Pennsylvania Code (Last Updated: April 5, 2016) |
Title 55. PUBLIC WELFARE |
PART III. Medical Assistance Manual |
Chapter 1247. Targeted Case Management Services |
Section 1247.81. Provider misutilization
Latest version.
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Providers determined to have billed for services inconsistent with this part, to have provided services outside the scope of customary standards of practice, or to have otherwise violated the standards in the provider agreement, are subject to the sanctions described in Chapter 1101 (relating to general provisions).