Pennsylvania Code (Last Updated: April 5, 2016) |
Title 55. PUBLIC WELFARE |
PART III. Medical Assistance Manual |
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 performancestatement of policy |
Section 1141.54. Payment conditions for inpatient services |
Section 1141.54a. Acute care hospitals and their short procedure unit services personal performancestatement 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
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.
The provisions of this Chapter 1141 adopted August 15, 1980, effective September 1, 1980, 10 Pa.B. 3386, unless otherwise noted.
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).