Section 1163.471. Scope of claim review process

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All cost reimbursed services provided to MA recipients are subject to the utilization review procedures set forth in this chapter and in Chapter 1101 (relating to general provisions).

The provisions of this § 1163.471 adopted June 22, 1984, effective July 1, 1984, 14 Pa.B. 2185.

Notation

Cross References

This section cited in 55 Pa. Code § 1163.454 (relating to limitations on payment); 55 Pa. Code § 1163.457 (relating to payment policies relating to out-of-State hospitals); and 55 Pa. Code § 1163.458 (relating to payment policies relating to same-calendar-day admissions and discharges).

                    
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