§ 1243.54. Noncompensable services.
Payment will not be made to a laboratory for the following services regardless of where or to whom they are provided:
(1) Procedures not listed in the fee schedule in the MA Program fees schedule.
(2) Travel to a recipients place of residence to collect a specimen. The provider will be reimbursed for performing the procedure if it is compensable; however, no extra payment will be made for mileage.
(3) Procedures that the laboratory is not CLIA-certified to perform.
The provisions of this section are amended under sections 201(2), 403 and 443.3 of the Public Welfare Code (62 P. S. § § 201(2), 403 and 443.3).
The provisions of this § 1243.54 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. 4614; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932; amended September 30, 1988, effective October 1, 1988, 18 Pa.B. 4418; amended September 5, 2008, effective September 6, 2008, 38 Pa.B. 4898. Immediately preceding text appears at serial page (276180).
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