Section 1153.51. General payment policy

Payment is made for medically necessary professional medical and psychiatric services provided by or under the supervision and direction of a psychiatrist in participating outpatient psychiatric clinics and outpatient psychiatric partial hospitalization facilities, subject to the conditions and limitations established in this chapter and Chapters 1101 and 1150 (relating to general provisions; and MA Program payment policies) and the MA Program Fee Schedule. Payment will not be made for a compensable psychiatric clinic or psychiatric partial hospitalization service if payment is available from another public agency or another insurance or health program.

The provisions of this § 1153.51 adopted January 25, 1980, effective February 1, 1980, 10 Pa.B. 267; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932; amended September 30, 1988, effective October 1, 1988, 18 Pa.B. 4418. Immediately preceding text appears at serial page (86834).