Pennsylvania Code & Bulletin

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 7346 (November 25, 2023).

55 Pa. Code § 52.22. Provider monitoring.

§ 52.22. Provider monitoring.

 (a)  The Department will monitor a provider at least once every 2 years.

 (b)  Monitoring may be announced or unannounced.

 (c)  A provider shall submit documentation as requested by the Department that the provider is in compliance with the following:

   (1)  This chapter.

   (2)  The MA provider agreement, including the waiver addendum.

   (3)  Chapter 1101 (relating to general provisions).

   (4)  The approved applicable waiver, including approved waiver amendments.

   (5)  A State or Federal requirement.

 (d)  The Department will issue a written statement of findings if the provider has not complied with subsection (c).

Cross References

   This section cited in 55 Pa. Code §  52.23 (relating to corrective action plan).

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