55 Pa. Code § 1151.70. Scope of claim review process.

UTILIZATION CONTROL

§ 1151.70. Scope of claim review process.

Inpatient psychiatric services provided to MA recipients are subject to the utilization review procedures in this chapter and in Chapter 1101 (relating to the general provisions).

Authority

   The provisions of this §  1151.70 amended under sections 201 and 443.1(1) of the Public Welfare Code (62 P. S. § §  201 and 443.1(1)).

Source

   The provisions of this §  1151.70 adopted September 30, 1983, effective July 1, 1983, 13 Pa.B. 2796; amended June 18, 1993, effective July 1, 1993, 23 Pa.B. 2917. Immediately preceding text appears at serial page (150074).

Cross References

   This section cited in 55 Pa. Code §  1151.61 (relating to payment conditions: general); and 55 Pa. Code §  1151.67 (relating to payment conditions related to the recipient’s continued need for care).

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