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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1032 (February 24, 2024).

55 Pa. Code § 1150.62. Payment levels and notice of rate setting changes.

§ 1150.62. Payment levels and notice of rate setting changes.

 (a)  The Department will establish maximum payment rates for MA covered services. The established maximum payment rates will not exceed the Medicare upper limit.

 (b)  The Department will issue public notice of changes in Statewide methods and standards for setting payment rates as required by Federal law.


   The provisions of this §  1150.62 amended under sections 201(2), 403(b), 443.4 and 454 of the Public Welfare Code (62 P. S. § §  201(2), 403(b), 443.4 and 454).


   The provisions of this §  1150.62 adopted September 30, 1988, effective October 1, 1988, 18 Pa.B. 4418; amended August 5, 2005, effective August 10, 2005, 35 Pa.B. 4309. Immediately preceding text appears at serial page (251222).

Cross References

   This section cited in 55 Pa. Code §  1126.52 (relating to payment criteria); and 55 Pa. Code §  5221.42 (relating to payment).

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