Pennsylvania Code (Last Updated: April 5, 2016) |
Title 55. PUBLIC WELFARE |
PART III. Medical Assistance Manual |
Chapter 1181. Nursing Facility Care |
SubChapter A. NURSING FACILITY CARE |
Section 1181.86. Provider misutilization
Latest version.
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Nursing facilities determined to have billed for services inconsistent with Medical Assistance Program regulations, to have provided services outside the scope of customary standards of practice, or to have otherwise violated the standards set forth in the provider agreement, are subject to the sanctions described in this chapter and Chapter 1101 (relating to general provisions).
The provisions of this § 1181.86 codified July 24, 1981, effective July 25, 1981, 11 Pa.B. 2610.