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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 § 1225.54. Noncompensable family planning services.

§ 1225.54. Noncompensable family planning services.

 Payment will not be made to a family planning clinic for the following services regardless of where or to whom they are provided:

   (1)  Services and procedures that are available through other public agencies, private insurance plans, and State or Federal Programs, except Titles V, X, XX, and the Indochinese Refugee Assistance Act.

   (2)  Procedures not listed in the MA Program fee schedule or the fee schedule promulgated by the Family Planning Division of the Department.


   The provisions of this §  1225.54 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. 4607; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932; amended September 30, 1988, effective October 1, 1988, 18 Pa.B. 4418. Immediately preceding text appears at serial pages (117486) to (117487).

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