Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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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 § 1123.81. Provider misutilization.

ADMINISTRATIVE SANCTIONS


§ 1123.81. Provider misutilization.

 Providers determined to have billed for services inconsistent with Medical Assistance program regulations, to have provided services outside the scope of customary standards of practice or to have otherwise violated the standards set forth in the provider agreement, are subject to the sanctions described in Chapter 1101 (relating to general provisions).

Source

   The provisions of this §  1123.81 adopted May 9, 1980, effective July 1, 1980, 10 Pa.B. 1882.

APPENDIX A




[Reserved]


Source

   The provisions of this Appendix A adopted May 9, 1980, effective July 1, 1980, 10 Pa.B. 1882; reserved December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932. Immediately preceding text appears at serial pages (54215) to (54216), (51237) to (51246), (54219) to (54220), and (51249) to (51256).

APPENDIX B



[Reserved]


Source

   The provisions of this Appendix B adopted May 9, 1980, effective July 1, 1980, 10 Pa.B. 1882; reserved December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932. Immediately preceding text appears at serial pages (54217) to (54218), (51237) to (51238).

APPENDIX C



[Reserved]


Source

   The provisions of this Appendix C adopted May 9, 1980, effective July 1, 1980, 10 Pa.B. 1882; reserved December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932. Immediately preceding text appears at serial pages (51239) to (51246), (54219) to (54220) and (51249) to (51254).

APPENDIX D



[Reserved]


Source

   The provisions of this Appendix D adopted May 9, 1980, effective July 1, 1980, 10 Pa.B. 1882; reserved December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932. Immediately preceding text appears at serial pages (51255) to (51256).



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