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

55 Pa. Code § 1123.62. Method of payment.

§ 1123.62. Method of payment.

 (a)  For medical supplies the medical supplier’s maximum payment shall be the lower of either the provider’s charge to the self-paying public, the upper limits set by Medicare or Medicaid, or the maximum fees or rates established in Chapter 1150 (relating to Medical Assistance program payment policies) and the Medical Assistance program fee schedule.

 (b)  Rental payments shall be made only for the established period of medical necessity. In the event that the item is to be purchased, rental fee of one month will be applied to the purchase price.


   The provisions of this §  1123.62 adopted May 9, 1980, effective July 1, 1980, 10 Pa.B. 1882; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932; amended September 30, 1988, effective October 1, 1988, 18 Pa.B. 4418. Immediately preceding text appears at serial page (99328).

Cross References

   This section cited in 55 Pa. Code §  1123.51 (relating to general payment policy).

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