§ 1140.71. Scope of claims review procedures.
A claim submitted for payment under the MA Program is subject to the utilization review procedures established in Chapter 1101 (relating to general provisions). In addition, HBP providers are instructed by the recordkeeping, quality assurance and program evaluation provisions of Section X, Provider Accountability, of the HBP Maternity Manual.
No part of the information on this site may be reproduced for profit or sold for profit.
This material has been drawn directly from the official Pennsylvania Code full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.