Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 8238 (December 30, 2023).

55 Pa. Code § 1121.22. Scope of benefits for the medically needy.

§ 1121.22. Scope of benefits for the medically needy.

 Medically needy recipients are not eligible for pharmaceutical services covered by the MA Program unless one of the following occurs:

   (1)  If a compensable item or service is prescribed through the School Medical Program as described in §  1101.32(a)(2) (relating to coverage variations).

   (2)  If a compensable item or service is prescribed for the purpose of family planning.

   (3)  If a compensable vaccine is prescribed through the Early and Periodic Screening, Diagnosis and Treatment Program as described in §  1101.32(a)(1).



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