Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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PA Bulletin, Doc. No. 15-1488c

[45 Pa.B. 4493]
[Saturday, August 8, 2015]

[Continued from previous Web Page]

IV. MANAGEMENT DIRECTIVES and ADMINISTRATIVE CIRCULARS

A. Bureau of Facilities Management (Contact: Jason Snyder, 717-787-5341)

• A.C. 14-13 Holiday Trees and Decorations in Common-wealth-Owned or Leased Buildings (09/24/14)
• M.D. 625.8 Contracting for Bargaining Unit Work (2/25/1994)
• M.D. 720.5 Energy Conservation and Electrical Devices in Commonwealth-Owned or Leased Buildings
(7/25/2008)

B. Bureau of Police and Safety (Contact: Joseph Jacob, 717-787-9013)

• M.D. 205.38 Emergency Evacuation and Safe Assembly (01/31/14)
• M.D. 205.24 Display of Flags on Commonwealth Grounds and Buildings and Grounds (10/12/2011)
• M.D. 625.4 Enforcement of Fire and Panic Regulations (3/27/1991)
• M.D. 625.10 Card Reader and Emergency Response Access to Certain Capitol Complex Buildings and Other State Office Buildings (06/02/2014)
• M.D. 720.7 Bomb Threats and Suspicious Packages (7/29/2010)

C. Bureau of Publications (Contact: Marcie Pesta, 717-787-9047)

• M.D. 220.9 Publication Services (11/25/13)
• M.D. 240.7 Submission of Changes to the Commonwealth Telephone Directory (8/18/2008)

D. Bureau of Procurement (Contact: Jenny Doherty, 717-787-5862)

• M.D. 215.8 Contractor Integrity Provisions for Commonwealth Contracts (01/14/2015)
• M.D. 215.9 Contractor Responsibility Program
(10/25/2010)
• M.D. 215.12 Provisions Concerning the Americans with Disabilities Act (10/14/2011)
• M.D. 215.13 Contract Provision for Donation of Excess Prepared Food (10/12/2011)
• M.D. 310.31 Purchase Order Receiving, Invoice Processing and Invoice Reconciliation Process (5/11/2009)
• M.D. 310.33 Processing Electronic Invoices in SAP (8/21/2009)
• M.D. 620.1 Coal Sampling and Reporting (10/4/2005)

E. Commonwealth Agency Recycling Office (Contact: Mary Beth Stringent, 717-787-5940)

• M.D. 205.22 Recycling, Waste Reduction and Procurement of Environmentally Preferable Products
(9/19/2014)

F. Commonwealth Media Services (Contact: Jerry Kambic, 717-787-9777)

• M.D. 220.1 Commonwealth Media Services (01/14/2008)

G. Bureau of Risk and Insurance Management (Contact: Kenneth Love, 717-787-2492)

• M.D. 630.2 Reporting of Employee Liability Claims (5/15/2013)

H. Bureau of Small Business Opportunities (Contact: DeShawn Lewis, 717-783-3119)
• M.D. 215.16 Contract Compliance Program
 (02/24/2015)

I. Bureau of Real Estate (Contact: Elizabeth Woods, 717-787-4394)

• M.D. 615.15 Vehicle Parking License Agreements
(10/26/2006)
• M.D. 625.1 Repairs, Alterations, and Improvements to Commonwealth Buildings under the Direct Supervision of the Department of General Services (10/4/2004)
• M.D. 625.2 Inventory of Commonwealth Real Property (9/16/2008)
• M.D. 625.5 Reporting Surplus Real Property (5/6/1996)
• M.D. 625.6 Leasehold Improvements (5/1/2009)
• M.D. 625.7 Use of Form STD-291, Request for Lease Action and Budget Approval (11/6/1997)

J. Bureau of Publications (Contact: Marcie Carr, 717-787-9047)

• A.C. 14-12 Availability—Commonwealth Telephone Directory (08/20/2014)

K. Bureau of Vehicle Management (Contact: James Fiore, 717-787-3162)

• M.D. 615.1 Commonwealth Temporary Transportation Vehicles (2/27/2013)
• M.D. 615.16 Commonwealth Fleet Policy (11/10/2011)

V. EXTERNAL GUIDELINES

A. Bureau of Construction (Contact: Dan Weinzierl, 717-787-6330)

• Administrative Procedures for DGS Construction Contracts, 2012 Edition
• Administrative Procedures for DGS Constructions Contracts, September 2013 Edition
• Administrative Procedures for Small Business, September 2013 Edition • Administrative Procedures for Small Business Construction Contracts, May 2014 Edition
• Administrative Procedures for the GESA Contract, 2014 Edition
• General Conditions of the GESA Contract, 2014 Edition
• General Conditions of the Construction Contract, 2014 Edition
• Standard Form of Contract, Contract Bond and General Conditions of the Construction Contract, 2012 Edition
• Standard Form of Contract, Contract Bond and General Conditions of the Construction Contract, 2013 Edition
• Standard Form of Contract, Contract Bond and General Conditions of the Construction Contract, September 2013 Edition
• Guidelines for Small Business Construction Contracts May 2014 Edition
• Small Business Standard Form of Contract and Contract Bond, September 2013 Edition
• Small Business Standard Form of Contract and Contract Bond, 2014 Edition
(additional Construction Forms available on DGS website)

B. Bureau of Engineering and Architecture (Contact: Gary Taylor, 717-787-6200) (additional Design Forms and Small Business Forms available on the DGS website)

• Professional Agreement and General Conditions to the Agreement, 2010 Edition
• Bureau of Engineering & Architecture: Project Procedure Manual, 2010 Edition
• Division 1—General Requirements, 2010 Edition
• Guidelines for Small Business Design Contracts, May 2014 Edition
• Small Business Design Contract and General Conditions, 2013 Edition

C. Bureau of Professional Selections and Administrative Services (Contact: Herb Pfuhl, 717-787-7856)

• Instructions to Bidders, 2010 Edition
• Instructions to Bidders, 2012 Edition
• Instructions to Bidders, 2013 Edition
• Instructions for Small Business Bidders, 2013 Edition
• Instructions for Small Business Bidders, 2014 Edition

D. Bureau of Facilities Management (Contact: Jason Snyder, 717-787-5341)

• Application for Use of Public Areas of Capitol Complex (Updated January 2010)

E. Bureau of Small Business Opportunities (Contact: DeShawn Lewis, 717-783-3119) Available on the DGS website:

• Interim Verification Process
• Procurement Small Diverse Business Program
• Construction Small Diverse Business Program Small Business Contracting Programs
• Small and Small Diverse Business Application and Instruction Registration Guide
(additional information available on the DGS website)

F. Bureau of Supplies and Surplus Operations (Contact: Mary Beth Stringent, 717-787-5940)

Available on the DGS website:
• Surplus Property Operations
• Surplus Sampler Newsletter
• Sign up for Email alerts
• State Surplus Property Program
• Heavy Equipment Sale Flyer
• Fixed Price Auto Sales
• Federal Surplus (Property Program)
• Federal Surplus online inventory list
• Federal Surplus for Veterans Flyer & guidelines
• Federal Surplus—SBA 8(a) information
• Federal Surplus Application—Required documents
• 1122 Law Enforcement Program
• GSA schedules for 1122 Program
• 1033 Law Enforcement (Program)
• Federal Surplus Application
• Law Enforcement Program Application
• Bureau Informational Brochure
• Bridge Marketing
• Request Property form
• Warehouse and Distribution Division
• Federal Surplus—Direct Allocation
• Federal Surplus—Just Arrived
• Commonwealth Recycling

G. Bureau of Procurement (Contact: Jenny Doherty, 717-787-5862)

Available on the DGS website:
• Supplier Registration Guide
• Doing Business with the Commonwealth
• eMarketplace Solicitations and Bidding Guide
• Cooperative Purchasing Program (COSTARS)
• Green Procurement Information available on DGS website
(additional Procurement Forms available on the DGS website)

H. Bureau of Risk and Insurance Management (Contact: Kenneth Love, 717-787-2492)

Available on the DGS website:
• Processing an Act 101 and/or Act 51 Claim (Updated June 2015)

I. Deputy Secretary for Public Works (Contact: Elizabeth O'Reilly, 717-787-7095)

Request for Proposal Process Guidelines, 2013 Edition
Application for Qualification Process Guidelines

J. Right to Know Law (Contact: Troy Thompson, 717-787-3197)

Departmental Policy GSP 4-12 Right-to-Know Policy


Department of HEALTH (DOH)

I. POLICY STATEMENTS

• Procedures Applicable to Right-to-Know Law Request (1/1/09). (This document is electronically available at www.health.state.pa.us)
Contact: Karin Simpson (717) 783-2500

A. Bureau of Health Promotion and Risk Reduction

• Position Statement on Colorectal Cancer Screening (Revised 3/04)
• Position Statement on Prostate Cancer Screening (Revised 3/04)
• Position Statement on Cervical Cancer Screening (Revised 3/04)
• Position Statement on Sun Safety (Revised 5/03)
• Policy Statement on Clinical Trials (3/04)
• Policy Statement on Unsolicited Proposals Requesting Funding From the Cancer Control Program (10/03)
• Position Statement on Breast Cancer Screening (Revised 5/04)
Contact: Tomas Aguilar (717) 787-6214

II. GUIDANCE MANUALS

A. Bureau of Community Health Systems

• Public Bathing Place Manual, Part I General Purpose Recreational Swimming Pools and Specialty Pools, Including Wading and Spray Pools (February 2002)
• Public Bathing Place Manual, Part II General Purpose Recreational Bathing Beaches (February 2002)
• Public Bathing Place Manual, Part III Hot Tubs and Spas (February 2002)
• Application to Operate a Public Bathing Place (June 2009)
• Public Swimming & Bathing Places-Operational & Biological Contamination Protocol Recommendations (March 18, 2008)
Contact: Douglas Koszalka (717) 787-4366

• Guidelines for Pennsylvania Schools for the Administration of Medications and Emergency Care (2010)
• Request for Reimbursement and Report of School Health Services Instruction Manual (Revised 2013)
• Procedures for the Growth Screening Program for Pennsylvania's School-Age Population (2004)
• Procedures for the Scoliosis Screening Program for Pennsylvania's School-Age Population (2001)
• Procedures for the Hearing Screening Program for Pennsylvania's School-Age Population (2001)
• Procedures for the Vision Screening Program for Pennsylvania's School-age Population (2002)
• Indoor Air Quality Guidelines for Pennsylvania Schools (2006)
• Diabetes in School Children: Recommendations & Resource Guide for School Personnel (2009)
• Pennsylvania Guidelines for Management of Food Allergies in Schools: Recommendations & Resource Guide for School Personnel (2011)
Contact: Beth Ann Bahn (717) 787-2390
 (All documents are only available electronically at www.health.state.pa.us)

B. Bureau of Epidemiology

• Environmental Health Fact Sheets
 1. Arsenic
 2. Barium
 3. Benzene
 4. Bisphenol A
 5. Boron
 6. Bromide
 7. Cadmium
 8. Carbon Dioxide
 9. Carbon Monoxide
 10. Chloramine in Drinking Water
 11. Cyanuric Acid and Stabilized Chlorine Products
 12. Ethylene Glycol
 13. Fungal (Mold) Contamination in Indoor Environments
 14. Lead
 15. Manganese
 16. Mercury
 17. Methane
 18. Methyl tert-butyl ether (MTBE)
 19. Naphthalene
 20. Nitrate and Nitrites
 21. Polycythemica Vera
Patient Information
JAK2 and Polycythemia Vera
Polycythemia Vera and Myeloproliferative Neo-
 plasms
Polycythemia Vera in Northeast Pennsylvania
Resources for People With the JAK2 Mutation, PV  or other MPNs
Physician Information
Polycythemia Vera
Polycythemia Vera in Northeast Pennsylvania—Activities Polycythemia Vera in Northeast Pennsyl-
 vania—Epidemiology Polycythemia Vera and JAK2 Testing information
Reporting Polycythemia Vera
Polycythemia Vera Binder
 22. Radon
 23. Selenium
 24. Strontium
 25. Styrene
 26. Toluene
 27. Xylene

C. Health Assessment Program Consultations and Reports

 1. Imperial Landfill Letter Health Consultation
 2. Suspected Former Lead Smelters—Fact Sheets and Maps
 3. Guidance for Families Living Near a Former Lead Smelter
 4. Bruce Mansfield Power Plant: Evaluation of Air Monitoring Data
 5. Cancer Evaluation—Ambler Area, Montgomery County
 6. Precision Site Letter Health Consultation
 7. Pittstown Cancer Incidence Analysis, Luzerne County
 8. Eastwick Cancer Incidence Analysis
 9. Price Battery Public Health Assessment

D. Guidelines

 1. Indoor Air Quality Guidelines for Pennsylvania Schools
 2. Guidelines on Ice Skating Rink Resurfacing Machine and Indoor Air Quality Issues
 3. Guidelines on Bloodborne Pathogens for the Public Sector
Contact: James Logue, DrPh, MPH (717) 787-1708

E. West Nile Virus

 The following documents can be found at the following website: http://westnile. state.pa.us/

• 2000-2012WNV Surveillance Results
• 2013 West Nile Control Program Plan
Contact: Dr. James Rankin (717) 547-3514

F. Influenza

• Pennsylvania Influenza Weekly Reports
• Pennsylvania Influenza Pandemic Response Plan
Contact: Atmaram Nambiar, MD MPH (717) 787-3350

 The following documents can be found at the following website: http://www.portal.state.pa.us/portal/server.pt?open=514&objID=1008994&mode=2

• Pennsylvania Department of Health Healthcare Personnel Influenza Vaccination Honor Roll—2011-2012 Influenza Season.

G. Rabies

 The following documents can be found at the following website: http://www.portal.state.pa.us/portal/server.pt/community/other diseases illnesses/14162/rabies reports/557221

• 2005-2012 Annual Rabies Reports
• 2009-2013 Monthly Rabies Reports
Contact: Kirsten Waller, MD MPH (717) 787-3350

H. HIV/AIDS Summaries

 The following documents can be found at the following website: http://www.portal.state.pa.us/portal/serever.pt?open=514&objID=557343&mode=2

• HIV/AIDS Surveillance Annual Summary—December 2005
• HIV/AIDS Surveillance Annual Summary—December 2006
• HIV/AIDS Surveillance Annual Summary—December 2007
• HIV/AIDS Surveillance Annual Summary—December 2008
• HIV/AIDS Surveillance Annual Summary—December 2009
• HIV/AIDS Surveillance Annual Summary—December 2010
• HIV/AIDS Surveillance Annual Summary—December 2011
Contact:  Godwin Obiri, MS, DrPH (717) 783-0481

I. Integrated Epidemiologic Profile of HIV/AIDS in Pennsylvania & HIV Epidemiology Investigation Reports

 The following documents can be found at the following websites: 

http://www.portal.state.pa.us/portal/server.pt/commiunity/hiv___aids/14241/epidemiology_data_for_prevention___care_services/557189
http://www.protal.state.pa.us/protal/server.pt/community/hiv___aids/14241/integrated_epidemiologic_profile_of_hiv_aids_in_pa/557190

• Integrated Epidemiologic Profile of HIV/AIDS in Pennsylvania
• Epidemiology Data/Resources for Prevention & Care Services
Contact: Benjamin Muthambi, DrPH, MPH (717) 783-0481

J. Communicable Diseases Fact Sheets:

• Amebiasis
• Anaplasmosis
• Anthrax
• Arenaviruses
• Aseptic Meningitis
• Avian Influenza
• Babesiosis
• Bacterial Meningitis
• Bat Rabies
• Bed Bugs
• Body Lice
• Botulism
• Bovine Spongiform Encephalopathy (Mad Cow)
• Brucellosis
• Campylobacteriosis
• Cat Scratch Disease
• Central-line Associated Bloodstream Infections
• Chickenpox/Shingles
• Cholera
• Chronic Fatigue Syndrome
• Chronic Wasting Disease
• Clostridium difficile
• Creutzfeldt-Jakob Disease
• Crimean-Congo Hemorrhagic Fever
• Croup
• Cryptosporidiosis
• Dengue Fever
• Diphtheria
• Disease Surveillance
• Eastern Equine Encephalitis
• E. Coli 0157:H7
• Ebola Hemmorrhagic Fever
• Ehrlichiosis—Human Granulocytic
• Encephalitis, Eastern Equine (EEE)
• Encephalitis, LaCrosse
• Encephalitis, St. Louis (SLE)
• Encephalitis, West Nile (WNV)
• Epstein-Barr Virus (Mononucleosis)
• Fifth Disease
• German Measles (Rubella)
• Giardiasis
• Glanders
• Group A Streptococcal
• Group B Streptococcal
• Guillain-Barre Syndrome
• Haemophilus Influenzae Type B (HiB)
• Hand, Foot and Mouth
• Hand Hygiene
• Hantavirus
• Head Lice
• Heliobactor Pylori
• Hendra/Nipah Disease
• Hepatitis A
• Hepatitis B
• Hepatitis C
• Herpes B Virus
• Herpes Gladiatorum
• Histoplasmosis
• Hookworm
• Human Granulocytic Ehrlichiosis
• Human Papillomavirus (HPV)
• Influenza, Avian
• Influenza H1N1
• Influenza, Seasonal
• Kawasaki Syndrome
• Klebsiella
• LaCrosse Encephalitis
• Lassa Fever
• Legionellosis
• Leishmaniasis
• Leptospirosis
• Lice, Body
• Lice, Head
• Lice, Pubic
• Listeriosis
• Lyme Disease
• Lymphocytic Choriomeningitis (LCM)
• Malaria
• Marburg Hemorrhagic Fever
• Measles
• Meliodiosis
• Meningitis, Aseptic (Non-Bacterial)
• Meningitis, Bacterial
• Meningococcal Disease
• Methicillin Resistant Staph Aureus (MRSA)
• Monkey Pox
• Mosquito Pesticide Spraying
• Mumps
• Norovirus
• Orf
• Pertussis
• Pinworm
• Plague
• Pneumococcal Disease
• Pneumonia
• Polio
• Powassan Virus
• Prion Diseases
• Psittacosis
• Prion Disease
• Pubic Lice
• Q Fever
• Rabies Information
• Rabies in Cats
• Raw Milk
• Reportable Diseases
• Respiratory Syncytial Virus (RSV)
• Reye Syndrome
• Ricin
• Rift Valley Fever
• Rocky Mountain Spotted Fever
• Saint Louis Encephalitis
• Salmonellosis
• Scabies
• Severe Acute Respiratory Syndrome (SARS)
• Severe Acute Respiratory Syndrome (SARS) :: Fact Sheet
• Shigellosis (English and Spanish)
• Shingles
• Smallpox
• Staphylococcal enterotoxin B (SEB)
• Sylvatic Typhus
• Terrestrial Rabies
• Tetanus
• Tickborne Diseases
• Toxocariasis (Roundworm Infection)
• Toxoplasmosis
• Traveler's Health
• Tularemia
• Typhoid Fever
• Urinary Tract Infections
• Vancomycin Intermediate/Vancomycin Resistant Staph Aureus (VISA/VRSA)
• Vancomycin Resistant Enterococci (VRE)
• Vibrio Parahaemolyticus
• Vibrio Vulnificus
• Viral Hemorrhagic Fevers
• West Nile Virus
• Yellow Fever
• Yersiniosis
Contact: Dr. James Rankin (717) 547-3514

 The Bureau of Epidemiology Quarterly Newsletter is electronically available at: http://www.portal.health.state.pa.us/portal/server.pt/community/newsroom%2C_publications_and_reports/11602/epinotes/824573

• EpiNotes 2011 Volume 1, Issues 1-4
• EpiNotes 2012 Volume 2, Issues 1-4
• EpiNotes 2013 Volume 3, Issues 1-2

 The Annual Health-Care Associated Infections Reports are electronically available at: http://www.health.pa.gov/facilities/Consumers/Healthcare%20Associated%20Infection%20(HAI)/Pages/HAI-Annual-Reports.aspx#.VZU0x2TD-Uk

• 2008 Report: Healthcare Associated Infections (HAIs) in Pennsylvania Hospitals
• 2009 Report: Healthcare Associated Infections (HAIs) in Pennsylvania Hospitals
• 2010 Report: Healthcare Associated Infections (HAIs) in Pennsylvania Hospitals
• 2011 Report: Healthcare-Associated Infections (HAIs) in Pennsylvania Hospitals
• 2012 Report: Healthcare-Associated Infections (HAIs) in Pennsylvania Hospitals
Contact: Kimberly Buffington (717) 425-5422

K. Bureau of Emergency Medical Services

 (Some of these documents are electronically available at http://www.portal.state.pa.us/portal/server.pt/community/emergency_medical_services/14138)

• Overview of Pennsylvania Department of Health Ambulance Licensure Program
• Statewide Advanced and Basic Life Support Protocols
• Out-of-Hospital Do-Not-Resuscitate Questions and Answers
• Voluntary Rescue Service Recognition Program Manual
• Pennsylvania Rescue Program Administration Manual
• EMS Patient Care Reporting Standards
• EMS Practitioner Registry
• EMS Notices in PA Bulletin
• EMS Information Bulletins
Contact: Aaron Rhone (717) 787-8740

L. Bureau of Health Planning

• PA Primary Care Loan Repayment Program, Practitioner Application and Program Guidance (Revised 2013, available on the Department's website at www.health.state.pa.us)
• J-1 Visa Waiver Program (Conrad 30) Statement of Policy (Revised 3/14, available on the Department's website at www.health.state.pa.us)
• DOH Appalachian Regional Commission J-1 Visa Waiver Program Policy (Revised 3/14, available on the Department's website at www.health.state.pa.us)
• Pennsylvania State Health Assessment 2013 (available on the Department's website at www.health.state.pa.us)
Contact: Bob Richardson (717)772-5298

M. Bureau of Health Statistics and Research

• Application for Access to Protected Data (Revised 8/13)
• User's Guide for Access to Protected Data (Revised 8/13)
• Application for Access to Protected Data for State, Federal & Local Government Agencies (8/12)
• User's Guide for Access to Protected Data for Government Agencies (8/13)
Contact: Marina Matthew (717) 783-2548

N. Bureau of Managed Care

• Technical Advisory: Sample Enrollee Consent Form (6/26/04)
• Technical Advisory: Enrollee Consent for Provider-Initiated Grievances (6/19/04)
• Technical Advisory: Gatekeeper and Point-of-Service Plans seeking to offer benefit plans with less than 8-% plan paid co-insurance for out-of-network services
(10/13/04)
• Technical Advisory: Interpreting 28 Pa. Code § 9.752(f) (Relating to UR Standards) requiring a UR decision to include a contractual basis and clinical reason for denial (1/1/05)
• Technical Advisory: Interpreting 28 Pa. Code § 9.752(f) (Relating to Time Frames for UR)—Communicating the UR Decision. (1/1/05)
• Technical Advisory: Interpreting 28 Pa. Code § 9.704(c) (Relating To Appeal Of A Complaint Decision) and 28 Pa. Code § 9.707(b)(6) (Relating to External Grievance process) Regarding Content of Transmittal Letters of Enrollees' Case Files (12/03/05)
• Technical Advisory: Interpreting 28 Pa. Code § 9.761-2 Provider Credentialing and Credentialing Standards as related to ''Provisional Credentialing'' as Recognized by NCQA (2/11/06)
• Technical Advisory: Interpreting 28 Pa. Code § 9.761-2 Provider Credentialing and Credentialing Standards as related to Medical Director sign-off of clean credentialing files (2/11/06)
• Technical Advisory: Interpreting 28 Pa. Code § 9.684(a)(3) (Relating To Continuity of Care) Regarding Notification of Enrollees Affected by the Termination of Non-Primary Care Providers/Specialists by a Managed Care Plan (5/6/06)
• Technical Advisory: Interpreting 28 Pa. Code § 9.679 (d) (Relating to Travel Distance to Participating Providers) (5/19/2012)
Contact: William Wiegmann (717) 787-5193

O. Bureau of Communicable Diseases

1. Division of Immunizations

• PA VFC Fraud and Abuse Procedures (01/15)
• Vaccine Preventable Diseases Surveillance Follow-up Protocol (07/11)
• Vaccine Cold Chain Protocol for Immunization Providers (12/14)
• Vaccine Eligibility Criteria (12/14)
• Vaccines for Children Provider Handbook (05/15)
• Vaccines for Children Quality Assurance Manual (11/14)
• Perinatal Hepatitis B Prevention Program Case Follow-up Actions (12/14)
• Guidelines for Prevention of Perinatal Hepatitis B (11/13)
• Protocols for Perinatal Hepatitis B Prevention Program (02/13)
• Recommendations for Varicella Outbreak Prevention and Control in School or Childcare Group Settings (08/14)
• Immigration Status and Data Entry into the Statewide Immunization/Information System
• Mass Immunization Liability Protection Guidelines
(08/14)
• Pennsylvania Quick Guides for Measles (02/15), Mumps (12/13), Rubella (12/13), Varicella (01/14), Pertussis (05/15), Procedure Manual School Immunization Regulations (05/10)
Contact: Cindy Findley (717) 787-5681

2. Healthcare Associated Infection Prevention Section

• Healthcare Associated Infection and Patient Identifier Reporting (December 5, 2007)
• NHSN Update, Re: Issue Clarification Summary (April 3, 2008)
• Reporting a Patient Identification Number (April 2008), 38 Pa.B. 1783
• Technical Advisory: HAI-2009-001, Multidisciplinary Infection Control Committee Membership Composition
• Technical Advisory: HAI-2009-002, Written Notification of Health Care-Associated Infections to Responsible Parties in Healthcare Facilities
• Technical Advisory: HAI-2009-003, Health Care-Associated Infection Confirmation in Nursing Homes
Contact: Kimberly Buffington (717) 425-5422

P. Bureau of Public Health Preparedness

• Pennsylvania Emergency Preparedness Guide (revised 3/2010)
• Pennsylvania Public Health and Medical Emergency Preparedness Plan (2011-2015)
• Online Registry—SERVPA—For Volunteers During Disasters or Emergencies
• State Emergency Registry of Volunteers in Pennsylvania (SERVPA) Operations Manual (Version I—12/1/11), which may be found on the SERVPA website home page at https://www.serv.pa.gov
• PA Prepared Learning Management Fact Sheet (HD0483P Rev 09/08)
• Medical Surge Management Series (March 2010). This guidance can be found on the PA DOH website at: http://www.portal.state.pa.us/portal/server.pt/community/communication/14147/pa-mems/725592
• Pennsylvania Modular Emergency Medical Systems (PA MEMS) Version 1.0 October 2010
• Preparing for Public Health Emergencies: A Planning Aid for Public Health and Healthcare Professionals (02/2012) • Pennsylvania Public Health Emergency Preparedness Tool and Manual
• Integrating Community Pediatricians Into Public Health and Preparedness Response Activities in Pennsylvania (06/2013)
• A Communications Toolkit for Public Health Emergencies that Impact Children: Resources for Pediatric Practices, Schools, and Childcare Programs (05/2013)
• The Pennsylvania Public Health Risk Assessment Tool (01/2013)
Contact: Jeffrey Backer (717) 346-0640

III. INTERNAL GUIDELINES

A. Bureau of Health Statistics and Research

• Policy and Procedures for Assisted Conception Birth Registrations (10/03)
Contact: Kylee Higgins (724) 698-2340

B. Bureau of Communicable Diseases

1. Division of Immunizations

• Perinatal HB Protocols
• Quality Assurance Handbook
• Cold Chain Failure Follow-up (12/01/14)
• VFC Provider suspension (05/07/11)
Contact: Cindy Findley (717) 787-5681

2. STD Program

• Guidelines: Use of the Internet to Perform Partner Service and Health Education Activities
• Biological Room Standard Operating Procedures (TB/STD)
• Data Security and Confidentiality Policy and Standards for Integrated Data Sharing Manual—TB/STD/HIV
(01/13)
• Child Protective Services Guidelines for STD/HIV Field Staff (05/15)
Contact: Beth Butler (717) 787-3981

3. Division of HIV/AIDS

• HIV Counseling and Testing Operations Manual
• Housing Opportunities For Persons With AIDS Operations Manual
• Coalition and Fiscal Agents Operations Manual
• Combined Statewide Coordinated Statement of Need and Comprehensive Plan
• Jurisdictional Community HIV Prevention Plan
Contact: Kenneth McGarvey (717) 783-0572

4. Institutional Review Board

• Institutional Review Board Policies and Procedures (03/04)
Contact: Atmaram Nambiar, MD MPH (717) 787-3350)

IV. OTHER

A. Bureau of Health Planning

• State Health Improvement Plan
• State Health Improvement Plan Special Report on the Health Status of Minorities in Pennsylvania
• 2008 SHIP Partnership Satisfaction Survey Analysis Report
• Results of the 2007 SHIP Affiliation Partnership Survey
• Registered Nurse Workforce Report
• Licensed Practical Nurse Workforce Report
• Nursing Educations Programs in Pennsylvania Report
• Physician and Physician Assistant Workforce Report
• Dentist and Dental Hygienist Workforce Report
Contact: Bob Richardson (717) 772-5298

B. Bureau of Emergency Medical Services

• Prehospital Care Response Report
• Statewide Emergency Medical Services System Development Plan
• 2008 Annual EMS Report
• Reports on EMS System Issues
• EMS Statistics
• EMS Training Information
• EMS Practitioner Registry
• List of Disciplinary Sanctions Imposed
• Tool for Locating Regional EMS Councils by County
• EMS Incident Self Reporting Process

1. Information Bulletins

• EMS Information Bulletin #1—EMS Personnel Called to Active Military Duty (8/5/03)
• EMS Information Bulletin #2—Epinephrine Auto Injector Administration by EMTs (8/13/03)
• EMS Information Bulletin #3—EMS Vehicle Collision Accident Form (9/30/03)
• EMS Information Bulletin #4—EMS Instructor Update Requirement (Revised 3/2/04)
• EMS Information Bulletin #5—Cyanide Compound Exposure Protocol (9/9/03)
• EMS Information Bulletin #6—Continuing Education Requirement-ALS Medical Command (11/5/03)
• EMS Information Bulletin #7—On-Line Continuing Education (11/6/03)
• EMS Information Bulletin #8—Distribution of Continuing Education Handbook (12/9/03)
• EMS Information Bulletin #10—EMS License Plates (2/11/04)
• EMS Information Bulletin #11—Public Access AED (2/13/04)
• EMS Information Bulletin #13—EMS Vehicle Collision and Personal Injury Form (Revised 4/1/04)
• EMS Information Bulletin #14—Epinephrine Auto-Injector Administration (Revised 3/10/04)
• EMS Information Bulletin #15—Emergency Response Employees (ERES) (4/30/04)
• EMS Information Bulletin #16—Electronic Ambulance Licensure Application Amendment Procedure (4/30/04)
• EMS Information Bulletin #17—Statewide BLS Medical Treatment Protocols and Guidelines (5/6/04)
• EMS Information Bulletin #19—CD and Web-Based ACLS Programs (6/18/04)
• EMS Information Bulletin #20—Certificates, Wallet Cards and Patches (6/8/04)
• EMS Information Bulletin #21—System Status Management (6/18/04)
• EMS Information Bulletin #22—EMTs Assisting With ALS Procedures (7/28/04)
• EMS Information Bulletin #23—Ambulance Licensing Overview (10/19/04)
• EMS Information Bulletin #25—Surge Response Services Update (12/13/04)
• EMS Information Bulletin #26 AED Mode Use on ALS Monitor/Defibrillator Devices (4/11/2006)
• EMS Information Bulletin #27 Interfacility Transport Guidelines (7/8/2005)
• EMS Information Bulletin #28 Grand Rounds (7/25/2005)
• EMS Information Bulletin #29 EMS Office Organization Chart (8/3/2005)
• EMS Information Bulletin #30 Ambulance Vehicle Standards (10/19/2005)
• EMS Information Bulletin #31 Draft ALS Protocols (10/25/2005)
• EMS Information Bulletin #32 Patients Exposed to Tasers (11/10/2005)
• EMS Information Bulletin #33 New Electronic Applications (11/17/2005)
• EMS Information Bulletin #34 Ambulance Vehicle Markings (12/20/2005)
• EMS Information Bulletin #35 Updated AHA Standards (12/23/2005)
• EMS Information Bulletin #36 New BLS Protocols (4/7/2006)
• EMS Information Bulletin #37 Epinephrine Auto-Injector Approval Update (4/11/2006)
• EMS Information Bulletin #38 Implementation of New AHA Standards (5/23/2006)
• EMS Information Bulletin #39A Statewide BLS Protocols and AED Utilization (10/31/06)
• EMS Information Bulletin #40 Update to Statewide BLS Protocol Course (11/14/06)
• EMS Information Bulletin #41 Revised Ambulance Licensure Equipment (11/17/06)
• EMS Information Bulletin #42 Changes to Scope of Practice and Equipment (11/17/06)
• EMS Information Bulletin #43 Continuing Education Requirements for ALS Medical Command Authorization (12/01/06)
• EMS Information Bulletin #44 Centralized Registration for the Learning Management System (12/31/06)
• EMS Information Bulletin #45 State Recognized CPR Programs (03/05/007)
• EMS Information Bulletin #46 Comprehensive Laboratory Improvement Amendments (03/19/07)
• EMS Information Bulletin #47 Replacement of Promethazine with Ondansetron (03/19/07)
• EMS Information Bulletin #48 Capnography Frequently Asked Questions (08/14/07)
• EMS Information Bulletin #50 First Responder Equivalences (11/05/07)
• EMS Information Bulletin #51 State Recognized CPR Programs (11/05/07)
• EMS Information Bulletin #52 Recognized Emergency Vehicle Operators Courses (11/05/07)
• EMS Information Bulletin #53 Medical Command Authorization 2007 (12/01/07)
• EMS Information Bulletin #54 Implementation of National EMS Information System (NEMSIS) (12/20/07)
• EMS Information Bulletin #55 National Ski Patrol (02/28/08)
• EMS Information Bulletin #56 Paramedic—PHRN Certification Process (03/05/08)
• EMS Information Bulletin #57 Air Ambulance Guidelines (06/23/08)
• EMS Information Bulletin #58 Emergency Contraception Guidelines (10/07/08)
• EMS Information Bulletin #59 Emergency Vehicle Operator Courses (10/20/08)
• EMS Information Bulletin #60 Amended Continuous Positive Airway Pressure for Basic Life Support (10/27/08)
• EMS Information Bulletin #61 Suspension of Ambulance Driving Privilege (11/13/08)
• EMS Information Bulletin #62 Implementation of Updated Protocols (11/21/08)
• EMS Information Bulletin #63 Basic Life Support Skill Sheets (12/31/08)
• EMS Information Bulletin #64 Operation of Ambulance and Other Emergency Vehicles While at Hospital Emergency Department (01/22/09)
• EMS Information Bulletin #65 State Recognized CPR Programs (01/28/09)
• EMS Information Bulletin #66 Guidelines for CPAP Devices (01/30/09) • EMS Information Bulletin #67 Trauma Patient Destination/Statewide Air Ambulance Transport Protocol (05/06/09)
• EMS Information Bulletin #68 State Recognized CPR Programs (06/30/09)
• EMS Information Bulletin #69 Approved Emergency Vehicle Operator Courses (07/01/09)
• EMS Information Bulletin #70 Guidelines for Reflective Chevrons (09/08/09)
• EMS Information Bulletin #71 Picture Identification Cards (09/08/09)
• EMS Information Bulletin #72 Statewide BLS (605) and ALS (6005) Blast Protocols (09/15/09)
• EMS Information Bulletin #73 (Amended) Paramedic Liability Protection (10/28/09)
• EMS Information Bulletin #74 Stretcher and Wheelchair Vehicle (02/08/10)
• EMS Information Bulletin #75 EMS Provider Examination Policy (04/10/10)
• EMS Information Bulletin 2013-007 Patient Care Report Submissions
• EMS Information Bulletin 2013-005 State Recognized CPR Programs
• EMS Information Bulletin 2011-012 Wind Effects on Ambulance Vehicles
• EMS Information Bulletin 2011-008 Verification of EMS Practitioner Status for Endorsement
• EMS Information Bulletin 2011-007 Re-Entry of EMS Personnel with Expired Certifications prior to NSC of 1995
• EMS Information Bulletin 2011-006 Bed Bug Information
• EMS Information Bulletin 2011-005 Drowning Data Collection
• EMS Information Bulletin 2011-004 ALS and BLS Statewide Protocols Implementation
• EMS Information Bulletin 2011-003 Pediatric Transport Guidelines
• EMS Information Bulletin 2011-002 Implementation of Updated ALS-BLS Statewide Protocols
• EMS Information Bulletin 2011-001 Continuing Education Hour Calculation
• EMS Information Bulletin 2012-015 Yellow DOT
• EMS Information Bulletin 2012-014 Approved Emergency Vehicle Operator Course
• EMS Information Bulletin 2012-013-C State Recognized CPR Programs
• EMS Information Bulletin 2012-011 Picture Identification
• EMS Information Bulletin 2012-010 Drug Shortage
• EMS Information Bulletin 2012-009 EMS Transfer of Care Form
• EMS Information Bulletin 2012-008 Stretcher Vans
• EMS Information Bulletin 2012-007 Defibrillation Doses
• EMS Information Bulletin 2012-004 PA NJ ConEd Document
• EMS Information Bulletin 2013-010 Lapse of Registration
• EMS Information Bulletin 2013-009 Cognitive Exam Acknowledgement Form
• EMS Information Bulletin 2013-008 Expired Medications
• EMS Information Bulletin 2013-007 Patient Care Report Submissions
• EMS Information Bulletin 2013-005 State Recognized CPR Programs
• EMS Information Bulletin 2013-004 ALS/BLS Protocol
• EMS Information Bulletin 2013-003 Mechanical CPR • EMS Information Bulletin 2013-002 Emergency Medical Responder
• EMS Information Bulletin 2013-001 Out of Service Decal
• EMS Information Bulletin 2014-002 Transfer of Care
• EMS Information Bulletin 2014-001 State Recognized CPR Programs
Contact:  Robert Cooney (717) 787-8740

C. Office of Quality Assurance

• QA Annual Report
• Achieving Better Care by Monitoring All Prescriptions (ABC-MAP)
Contact: Christine Filipovich (717) 783-1078

D. Bureau of Facility Licensure and Certification

1. Division of Nursing Care Facilities (Long Term Care Provider Bulletins)

• Abuse, Neglect, Misappropriation of Property by Nurse Aides or Others—LTC PB No. 22 (Reviewed 6/25/14)
• Nurse Aide Registry Update—LTC PB No. 29 (Reviewed 6/25/14)
• Training of Companions/Sitters in T18 or 19 Facilities—LTC PB No. 31 (Reviewed 6/25/14)
• Disposition of Patient Medications—LTC PB No. 35 (Reviewed 6/25/14)
• Exception/Waiver Requests—LTC PB No. 37 (Reviewed 6/25/14)
• Taping of Exit Conference—LTC PB No. 42 (Reviewed 6/25/14)
• Informal Dispute Resolution—LTC PB No. 44 (Reviewed 6/25/14)
• Surety Bond Requirements—Clarification of ''Obligee''—LTC PB No. 48 (Reviewed 6/25/14)
• Department Access to Records at Nursing Homes Pursuant to 35 P. S. § 448.813-LTC PB No. 49 (Reviewed 6/25/14)
• Independent Informal Dispute Resolution (Section 6111 of the Patient Protection and Affordable Care Act of 2010/Sections 1819(h) and 1919(h) of the Social Security Act, 42 U.S.C. §§ 1395i-3(h) and 1396r(h), and 42 C.F.R. § 488.431)—LTC PB No. 2011-12 (Issued December 8, 2011) (Reviewed 6/25/14)
• Department of State Referrals of Licensed Professionals when allegations have been unsubstantiated—LTC PB No. 2012-2-1 (Issued February 14, 2012) (Reviewed 6/25/14)
• Long-Term Care Nursing Facility Independent Informal Dispute Resolution Act, Act 128 of 2011—LTC PB No. 2012-05-1 (Issued May 24, 2012) (Reviewed 6/25/14)
• Provider Bulletin 2012-11-13 Required Reportable Events/Actions by Facility (Issued 11/13/2012) (Reviewed 6/25/14)
• Provider Bulletin 2012-11-29 National Partnership to Improve Dementia Care and Reduce Antipsychotic Drug Use in Nursing Homes (Issued 11/29/2012) (Reviewed 6/25/14)
Contact: Susan Williamson (717) 787-1816

2. Division of Acute and Ambulatory Care

• Abortion Control Act (footnoted)
• Ambulatory Gynecological Surgery in Hospitals and Clinics Regulations (footnoted)
• Abortion: Making a Decision
• Services for Pregnant and Parenting Women
• Application of Abortion Control Act to Abortions Induced by Drugs
• Template (use is optional) for Patient Safety Plan
Contact: Ann Chronister (717) 787-8015

• PA Department of Health Message Board
http://app2.health.state.pa.us/commonpoc/content/FacilityWeb/FacMsgBoard.asp?Distribution=F&Selection=All
• Stroke Center Listing
• Exception Process
• Expedited Exception Process and Request Form for Hospitals and Ambulatory Surgery Facilities
• Exception Committee Procedure: Elective Percutaneous Coronary Interventions (PCI)
• Telemedicine Survey Guidelines and Department of Health Survey Policy-General Statement
Contact: Garrison Gladfelter (717) 783-8980

E. Bureau of Community Programs, Licensure & Certification

• Application for Tanning Registration HD01628F
07/07/2014
• Indoor Tanning FAQs 07/07/2014 Updated: 07/16/2014
Contact:  George Hindson (717) 736-7362

1. Division of Home Health

• Home Health Survey Guideline: Physician Verbal Orders 5/3/2013
• Application forms for a Home Health license and/or Medicare Certification
• Technical Advisory 5/3/2013
• FAQ Regarding Medications
• FAQ Regarding Act 179
• Consumer Notice of Direct Care Worker Status form
• Department of Aging Criminal Background Unit
• Department of Human Services ChildLine
• Directory of Birth Centers and Other Types of Health Care Facilities by County and Survey Results
• Application forms for Birth Center licensure
• American Association for Birth Centers
• American Association for Birth Centers: Standards for Birth Centers
• Application forms for Hospice licensure and/or Medicare certification
• CMS Approved Accreditation Associations: Community Health Accreditation Program (CHAP)
• The Joint Commission (TJC)
• Hospice FAQs
• Search for Hospice agencies by county
• PA Hospice Network
• Hospice Association of America
• National Hospice and Palliative Care Organization
• Application forms for Medicare certification for ESRDs
• ESRD FAQ
• List of Fiscal Intermediaries
• Search for ESRD Survey History by County
• Complete Listing of ESRDs In Your Area
• National Kidney Foundation
• American Association of Kidney Patients
• Centers for Medicare/Medicaid Services
• American Kidney Fund
• ESRD Network 4, Inc.
• Directory of PECCs by county with survey results
• Generic Drug Substitution/Equivalency Overview of Laws/Regulations
• Narrow Therapeutic Index General Information
• Federal Requirements for Electronic Orders and Prescriptions
• Pennsylvania Wholesale Prescription Drug Distributors License Act FAQ
• Submit a New Registration Online
• Renew/Update/Cancel Existing Registration
• Download Blank Application Forms
• Infant Hearing Education Assessment Reporting & Referral (IHEARR) Act
• Registration Requirements for Fitters and Dealers
• Department of State (Board of Speech, Hearing, Audiology & Board of Medicine)
• American Speech & Hearing Association (ASHA)
• National Board Certification Program
• International Hearing Society
Contact: Linda Chamberlain (717) 736-7350

F. Bureau of Family Health

• Lead Case Management Guidelines for Community Health Nurses (2014)
• Screening Young Child For Lead Poisoning: Guidance for State and Local Public Health Officials, Statement by the Centers for Disease Control—11/97 (Federal guidelines adopted by Department)
• Application for Chronic Renal Disease Transportation Services
• Application for Head Injury Program Services (Division of Program Support and Coordination—Form #HD1072F)
• Traumatic Brain Injury Needs Assessment (2003)
• Traumatic Brain Injury State Action Plan (2003)
Contact:  Carolyn Cass (717) 772-2762

• Application for Special Needs Services (Division of Program Support and Coordination-Form #HD1072F)
Contact: Roxann Arbegast-Boes (717) 346-2619

1. Division of Newborn Screening and Genetics

• Universal Newborn Hearing Screening Program Guidelines for Infant Hearing Screening
• Early Hearing Detection and Intervention Program: Pennsylvania Department of Health Early Hearing Detection and Intervention (EHDI) Program Report on Screening and Follow-up for 2004-2006 Births
• Newborn Screening Provider Manual for the Commonwealth of Pennsylvania-Division of Newborn Screening and Genetics Bureau of Family Health
• Brochure to Parents: Pennsylvania Screening Services for Newborn Babies—Protecting Babies, Preventing Problems, Screening Right After Birth, Starting Treatment Early
• Application for Newborn Screening and Follow-up Program-Metabolic Formula Order Form
• Application for Services Metabolic Formula Program Pharmacy Selection Form
• Application for Services Metabolic Formula Program (Form No. HD1072F)
• Application for Services HEALTH INSURANCE BENEFITS INFORMATION SHEET
• Application for Services Certification and Authorization Statements
Contact: Roxann Arbegast-Boes (717) 772-2762

G. Bureau of Women, Infants and Children (WIC)

• WIC State Plan of Operations
Contact: Will Cramer (717) 783-1289

H. Bureau of Communicable Diseases

1. TB Program

• TB Control Manual
• TB Outbreak Response Plan
Contact: Kimberly Fitzpatrick (717)787-6267

2. STD Program

• STD Outbreak Response Plan
• PA NEDSS STD Program Reference Guide (available on line)
• Sexually Transmitted Diseases Treatment Guidelines 2015 (available online) • Testing Guidelines for Obstetricians and Gynecologists for Hepatitis B, HIV and STD
• Program Operation Guidelines for STD Prevention (published by Centers for Disease Control and Prevention (CDC))
Contact: Beth Butler (717) 787-3981

I. Bureau of Health Statistics and Research

• Application for Certified Copy of Birth or Death Record, Form H105.102.
• Form Utilized for Birth Corrections, Form H105.133.
• Death Correction Statement, Form H105.135.
• Application for Multi-Year Search of Birth Record, Form HD1124F.
• Application for Multi-Year Search of Death Record, Form HD 1125F.
• Biological Parent Registration Identification Form, Form H105.700.
• Withdrawal of Biological Parent Consent Form, Form H105.702.
• Statement from Requestors Not Possessing an Acceptable Government Issued Photo-ID, Form HD123F.
• Change in Civil Status Form, Form H105.132.

The following forms are electronically available at www. health.state.pa.us/vitalrecords:
• Application for Certified Copy of Birth Record-Mail Requests, Form HD1105F
• Application for Certified Copy of Death Record-Mail Requests, Form HD1107F
• Form Utilized for Birth Corrections, Form HD1104F
• Death Correction Statement, Form HD1109F
• Application for Multi-Year Search of Birth Record, Form HD1131FW
• Application for Multi-Year Search of Death Record, Form HD1132FW
• Statement from Requestors Not Possessing an Acceptable Government Issued Photo-ID, Form HD123F
• Change in Civil Status Form, Form H105.132Delayed Birth Certificate, Form H105.019
• Certificate of Adoption, Form H105.091
Contact: Kylee Higgins (724) 698-2340

J. Bureau of Laboratories

(Some of these documents are electronically available at http://www.portal.state.pa.us/portal/server.pt/community/laboratories/14158)

• Submission of Rabies Specimens
• General Specimen Submission Form
• CDC Specimen Submission Form
• Compliance with Shipping of Diagnostic Specimen/Etiologic Agent
• Laboratory Submission Form for Viral Encephalitis/Meningitis
• Lyme Disease Testing Form
• Bioterrorism Agents (various) Information
• Sputum Collection for Tuberculosis
• Nasal or Throat Swab Procedure for Virus Isolation
• CDC MERS-CoV Clinical Specimen Guidelines
• Food collection guidelines
• Neisseria gonorrhea collection guidelines
• Water Collection guidelines for Legionella testing
• Stool collection guideline for patient
• Stool collection guideline for public health site
• Bordetella pertussis collection guidelines
• Measles collection guidelines
• Material transfer agreement
• Division of Chemistry and Toxicology contact list
• Division of Laboratory Improvement contact list
• Division of Microbiology contact list
• Division of Chemistry and Toxicology Directory of Services
• Division of Microbiology Directory of Services
• Postmortem Blood Testing on Motor Vehicle Accident Victims-Specimen Submittal Requirements
• Blood Lead Analysis—Specimen Submittal Requirements
• Environmental Lead Analysis—Specimen Submittal Requirements
• Neonatal Testing for Genetic Disorders—Specimen Submittal Requirements
• Blood Alcohol Proficiency Testing Program Requirements
• Blood Lead Proficiency Testing Program Requirements
• Erythrocyte Protoporphyrin Proficiency Testing Program Requirements
• Abused Drugs in Blood Proficiency Testing Program Requirements
• Abused Drugs in Urine Proficiency Testing Program Requirements
• Requirements for Approval of Laboratories that Perform Analyses of Urine for Drugs Subject to Abuse: Limited Service Facilities
• In-State Clinical Laboratory License Application
• Multiphasic Screening Procedure
• Out-of-State Laboratory Licensure Application
• Pennsylvania Clinical Laboratory Permit Application— Mobile Labs
• Pennsylvania Clinical Laboratory Permit Application—Screening Sites
• Instructions for Completing the Out-of-State Clinical Laboratory License Application
• Change of Status Form
• Laboratory Personnel Form
• May 18, 2012 Letter regarding Policy Changes
Contact: Dr. Julia Kiehlbauch (610) 280-3464

K. Bureau of Health Promotion and Risk Reduction

• Why We Recommend Community Water Fluoridation
• Policy for Determining Eligibility and Compliance of Service Providers Currently • Receiving Funding From a Tobacco Company, a Tobacco Company Subsidiary, or Their Agent (6/04)
Contact: Tomas Aguilar (717) 787-6214

L. Bureau of Public Health Preparedness

• State Emergency Registry of Volunteers in Pennsylvania Criminal History Policy and Code of Conduct (2011-01) July 1, 2011
Contact: Jeffrey Backer (717) 346-0640

M. Pennsylvania Center for Practice Transformation and Innovation

1. State Innovation Model Grant

• State Innovation Model Plan
Contact: Stephanie Kuppersmith (717) 547-3103

N. Office of Chronic Care

• List of Participating Practices
• List of Participating Payers
• Participation Agreement
• Aggregated Data by Region
• CMS Agreement
• Practice Performance Assessment Framework Tool
• Steering Committee Composition
• Physician Advisory Group Composition
• NCQA Certification Data
• Learning Sessions Materials
Contact: Stephanie Kuppersmith (717) 547-3103

Many of these documents are also available on the Department of Health's website: http://www.health.state.pa.us

O. Office of Health Equity

• 2012 Health Disparities Report:
http://www.portal.state.pa.us/portal/server.pt?open=18&objID=1373877&mode=2
• PA-Health Equity Tactical Plan 2014-2016: http://www.portal.state.pa.us/portal/server.pt?open=18&objID=1399233&mode=2
• Strategic Imperatives CCT 2014 Background

 (Editor's Note: This document continues with the Department of Human Services (DHS) in Part III at 45 Pa.B. 4571 (August 8, 2015).)

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