Pennsylvania Code & Bulletin

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1806 (March 30, 2024).

55 Pa. Code § 1229.81. Provider misutilization.


§ 1229.81. Provider misutilization.

 Providers determined to have billed for services inconsistent with the Medical Assistance Program regulations, to have provided services outside the scope of customary standards of medical practice, or to have otherwise violated the standards set forth in the contract of the provider, are subject to the sanctions imposed in Chapter 1101 (relating to general provisions).


   The provisions of this §  1229.81 adopted October 31, 1980, effective November 1, 1980, 10 Pa.B. 4255.

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