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Utilization control - 6 Pa. Code § 22.81

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Providers enrolled in the Pennsylvania Pharmaceutical Assistance Contract for the Elderly (PACE) Program must provide the following information:

  • Medical and fiscal records relating to participation in PACE to the department of aging;
  • Complete information from PACE-related business transactions to the department; and
  • Complete response to inquiries by utilization review committees.



Current as of June 2015