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 § 6210.115. Failure to adhere to medical evaluation requirements.

§ 6210.115. Failure to adhere to medical evaluation requirements.

 If the facility fails to comply with the requirements that the physician perform a medical evaluation before admission or before authorization for payment, as described under §  6210.42 (relating to certification of initial need for care), which results in a penalty being imposed by the United States Department of Health and Human Services on the Department, the penalty will be imposed on the facility.

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