Pennsylvania Code & Bulletin

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 6142 (September 30, 2023).

55 Pa. Code § 1140.54. Noncompensable services and items.

§ 1140.54. Noncompensable services and items.

 Payment will not be made for:

   (1)  Procedures not listed in the MA Program Fee Schedule.

   (2)  Services and procedures for which payment is available through other public agencies or private insurance plans as described in §  1101.64 (relating to third-party medical resources).

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