Section 51.45. Provider billing

Latest version.

(a) A provider shall submit claims in accordance with § 1101.68 (relating to invoicing for services).
(b) A provider shall use the Department’s MMIS to submit claims.
(c) A provider shall only submit claims that are substantiated by documentation in the participant’s record.
(d) A provider shall complete and maintain documentation on HCBS delivery in accordance with § § 51.15 and 51.16 (relating to provider records; and progress notes).

                    
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