Pennsylvania Code & Bulletin

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1806 (March 30, 2024).

31 Pa. Code § 152.5. Review of application by the Secretary.

§ 152.5. Review of application by the Secretary.

 (a)  Upon receipt of a complete application for approval for operation as a risk-assuming preferred provider organization, the Secretary will review the submitted materials in accordance with §  152.4 (relating to scope of Department of Health review of a preferred provider organization).

 (b)  If the Secretary determines that the applicant meets the standards in §  152.4, the Secretary will notify the applicant and the Commissioner of the findings.

 (c)  If the Secretary determines that an applicant does not meet the standards in §  152.4, the Secretary will notify the applicant and the Commissioner of the disapproval and the reasons, in writing.

 (d)  Within 30 days from the date of mailing of a notice of disapproval to the preferred provider organization, the preferred provider organization may take written application to the Secretary for a hearing. The hearing shall be held within 30 days after receipt of the application. The procedure before the Secretary will be under the adjudication procedure in 2 Pa.C.S. § §  501—508 and 701—704 (relating to the Administrative Agency Law). The preferred provider organization is entitled to judicial review as provided by statute.

Cross References

   This section cited in 31 Pa. Code §  152.23 (relating to commencing operations).

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