(b) A provider or person who commits a prohibited act specified in subsection (a), except paragraph (11), is subject to the penalties specified in §§ 1101.76, 1101.77 and 1101.83 …

View the Pennsylvania Code. Provider prohibited acts are listed at 55 Pa. Code §1101.75. Recipient prohibited acts are listed at 55 Pa. Code §1101.92. Department of Human Services.

Apr 5, 2016 · The provisions of this § 1101.75 adopted November 18, 1983, effective November 19, 1983, 13 Pa.B. 3653.

Potential consequences for providers convicted of committing FWA may include civil monetary penalties, criminal conviction and fines, civil prosecution, imprisonment, loss of provider …

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PORTING SUSPECTED FRAUD, WASTE, AND ABUSE The following requirements are adapted from 55 Pa. Code Chapter 1101, General Provisions for the Medical Assistance Program, …

Jun 28, 2025 · Universal Citation: 55 PA Code § 1101.75. Current through Register Vol. 55, No. 26, June 28, 2025. (a) An enrolled provider may not, either directly or indirectly, do any of the …

See the Medical Assistance Manual, Chapter 1101 or go to the Medical Assistance Manual for more information regarding fraud or abuse, including "Provider Prohibited Acts" that are …

The purpose of this bulletin is to discuss the interpretation of 55 Pa. Code §1101.75(a)(3) regarding possible kickback relationships between nursing facilities and pharmacy providers.

§ 1101.61 - Reimbursement policies § 1101.62 - Maximum fees § 1101.63 - Payment in full § 1101.63a - Full reimbursement for covered services rendered-statement of policy § 1101.64 - …