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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 8238 (December 30, 2023).

55 Pa. Code § 1243.81. Provider misutilization.


§ 1243.81. Provider misutilization.

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


   The provisions of this §  1243.81 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. 4614.

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 (58175) to (58177).

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