62 Pa. Stat. and Cons. Stat. Ann. § 443.10. Maximum payment to practitioners for inpatient hospitalization: Human Services Code — Medical Assistance – Pennsylvania
Status: Enacted Year Enacted: 1967
Governs the maximum payment made to a practitioner for all services provided to an eligible recipient during any one period of inpatient hospitalization.
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62 Pa. Stat. and Cons. Stat. Ann. § 443.3. Other medical assistance payments: Medical Assistance – Pennsylvania
Status: Enacted Year Enacted: 1968
Determines how rates will be set for payments on behalf of eligible persons for other services
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62 Pa. Stat. and Cons. Stat. Ann. § 443.5. Prepayment for contracted medical services: Medical Assistance – Pennsylvania
Status: Enacted Year Enacted: 1976
For categorically needy or medically needy persons eligible for medical assistance, prepaid capitation payments or insurance premiums for services under the medical assistance State plan may be made on behalf of eligible persons through competitive …
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62 Pa. Stat. and Cons. Stat. Ann. § 443.6. Reimbursement for certain medical assistance items and services: Human Services Code — Medical Assistance – Pennsylvania
Status: Enacted Year Enacted: 1978
In order to receive reimbursement for items or services enumerated in subsection (b), the provider must secure authorization prior to actually providing the items or services. The request for prior authorization must justify to the …
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62 Pa. Stat. and Cons. Stat. Ann. § 443.9. Payments for readmission to a hospital paid through diagnosis-related groups: Human Services Code — Medical Assistance – Pennsylvania
Status: Enacted Year Enacted: 2008
Governs payments to hospitals in the event of readmission of an eligible patient.
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62 Pa. Stat. and Cons. Stat. Ann. § 444.1. Maximum payment to practitioners for inpatient hospitalization: Human Services Code — Medical Assistance – Pennsylvania
Status: Enacted Year Enacted: 1968
As a condition of participation in the medical assistance program, vendors of services shall agree to accept the rates of payment authorized by this article and shall not seek nor accept additional payments.
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62 Pa. Stat. and Cons. Stat. Ann. §§ 481 through 484: Human Services Code — Prohibition; Penalties – Pennsylvania
Status: Enacted Year Enacted: 1967
Provides prohibition and penalties under the Human Services Code.
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62 Pa. Stat. and Cons. Stat. Ann. §§ 7001 through 7006: Patient-Centered Medical Home Advisory Council Act – Pennsylvania
Status: Enacted Year Enacted: 2015
Governs the Patient-Centered Medical Home Advisory Act and states that the council shall advise the department on how Pennsylvania’s Medicaid program can increase the quality of care while containing costs through Patient-Centered Medical Home model …
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63 Pa. Cons. Stat. § 390-8. Unlawful acts: Pharmacy Acts – Pennsylvania
Status: Enacted Year Enacted: 1961
It shall be unlawful for any pharmacist to dispense an emergency prescription, unless the pharmacist does the specified. For example, the pharmacist must first attempt to obtain an authorization from the authorized prescriber and cannot …
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63 Pa. Cons. Stat. § 422.13. Physician assistants: Medical Practice Act of 1985 – Pennsylvania
Status: Enacted Year Enacted: 1985
A physician assistant may perform a medical service delegated by an approved physician; A physician assistant shall not assist a physician in a manner not described in the agreement or without the nature and degree …
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63 Pa. Stat. and Cons. Stat. Ann. §§ 422.1 & 422.2, 422.36. Physician assistant license: Medical Practice Act of 1985 – Pennsylvania
Status: Enacted Year Enacted: 1985
A physician assistant license empowers the holder to assist a medical doctor in the provision of medical care and services under the supervision and direction of that medical doctor.
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7 R.I. Gen. Laws §§ 7-13-1. 7-13-8.1, 7-13-68: Uniform Limited Partnership Act – Rhode Island
Status: Enacted Year Enacted: 1985
Provisions govern mergers and acquisitions involvinglimited partnerships
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7 R.I. Gen. Laws §§ 7-6-1 through 7-6-4, 7-6-43 through 7-6-49: Rhode Island Nonprofit Corporation Act – Rhode Island
Status: Enacted Year Enacted: 1984
Provisions govern mergers and acquisitions involving nonprofit corporations.
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71 Pa. Cons. Stat. § 535. Health districts and officers (Adm. Code § 2105): Powers and Duties of the Department of Health and Its Departmental Administrative and Advisory Boards – Pennsylvania
Status: Enacted Year Enacted: 1929
The Department of Health shall have the power to apportion the Commonwealth into such number of health districts as the department, with the approval of the Governor, shall decide, and, in each district, to appoint …
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71 Pa. Cons. Stat. § 552. Expiration of certificate of need process generally (Adm. Code § 2122): Powers and Duties of the Department of Health and Its Departmental Administrative and Advisory Boards – Pennsylvania
Status: Enacted Year Enacted: 1991
The certificate of need process established under the act of July 19, 1979 (P.L. 130, No. 48), known as the “Health Care Facilities Act,” shall expire December 31, 1992. The certificate of need process may …
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72 Pa. Stat. and Cons. Stat. Ann. § 3402a.4. Mandated benefits: Medical Care Savings Account Act – Pennsylvania
Status: Enacted Year Enacted: 2005
High deductible plans shall be subject to any provision of law requiring a minimum health insurance benefit or reimbursement. However, nothing shall prohibit or prevent the application of deductibles or copayments for these minimum benefits …
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