Chapter 1141. Physicians’ Services  


Section 1141.1. Policy
Section 1141.2. Definitions
Section 1141.21. Scope of benefits for the categorically needy
Section 1141.22. Scope of benefits for the medically needy
Section 1141.23. Scope of benefits for State Blind Pension recipients
Section 1141.24. Scope of benefits for General Assistance recipients
Section 1141.41. Participation requirements
Section 1141.42. Ongoing responsibilities of providers
Section 1141.51. General payment policy
Section 1141.52. Payment conditions for various services
Section 1141.53. Payment conditions for outpatient services
Section 1141.53a. Clinic and emergency room services personal performance—statement of policy
Section 1141.54. Payment conditions for inpatient services
Section 1141.54a. Acute care hospitals and their short procedure unit services personal performance—statement of policy
Section 1141.55. Payment conditions for sterilizations
Section 1141.56. Payment conditions for hysterectomies
Section 1141.57. Payment conditions for necessary abortions
Section 1141.58. [Reserved]
Section 1141.59. Noncompensable services
Section 1141.60. Payment for medications dispensed or ordered in the course of an office visit
Section 1141.71. Scope of claims review procedures
Section 1141.81. Provider misutilization
Appendix A.

Notation

Authority

   The provisions of this Chapter 1141 issued under sections 403 and 443.3(2)(ii) of the Public Welfare Code (62 P. S. § §  403 and 443.3(2)(ii)), unless otherwise noted.

Source

   The provisions of this Chapter 1141 adopted August 15, 1980, effective September 1, 1980, 10 Pa.B. 3386, unless otherwise noted.

Cross References

   This chapter cited in 55 Pa. Code §  1101.31 (relating to scope); 55 Pa. Code §  1101.95 (relating to conflicts between general and specific provisions); 55 Pa. Code §  1163.51 (relating to general payment policy); and 55 Pa. Code §  1221.58 (relating to limitations on payment).