Pennsylvania Code & Bulletin

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 52 Pa.B. 7348 (November 26, 2022).

55 Pa. Code § 2070.38. Reductions and terminations based upon professional judgement.

§ 2070.38. Reductions and terminations based upon professional judgement.

 (a)  The county, prime contractor, or provider who has been designated to determine eligibility shall reduce or terminate service to clients when, in its professional judgement:

   (1)  The client no longer needs medical transportation service or the mode of service currently being provided; or

   (2)  The client’s uncooperative behavior or misuse of services warrants termination.

 (b)  Reductions and terminations based upon professional judgement shall be justified in writing on the notice of termination and redetermination which is sent to the client and placed in the client’s file.

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