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 § 52.64. Payment sanctions.

§ 52.64. Payment sanctions.

 (a)  If the provider fails to submit an acceptable attestation engagement or pass a financial review, in accordance with this chapter, the Department may initiate sanctions against the provider including the following:

   (1)  Disallowing all or a portion of a payment.

   (2)  Suspending a current or future payment pending compliance.

   (3)  Recouping a payment for a service the provider cannot verify as being provided in the amount, duration and frequency billed.

 (b)  If a provider does not comply with this chapter or other State or Federal requirements, the Department may initiate the sanctions under subsection (a).



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