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Payment Conditions, Limitations and Adjustments | Midpage
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Pennsylvania Code
Title 55
Part III
Chapter 1187
Payment Conditions, Limitations and Adjustments
Payment Conditions, Limitations and Adjustments
1187.101
General payment policy.
1187.102
Utilizing Medicare as a resource.
1187.103
Cost finding and allocation of costs.
1187.104
Limitations on payment for reserved beds.
1187.105
Limitations on payment for prescription drugs.
1187.106
Limitations on payment during strike or disaster situations requiring resident evacuation.
1187.107
Limitations on resident care and other resident related cost centers.
1187.108
Gross adjustments to nursing facility payments.
1187.109
Medicare upper limit on payment.
1187.110
Private pay rate adjustment.
1187.111
Disproportionate share incentive payments.
1187.112
[Reserved].
1187.113
Capital component payment limitation.
1187.113a
Nursing facility replacement beds—statement of policy.
1187.113b
Capital cost reimbursement waivers—statement of policy.
1187.114
Adjustments relating to sanctions and fines.
1187.115
Adjustments relating to errors and corrections of nursing facility payments.
1187.116
{Reserved}.
1187.117
Supplemental ventilator care and tracheostomy care payments.