eligible for targeted case management services are those eligible clients with the diagnosed medical conditions listed as follows:

   Acquired Immune Deficiency Syndrome (AIDS) or Symptomatic Human Immunodeficiency Virus (HIV).

Cross References

   This appendix cited in 55 Pa. Code §  1247.3 (relating to target groups).



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