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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 § 1251.71. Scope of claims review procedures.


§ 1251.71. Scope of claims review procedures.

 Claims submitted for payment under the MA Program are subject to the utilization control procedures established in Chapters 283 and 1101 (relating to payment for burial and cremation; and general provisions).


   The provisions of this §  1251.71 amended under sections 201(2) and 403(b) of the Public Welfare Code (62 P. S. § §  201(2) and 403(b)).


   The provisions of this §  1251.71 adopted December 26, 1980, effective January 1, 1981, 10 Pa.B. 4958; amended October 30, 2009, effective October 31, 2009, 39 Pa.B. 6336. Immediately preceding text appears at serial page (276186).

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