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Pennsylvania Code (Last Updated: April 5, 2016) |
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Title 55. PUBLIC WELFARE |
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PART III. Medical Assistance Manual |
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Chapter 1221. Clinic and Emergency Room Services |
| Section 1221.1. Policy |
| Section 1221.2. Definitions |
| Section 1221.21. Scope of benefits for the categorically needy |
| Section 1221.22. Scope of benefits for the medically needy |
| Section 1221.23. Scope of benefits for State Blind Pension recipients |
| Section 1221.24. Scope of benefits for General Assistance recipients |
| Section 1221.41. Participation requirements |
| Section 1221.42. Additional participation requirements for hospital clinics and emergency rooms |
| Section 1221.43. Participation requirements for hospital clinics and emergency rooms for higher reimbursement rate |
| Section 1221.44. Additional participation requirements for independent clinics |
| Section 1221.45. Additional participation requirements for medical school clinics |
| Section 1221.46. Ongoing responsibilities of providers |
| Section 1221.51. General payment policy |
| Section 1221.52. Payment conditions for various services |
| Section 1221.55. Payment conditions for sterilizations |
| Section 1221.57. Payment conditions for necessary abortions |
| Section 1221.58. Limitations on payment |
| Section 1221.59. Noncompensable services and items |
| Section 1221.71. Scope of claims review procedures |
| Section 1221.81. Provider misutilization |
| Appendix B. [Reserved] |
| Appendix C. [Reserved] |
| Appendix D. [Reserved] |
Notation
The provisions of this Chapter 1221 issued under sections 403, 443.3(1) and 443.3(2)(ii) of the Public Welfare Code (62 P. S. § § 403, 443.3(1), and 443.3(2)(ii)), unless otherwise noted.
The provisions of this Chapter 1221 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. 4599, unless otherwise noted.
This chapter cited in 55 Pa. Code § 1101.31 (relating to scope); 55 Pa. Code § 1101.95 (relating to conflicts between general and specific provisions); 55 Pa. Code § 1150.56 (relating to medical services); and 55 Pa. Code § 1151.41 (relating to general payment policy).