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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 § 1251.81. Provider misutilization.


§ 1251.81. Provider misutilization.

 Providers determined to have billed for services inconsistent with MA Program regulations or to have otherwise violated the standards set forth in the provider agreement, are subject to the sanctions described in Chapter 1101 (relating to general provisions) and §  283.31 (relating to funeral director violations).


   The provisions of this §  1251.81 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 §  1251.81 amended October 30, 2009, effective October 31, 2009, 39 Pa.B. 6336. Immediately preceding text appears at serial page (276186).

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 page (58200).

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