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55 Pa. Code § 52.42 - Payment policies
PennsylvaniaregulationPennsylvania Department of Human Services (Office of Long-Term Living)· effective 2012-05-19
What this rule requires your agency to do
- 1To be paid the MA Program fee schedule rate or receive reimbursement for a vendor good or service, a provider shall comply with this chapter.(55 Pa. Code § 52.42 - Payment policies)
- 2A provider who accepts supplementary payment for an Act 150 service from a source other than the Department shall return the Act 150 payment (or an amount equal to the supplementary payment) to the Department; this does not apply to copayments.(55 Pa. Code § 52.42 - Payment policies)
Applies to: personal care
Governs how HCBS/Act 150 services are paid (fee schedule or vendor payment), conditions on payment, recoupment, and the requirement that services be delivered per an approved service plan.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.