An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in fraud and abuse control, further providing for definitions and for restrictions on provider charges and payments and providing for claim submissions.

This bill updates Pennsylvania's Human Services Code to strengthen fraud prevention and improve how medical assistance claims are submitted. It requires healthcare providers and individuals delivering home or community services to obtain a National Provider Identifier and include specific details, such as service dates and times, on all payment requests. Additionally, the legislation mandates that claims submitted without proper documentation may be denied and establishes a new training program to help detect and prevent fraud. The Department of Human Services is tasked with creating rules to implement these changes while ensuring care continues uninterrupted for recipients.