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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 § 1230.81. Provider misutilization.


§ 1230.81. Provider misutilization.

 Providers who bill for service inconsistent with MA Program regulations, provide service outside the scope of customary standards of practice, or otherwise violate the standards set forth in the provider agreement, are subject to the sanctions described in Chapter 1101 (relating to general provisions).


   The provisions of this §  1230.81 adopted August 13, 1982, effective August 14, 1982, 12 Pa.B. 2688.

APPENDIX A. [Reserved]


   The provisions of this Appendix A reserved December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932. Immediately preceding text appears at serial pages (75121) to (75122).

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