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Payment Conditions | Midpage
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Pennsylvania Code
Title 55
Part VIII
Subpart C
Chapter 6210
Payment Conditions
Payment Conditions
6210.41
Payment available from other sources.
6210.42
Certification of initial need for care.
6210.43
Recertification of continued need for care.
6210.44
Evaluations.
6210.45
Payment authorization.
6210.46
Plan of care.
6210.47
Continued review of plan of care.
6210.48
Reviews by the utilization review committee.
6210.49
Adverse decisions by the Inspection of Care Team.
6210.50
Recipient notice of adverse decisions.
6210.51
Attending physician decision on level of care.
6210.52
Payment pending appeal.