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 § 6210.82. Annual adjustment.

§ 6210.82. Annual adjustment.

 (a)  An annual payment adjustment shall be made by the Department or facility based on total audited costs related to the total Department interim claims for services for the fiscal year.

 (b)  For cost reporting periods ending on or after October 1, 1985, if the total amount of MA payment for interim claims for services during the fiscal year exceeds the total audited costs, the Department will recover the overpaid amount from the provider in accordance with Chapter 1101 (relating to general provisions).

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