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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 51 Pa.B. 1118 (February 27, 2021).

55 Pa. Code § 4305.12. Exemptions from liability.

§ 4305.12. Exemptions from liability.

 (a)  No liability may be charged for the initial contact. The initial contact is defined as the face-to-face interview or another contact made with a person authorized to determine the need for diagnostic and treatment services, to make arrangements for services and to complete the initial liability determination process.

 (b)  In addition to the initial contact, six psychiatric outpatient or five partial hospitalization units of service to children and adolescents will be exempt from liability. One exemption period will be allowed for each 3 years from the date of first entry into the service until the age of 18, if the following conditions are met:

   (1)  The liable person has no third party coverage for psychiatric outpatient or partial hospitalization services.

   (2)  The liable person has an adjusted family income liability of $100 or less per month.

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