Pennsylvania Code (Last Updated: April 5, 2016) |
Title 55. PUBLIC WELFARE |
PART III. Medical Assistance Manual |
Chapter 1181. Nursing Facility Care |
SubChapter B. MANUAL FOR ALLOWABLE COST REIMBURSEMENT FOR SKILLED NURSING AND INTERMEDIATE CARE FACILITIES |
Section 1181.274. Direct provider payments not includable in costs
Latest version.
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Costs for prescription drugs, physicians, dental, dentures, podiatry, eyeglasses, appliances, X-rays, laboratory and any other materials or services covered by payments made directly to providers other than facilities under Medical Assistance and Medicare including Part B, Champus, Blue Cross, Blue Shield or other insurers or third parties shall not be allowable in determining net operating costs.
The provisions of this § 1181.274 adopted August 5, 1983, effective July 1, 1983, 13 Pa.B. 2402.
Notation
This section cited in 55 Pa. Code § 1181.254a (relating to Medicare Part B adjustmentsstatement of policy).