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 § 1181.274. Direct provider payments not includable in costs.

§ 1181.274. Direct provider payments not includable in costs.

 Costs for prescription drugs, physicians’, dental, dentures, podiatry, eyeglasses, appliances, X-rays, laboratory and any other materials or services covered by payments made directly to providers other than facilities under Medical Assistance and Medicare including Part B, Champus, Blue Cross, Blue Shield or other insurers or third parties shall not be allowable in determining net operating costs.

Source

   The provisions of this §  1181.274 adopted August 5, 1983, effective July 1, 1983, 13 Pa.B. 2402.

Cross References

   This section cited in 55 Pa. Code §  1181.254a (relating to Medicare Part B adjustments—statement of policy).



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