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Pennsylvania Code (Last Updated: April 5, 2016) |
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Title 55. PUBLIC WELFARE |
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PART III. Medical Assistance Manual |
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Chapter 1126. Ambulatory Surgical Center Services and Hospital Short Procedure Unit Services |
| Section 1126.1. Policy |
| Section 1126.2. Definitions |
| Section 1126.21. Scope of benefits for the categorically needy |
| Section 1126.22. Scope of benefits for the medically needy |
| Section 1126.23. Scope of benefits for State Blind Pension recipients |
| Section 1126.24. Scope of benefits for General Assistance recipients |
| Section 1126.41. Participation requirements |
| Section 1126.42. Ongoing responsibilities of providers |
| Section 1126.51. General payment policy |
| Section 1126.52. Payment criteria |
| Section 1126.53. Limitations on covered procedures |
| Section 1126.54. Noncompensable services and items |
| Section 1126.55. Payment conditions for sterilizations |
| Section 1126.71. Scope of utilization review process |
| Section 1126.81. Provider misutilization |
| Section 1126.82. Administrative sanctions |
| Section 1126.91. Provider right of appeal |
Notation
The provisions of this Chapter 1126 issued under section 443.3(1) of the Public Welfare Code (62 P. S. § 443.3(1)), unless otherwise noted.
The provisions of this Chapter 1126 adopted October 7, 1988, effective immediately and apply retroactively to April 1, 1987, 18 Pa.B. 4587, unless otherwise noted.
This chapter cited in 55 Pa. Code § 1101.31 (relating to scope); 55 Pa. Code § 1150.59 (relating to PSR program); and 55 Pa. Code § 1163.32 (relating to hospital units excluded from the DRG prospective payment system).