55 Pa. Code § 1181.95

Current through Register Vol. 54, No. 50, December 14, 2024
Section 1181.95 - Failure to adhere to medical evaluation requirements

If the facility fails to comply with the requirements that the physician perform a medical evaluation before admission or before authorization for payment, as described under § 1181.53 (relating to payment conditions related to the recipient's initial need for care), which results in a penalty being imposed by DHHS on the Department, the penalty will be imposed on the facility.

55 Pa. Code § 1181.95

The provisions of this § 1181.95 codified July 24, 1981, effective 7/25/1981, 11 Pa.B. 2610.

This section cited in 55 Pa. Code § 1181.215 (relating to efficiency incentive); 55 Pa. Code § 1181.216 (relating to depreciation and interest reimbursement); and 55 Pa. Code § 1181.224 (relating to final per diem rate).