Section 1153.81. Provider misutilization

Providers determined to have billed for services inconsistent with MA Program regulations, to have provided services outside the scope of customary standards of medical practice, or to have otherwise violated the standards set forth in the provider agreement, are subject to the sanctions described in Chapter 1101 (relating to general provisions).

The provisions of this § 1153.81 adopted January 25, 1980, effective February 1, 1980, 10 Pa.B. 267.