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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 § 1151.101. Provider right of appeal.


§ 1151.101. Provider right of appeal.

 (a)  Providers have the right to appeal adverse actions of the Department under Chapter 1101 (relating to general provisions).

 (b)  Inpatient psychiatric facilities and practitioners do not have the right to a separate appeal on the same case.

 (c)  If an inpatient psychiatric facility appeals a decision by the Department to fully or partially deny payment for a case, the Department will withhold the denied payments pending decision on the appeal.


   The provisions of this §  1151.101 amended under sections 201 and 443.1(1) of the Public Welfare Code (62 P. S. § §  201 and 443.1(1)).


   The provisions of this §  1151.101 adopted September 30, 1983, effective July 1, 1983, 13 Pa.B. 2796; amended June 18, 1993, effective July 1, 1993, 23 Pa.B. 2917. Immediately preceding text appears at serial page (150084).

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