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COMMONWEALTH OF PENNSYLVANIA

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PA Bulletin, Doc. No. 17-1472f

[47 Pa.B. 5303]
[Saturday, September 2, 2017]

[Continued from previous Web Page]

Year Code Citation(s) Subject Date Issued Bulletin Number
Ch. 1121 Prior Authorization of COPD Agents—Pharmacy Service 01/06/16 01-16-03
09-16-03
27-16-03
02-16-03
11-16-03
30-16-03
03-16-03
14-16-03
31-16-03
08-16-03
24-16-03
32-16-03
33-16-03
Ch. 1121 Prior Authorization of Antipsychotics—Pharmacy Service 01/06/16 01-16-08
09-16-08
27-16-08
02-16-08
11-16-08
30-16-08
03-16-08
14-16-08
31-16-08
08-16-08
24-16-08
32-16-08
33-16-08
Ch. 1121 Prior Authorization of Stimulants and Related
Agents—Pharmacy Service 		01/06/16 01-16-05
09-16-05
27-16-05
02-16-05
11-16-05
30-16-05
03-16-05
14-16-05
31-16-05
08-16-05
24-16-05
32-16-05
33-16-05
Ch. 1149 Required Training for the Application of Topical Fluoride Varnish 02/26/16 09-16-10
31-16-10
Ch. 1249 Updates to the Medical Assistance Program Fee Schedule for HHA Nursing Visits 03/10/16 05-06-01
Ch. 1121 Prior Authorization of Anticonvulsants, Oral; Duloxetine Agents; and Neuropathic Pain
Agents—Pharmacy Service 		03/14/16 01-16-09
09-16-11
27-16-09
02-16-09
11-16-09
30-16-09
03-16-09
14-16-09
31-16-11
08-16-09
24-16-10
32-16-09
Ch. 1121 Prior Authorization of Stimulants and Related Agents—Pharmacy Service 03-14-16 01-16-11
09-16-13
27-16-11
02-16-11
11-16-11
30-16-11
03-16-11
14-16-11
31-16-13
08-16-11
24-16-12
32-16-11
33-16-11
Ch. 1121 Prior Authorization of Lipotropics, Other—Pharmacy Service 03/14/16 01-16-10
09-16-12
27-16-10
02-16-10
11-16-10
30-16-10
03-16-10
14-16-10
31-16-12
08-16-10
24-16-11
32-16-10
33-16-10
Ch. 1140 Updates to the Medical Assistance Program Fee Schedule For Healthy Beginnings Plus 03/18/16 01-16-12
05-16-02
08-16-12
31-16-14
33-16-12
47-16-01
Ch. 1101 Enrollment of Ordering, Referring and Prescribing Providers 04/01/16 99-16-07
Ch. 1150 Procedure for Obtaining an 1150 Administrative Waiver for Durable Medical Equipment, Medical Supplies or Prosthetics and Orthotics 04/19/16 09-16-09
24-16-09
25-16-01
31-16-09
Ch. 1101 Revalidation of Medical Assistance (MA) Providers 05/26/16 99-16-10
Ch. 1101 Enrollment of Co-Located Providers 05/31/16 99-16-04
Ch. 1121 Prior Authorization of Provenge (sipuleucel-T)—
Pharmacy Service 		06/13/16 01-16-17
09-16-16
27-16-15
02-16-15
11-16-15
30-16-15
03-16-15
14-16-15
31-16-18
08-16-16
24-16-16
32-16-14
33-16-15
Ch. 1121 Prior Authorization of Antihyperuricemics—Pharmacy Service 06/13/16 01-16-15
09-16-14
27-16-13
02-16-13
11-16-13
30-16-13
03-16-13
14-16-13
31-16-16
08-16-14
24-16-14
32-16-12
33-16-13
Ch. 1121 Prior Authorization of Xofigo (radium Ra 223 dichloride)—Pharmacy Service 06/13/16 01-16-18
09-16-17
27-16-16
02-16-16
11-16-16
30-16-16
14-16-16
31-16-19
08-16-17
24-16-17
32-16-15
33-16-16
Ch. 1123
Ch. 1249 		Face-to-Face Encounter Requirements for Prescribing of Home Health Services Including Durable Medical Equipment and Medical Supplies 06/27/2016 05-16-04
24-16-18
25-16-03
31-16-21
Ch. 1101 2016 Healthcare Common Procedure Coding System (HCPCS) Updates and Other Procedure Code Changes 06/27/2016 99-16-08
Ch. 1150 Observation Services 06/27/2016 01-16-19
14-16-17
27-16-17
31-16-20
Ch. 1121 Prior Authorization of Hereditary Angioedema (HAE) Agents—Pharmacy Services 07/05/16 01-16-22
09-16-20
27-16-20
02-16-19
11-16-19
30-16-19
03-16-19
14-16-20
31-16-24
08-16-20
24-16-22
32-16-18
33-16-19
Ch. 1121 Prior Authorization of Anticoagulants—Pharmacy Services 07/05/2016 01-16-20
09-16-18
27-16-18
02-16-17
11-16-17
30-16-17
03-16-18
14-16-18
31-16-22
08-16-18
24-16-20
32-16-16
33-16-17
Ch. 1121 Prior Authorization of Cephalosporins and Related Agents—Pharmacy Services 07/05/2016 01-16-28
09-16-26
27-16-26
02-16-25
11-16-25
30-16-25
03-16-25
14-16-26
31-16-30
08-16-26
24-16-28
32-16-24
33-16-25
Ch. 1121 Preferred Drug List (PDL) Update July 18, 2016—
Pharmacy Services 		07/05/16 01-16-26
09-16-24
27-16-24
02-16-23
11-16-23
30-16-23
03-16-23
14-16-24
31-16-28
08-16-24
24-16-26
32-16-22
33-16-23
Ch. 1121 Prior Authorization of Antifungals, Topical—Pharmacy Services 07/05/16 01-16-21
09-16-19
27-16-19
02-16-18
11-16-18
30-16-18
03-16-18
14-16-19
31-16-23
08-16-19
24-16-21
32-16-17
33-16-18
Ch. 1121 Prior Authorization of Tetracyclines—Pharmacy Services 07/05/16 01-16-25
09-16-23
27-16-23
02-16-22
11-16-22
30-16-22
03-16-22
14-16-23
31-16-27
08-16-23
24-16-25
32-16-21
33-16-22
Ch. 1121 Prior Authorization of Opiate Overdose Agents—
Pharmacy Services 		07/07/16 01-16-27
09-16-25
27-16-25
02-16-24
11-16-24
30-16-24
03-16-24
14-16-25
31-16-29
08-16-25
24-16-24
32-16-23
33-16-24
Ch. 1121 Prior Authorization of Lipotropics, Other—Pharmacy Services 07/08/16 01-16-24
02-16-21
03-16-21
08-16-22
09-16-22
11-16-21
14-16-22
24-16-24
27-16-22
30-16-21
31-16-26
32-16-20
33-16-21
Ch. 1101 Federal Final Rule, ''Nondiscrimination in Health Programs and Activities'' and Implication for Coverage of Services Related Gender Transition 07/18/16 99-16-11
Ch. 1121 Coverage for Mosquito Repellants 07/18/16 99-16-14
Ch. 1101 Enrollment of Physician Assistants Who Order, Refer and Prescribe for Medical Assistance Beneficiaries 08/03/16 10-16-01
Ch. 1101 Assignment of ACA Categorical Risk Levels and Implementation of Site Visits 08/04/16 99-16-13
Ch. 1101 Electronic Provider Enrollment Application 08/08/16 99-16-12
Ch. 1150 Payment of Claims for Services Provided To Children and Adolescents for the Diagnostic Assessment and Treatment of Autism Spectrum Disorder 08/17/16 99-16-15
Ch. 1150 Medical Assistance Program Fee Increases 08/26/16 05-16-05
1249 For Private Duty/Shift Nursing Services to MA Beneficiaries Under 21 Years of Age 16-16-01
Ch. 1241 Environmental Lead Investigations 09/13/16 01-16-29
08-16-27
09-16-27
31-16-31
33-16-26
55-16-01
Ch. 1121 Prior Authorization of Incretin Mimetic/Enhancer Hypoglycemics—Pharmacy Services 09/30/16 01-16-30
09-16-28
27-16-27
02-16-26
11-16-26
30-16-26
03-16-26
14-16-27
31-16-32
08-16-28
24-16-29
32-16-25
33-16-27
Ch. 1121 Prior Authorization of Botulinum Toxins—Pharmacy Service 10/20/16 01-16-31
09-16-29
27-16-28
02-16-27
11-16-27
30-16-27
03-16-27
14-16-28
31-16-33
08-16-29
24-16-30
32-16-26
33-16-28
Ch. 1101 Services Ordered, Referred, or Prescribed By Graduate Medical or Osteopathic Trainees 11/02/16 01-16-32
31-16-34
Ch. 1101
1225 		MA Program Fee Schedule Updates for Certain Family Planning Services 11/26/16 01-16-33
08-16-31
09-16-30
28-16-02
31-16-35
33-16-29
Ch. 1101
1150
1121 		Federally Qualified Health Center Alternative Payment Methodologies for Delivery Services 11/28/16 08-16-30
Ch. 1121 Addition to the Medical Assistance Program Fee Schedule for Administration of Quadrivalent Flu Vaccine Derived from Cell Cultures 12/23/16 01-17-01
08-17-01
09-17-01
31-17-01
33-17-01
Ch. 1121 Prior Authorization of Opiate Dependence Treatments—Pharmacy Service 01/04/17 01-17-02
02-17-01
03-17-01
08-17-02
09-17-02
11-17-01
14-17-01
24-17-01
27-17-01
30-17-02
31-17-03
32-17-01
33-17-02
Ch. 1101
1150 		Submission of Claims that Require the National Provider Identifier (NPI) of the Ordering, Referring or Prescribing Provider 01/30/17 99-17-02
Ch. 1121 Prior Authorization of Antiparkinson's Agents—
Pharmacy Services 		01/30/17 01-17-06
09-17-05
27-17-04
02-17-04
11-17-04
30-17-05
03-17-04
14-17-04
31-17-06
08-17-05
24-17-04
32-17-04
33-17-05
Ch. 1121 Prior Authorization of Botulinum Toxins—Pharmacy Services 01/30/17 01-17-09
09-17-08
27-17-07
02-17-07
11-17-07
30-17-08
03-17-07
14-17-07
31-17-09
08-17-08
24-17-07
32-17-07
33-17-08
Ch. 1121 Prior Authorization of Bronchodilators, Beta Agonists—Pharmacy Services 01/30/17 01-17-10
09-17-09
27-17-08
02-17-08
11-17-08
30-17-09
03-17-08
14-17-08
31-17-10
08-17-09
24-17-08
32-17-08
33-17-09
Ch. 1121 Prior Authorization of Cytokine and CAM Antagonists—Pharmacy Services 01/30/17 01-17-11
02-17-09
03-17-09
08-17-10
09-17-10
11-17-09
14-17-09
24-17-09
27-17-09
30-17-10
31-17-11
32-17-09
33-17-10
Ch. 1121 Prior Authorization of Analgesics, Narcotic Long Acting and Analgesics, Narcotic Short Acting—Pharmacy Service 01/31/17 01-17-04
09-17-03
27-17-02
02-17-02
11-17-02
30-17-03
03-17-02
14-17-02
31-17-04
08-17-03
24-17-02
32-17-02
33-17-03
Ch. 1121 Prior Authorization of Analgesics, Non-Narcotic Barbiturate Combinations—Pharmacy Service 01/31/17 01-17-05
09-17-04
27-17-03
02-17-03
11-17-03
30-17-04
03-17-03
14-17-03
31-17-05
08-17-04
24-17-03
32-17-03
33-17-04
Ch. 1121 Prior Authorization of Anxiolytics—Pharmacy Services 01/31/17 01-17-07
09-17-06
27-17-05
02-17-05
11-17-05
30-17-06
03-17-05
14-17-05
31-17-07
08-17-06
24-17-05
32-17-05
33-17-06
Ch. 1121 Prior Authorization of Bile Salts—Pharmacy Service 01/31/17 01-17-08
09-17-07
27-17-06
02-17-06
11-17-06
30-17-07
03-17-06
14-17-06
31-17-08
08-17-07
24-17-06
32-17-06
33-17-07
Ch. 1121 Prior Authorization of Nplate (romiplostim)—
Pharmacy Services 		01/31/17 01-17-12
02-17-10
03-17-10
08-17-11
09-17-11
11-17-10
14-17-10
24-17-10
27-17-10
30-17-11
31-17-12
32-17-10
33-17-11
Ch. 1121 Prior Authorization of Pituitary Suppressive Agents, LHRH—Pharmacy Services 01/31/17 01-17-13
02-17-11
03-17-11
08-17-12
09-17-12
11-17-11
14-17-11
24-17-11
27-17-11
30-17-12
31-17-13
32-17-11
33-17-12
Ch. 1121 Prior Authorization of Promacta (eltrombopag)—
Pharmacy Services 		01/31/17 01-17-14
02-17-12
03-17-12
08-17-13
09-17-13
11-17-12
14-17-12
24-17-12
27-17-12
30-17-13
31-17-14
32-17-12
33-17-13
Ch. 1121 Prior Authorization of Sedative Hypnotics—Pharmacy Services 01/31/17 01-17-15
02-17-13
03-17-13
08-17-14
09-17-14
11-17-13
14-17-13
24-17-13
27-17-13
30-17-14
31-17-15
32-17-13
33-17-14
Ch. 1121 Prior Authorization of Stimulants and Related Agents—Pharmacy Services 01/31/17 01-17-16
02-17-14
03-17-14
08-17-15
09-17-15
11-17-14
14-17-14
24-17-14
27-17-14
30-17-15
31-17-16
32-17-14
33-17-15
Ch. 1121 Prior Authorization of Xyrem (sodium oxybate)—
Pharmacy Services 		01/31/17 01-17-17
02-17-15
03-17-15
08-17-16
09-17-16
11-17-15
14-17-15
24-17-15
27-17-15
30-17-16
31-17-17
32-17-15
33-17-16
Ch. 1101 School-Based ACCESS Program Provider Handbook 02/28/17 35-17-01
Ch. 1101 Implementation of Criminal Background Checks for Providers Assigned ACA Categorical Risk Level of High 03/06/17 99-17-03
Ch. 1241 2017 Recommended Childhood and Adolescent Immunization Schedules 04/24/17 99-17-04
Ch. 1121 Prior Authorization of Xolair (omalizumab)—Pharmacy Services 04/27/17 01-17-18
02-17-16
03-17-16
08-17-18
09-17-17
11-17-16
14-17-16
24-17-16
27-17-16
30-17-17
31-17-18
32-17-16
33-17-17
Ch. 1121 Prior Authorization of Ophthalmic Immunomodulators—Pharmacy Services 04/27/17 01-17-19
02-17-17
03-17-17
08-17-19
09-17-18
11-17-17
14-17-17
24-17-17
27-17-17
30-17-18
31-17-19
32-17-17
33-17-18
Ch. 1121 Prior Authorization of Cytokine and CAM Antagonists—Pharmacy Services 04/27/17 01-17-21
02-17-19
03-17-19
08-17-21
09-17-20
11-17-19
14-17-19
24-17-19
27-17-19
30-17-20
31-17-21
32-17-19
33-17-20
Ch. 1129 Opt-In Procedures for Federally Qualified Health Centers and Rural Health Clinics to Receive the Prospective Payment System Rate from Managed Care Organizations 05/30/17 07-17-01
08-17-22
Ch. 1101 Discontinuance of Federally Qualified Health Center Alternative Payment Methodology for Delivery Services in the Federally Qualified Health Center Setting 05/30/17 08/17/17
Ch. 1121 Prior Authorization of Analgesics, Narcotic Long
Acting and Analgesics, Narcotic Short Acting—
Pharmacy Services 		06/07/17 01-17-22
02-17-20
03-17-20
08-17-23
09-17-21
11-17-20
14-17-20
24-17-20
27-17-20
30-17-21
31-17-22
32-17-20
33-17-21
Ch. 1121 Prior Authorization of Cinqair (reslizumab)—Pharmacy Services 06/07/17 01-17-23
02-17-21
03-17-21
08-17-24
09-17-22
11-17-21
14-17-21
24-17-21
27-17-21
30-17-22
31-17-23
32-17-21
33-17-22
Ch. 1121 Prior Authorization of Exondys 51 (eteplirsen)—
Pharmacy Services 		06/07/17 01-17-24
02-17-22
03-17-22
08-17-25
09-17-23
11-17-22
14-17-22
24-17-22
27-17-22
30-17-23
31-17-24
32-17-22
33-17-23
Ch. 1121 Prior Authorization of Multiple Sclerosis Agents—
Pharmacy Services 		06/07/17 01-17-25
09-17-24
27-17-23
02-17-23
11-17-23
30-17-24
03-17-23
14-17-23
31-17-25
08-17-26
24-17-23
32-17-23
33-17-24
Ch. 1121 Prior Authorization of Oncology Agents, Breast Cancer—Pharmacy Services 06/07/17 01-17-26
02-17-24
03-17-24
08-17-27
09-17-25
11-17-24
14-17-24
24-17-24
27-17-24
30-17-25
31-17-26
32-17-24
33-17-25
Ch. 1121 Prior Authorization of Spinraza (nusinersen)—
Pharmacy Services 		06/07/17 01-17-27
02-17-25
03-17-25
08-17-28
09-17-26
11-17-25
14-17-25
24-17-25
27-17-25
30-17-26
31-17-27
32-17-25
33-17-26
Ch. 1101 Updates to the Medical Assistance Copayment Desk Reference 06/26/17 99-17-06
Ch. 1121 Prior Authorization of Hepatitis C Agents—Pharmacy Services 06/28/17 01-17-30
02-17-26
03-17-26
08-17-32
09-17-28
11-17-26
14-17-26
24-17-27
27-17-27
30-17-27
31-17-30
32-17-26
33-17-29
Ch. 1121 Payment for Covered Outpatient Drugs—Pharmacy Services 06/28/17 99-17-09
Ch. 1121 Prior Authorization of Angiotensin Modulators—
Pharmacy Services 		07/13/17 01-17-34
09-17-32
27-17-30
02-17-29
11-17-29
30-17-30
03-17-29
14-17-29
31-17-34
08-17-35
24-17-30
32-17-29
33-17-33
Ch. 1121 Preferred Drug List (PDL) Update July 25, 2017—
Pharmacy Services 		07/21/17 01-17-32
02-17-27
03-17-27
08-17-33
09-17-30
11-17-27
14-17-27
24-17-27
27-17-28
30-17-28
31-17-32
32-17-27
33-17-31
Ch. 1149 Public Health Dental Hygiene Practitioner Enrollment in the Medical Assistance Program 08/01/17 08-17-31
10-17-01
27-17-26

GUIDANCE MANUALS:

• Provider Handbook—Physician—updated 01/2017
• Provider Handbook—Dentist—updated 12/2016
• Provider Handbook—Podiatrist—updated 01/2017
• Provider Handbook—Medical Supplier—updated 01/2017
• Provider Handbook—Short Procedure Unit/Ambulatory Surgical Center—updated 01/2017
• Provider Handbook—Chiropractor—updated 01/2017
• Provider Handbook—Birth Centers—updated 01/2017
• Provider Handbook—Independent Medical/Surgical Clinic—updated 01/2017
• Provider Handbook—Inpatient Hospital (Encompasses provider types General Hospital, Rehabilitation Hospital, Private Mental Hospital, State Mental Hospital and Extended Acute Psychiatric Care—updated 01/2017
• Provider Handbook—Outpatient Hospital (Encompasses provider types General Hospital, and Rehabilitation Hospital)—updated 01/2017
• Provider Handbook—Optometrist—updated 01/2017
• Provider Handbook—Independent Laboratory—updated 01/2017
• Provider Handbook—Ambulance Company—updated 01/2017
• Provider Handbook—Pharmacy—updated 12/2016
• Provider Handbook—Portable X-Ray Provider—updated 01/2017
• Provider Handbook—Renal Dialysis Center—updated 01/2017
• Provider Handbook—Funeral Director—updated 01/2017
• Provider Handbook—Home Health Agency—updated 01/2017
• Provider Handbook—Rural Health Clinic—updated 01/2017
• Provider Handbook—Drug and Alcohol Clinic—updated 01/2017
• Provider Handbook—Outpatient Psychiatric Clinic—updated 01/2017
• Provider Handbook—Family Planning Clinic—updated 01/2017
• Provider Handbook—Midwives—updated 01/2017
• Provider Handbook—Psychiatric Partial Hospitalization Facility—updated 01/2017
• Provider Handbook—Hospice—updated 01/2017
• Provider Handbook—Psychologist—updated 01/2017
• Provider Handbook—Comprehensive Outpatient Rehabilitation Facility—updated 01/2017
• Provider Handbook—Physical Therapist—updated 01/2017
• Provider Handbook—Certified RN Anesthetist—updated 01/2017
• Provider Handbook—Certified RN Practitioner—updated 01/2017
• Provider Handbook—Early Periodic Screening, Diagnosis and Treatment (EPSDT) Provider—updated 01/2017
• Provider Handbook—Nutritionist—updated 01/2017
• Provider Handbook—PA Department of Aging (PDA) Waiver—updated 01/2017
• Provider Handbook—COMMCARE Waiver—updated 01/2017
• Medical Assistance Transportation Program—Instructions and Requirements (Note: Revised/Reissued Annually)

OTHER:

• PA 67 Section 1915(b) Waiver

Office of Long Term Living—Contact: Virginia Brown (717) 783-4510

Year Code Citation(s) Subject Date Issued Bulletin Number
1996 The Addition of Invirase to the Special Pharmaceutical Benefits Progam Formulary 3/01/1996 01-96-06
02-96-04
11-96-05
19-96-06
23-96-02
26-96-05
28-96-04
30-96-04
35-96-03
36-96-03
37-96-01
45-96-01
49-96-05
1998 — Respite Care Nursing Facility Admissions 04/17/98 35-98-06
36-98-06
— Medicare Cost-Sharing Payment for Nursing Facility Residents 07/31/98 35-98-10
36-98-10
1999 Ch. 1187 Capital Component Payments for Post-Moratorium Beds 06/28/99 1187-99-01
35-99-05
36-99-05
2007 Nursing Facility Documentation Requirements for Movable Equipment that is Rented or Leased 12/07/07 03-07-10
2008 Nursing Facility Documentation Requirements for Movable Equipment that is Rented or Leased 07/07/08 03-08-04
Provider Rates for Services Funded through the OBRA, Independence and COMMCARE Waivers 06/25/09 05-09-02
17-09-02
36-09-02
41-09-02
43-09-02
55-09-02
59-09-02
2010 Financial Management Services Rate 12/23/10 05-10-09
51-10-09
52-10-09
55-10-09
59-10-09
Office of Long Term Living Home and Community Based Program Policy Clarification Update (Omnibus Bulletin) 11/23/10 05-10-08
51-10-08
55-10-08
59-10-08
Dual Enrollment for Services funded through OLTL Home and Community-Based Programs and Services funded through the Office of Developmental Programs 10/25/10 05-10-07
51-10-07
52-10-07
55-10-07
59-10-07
Individual Service Plan Development, Review and Implementation Procedures for OLTL Home and Community Based Services 10/20/10 05-10-06
51-10-06
52-10-06
55-10-06
59-10-06
Nursing Home Transition Outreach Form 10/08/10 05-10-05
51-10-05
52-10-05
55-10-05
59-10-05
Department of Aging/Office of Long Term Living Home and Community Based Services Program Policy Clarifications 07/06/10 05-10-04
51-10-04
55-10-04
59-10-04
Fiscal/Employer Agency Standards 06/01/10 54-10-03
Standards and Reimbursement Rates for the Enhanced Older Adult Daily Living Center Program for Medicaid Aging Waiver Participants 04/20/10 03-10-02
41-10-02
55-10-02
2011 Programs
Accessibility Adaptations and Assistive Technology 10/11/11 05-11-07
51-11-07
52-11-07
54-11-07
55-11-07
59-11-07
Community Integration Changes provided in the MA Home and Community-Based Waiver Program 09/29/11 05-11-05
51-11-05
52-11-05
55-11-05
59-11-05
Program Fraud & Financial Abuse in Office of Long Term Living MA Home and Community Based Services (HCBS) Programs 08/08/11 05-11-04
51-11-04
52-11-04
54-11-04
55-11-04
59-11-04
Revised Pennsylvania Preadmission Screening Resident Review Evaluation (PA-PASRR-EV) Form (MA 376.2) 07/06/11 01-11-02
03-11-02
Recession of OLTL Bulletin 05-10-07, 51-10-07, 52-10-07, 5-10-075, 59-10-07 06/30/11 05-11-03
51-11-03
52-11-03
55-11-03
59-11-03
Billing Procedure Codes for Fiscal/Employer Agents (F/EAs) 01/21/11 54-11-01
51-11-01
59-11-01
55-11-01
05-11-01
2012 CH 52 Procedures and Timeframes Related to Performance of Level of Care Assessments and Independent Enrollment Broker Responsibilities (This bulletin supersedes and replaces 55-12-02) 12/31/12 55-12-03
CH. 1187 Nursing Facility Participation Review Process and Guidelines-statement of policy 06/30/12 42 Pa.B. 3748
CH 52
CH 52 		OLTL Service Coordination Rate in Effect
OLTL Rate for Enrollment 		07/14/12 06/30/12 42 Pa.B.4545
42 Pa.B. 381
CH 52 OLTL Fee Schedule Rates established 06/09/12 42 Pa.B. 3343
2013 CH 52 Hearings and Appeals 12/23/13 51-13-12
55-13-12
59-13-12
CH 52 Rescission of Office of Long-Term Living HCBS Directives, Bulletins and Other Policy Documents 12/04/13 05-13-11
51-13-11
55-13-11
59-13-11
CH 52 Addition to the Office of Long-Term Living Standardized Home and Community-Based Services Waiver Participant Informational Materials—Your Appeal and Fair Hearing Rights 11/14/13 05-13-10
51-13-10
55-13-10
59-13-10
CH 52 Statewide Waiting List Guidelines for Office of Long-Term Living Medicaid Waivers and the Act 150 Program 11/05/13 05-13-08
51-13-08
55-13-08
59-13-08
CH 52 Additions to Office of Long-Term Living Standardized HCBS Waiver Participant Informational Materials-Abuse, Neglect and Exploitation and Self-Directed Models of Service 07/12/13 51-13-06
55-13-06
59-13-06
CH 52 OLTL Standardized Home and Community-Based Services Waiver Participant Informational Materials 05/20/13 51-13-04
55-13-04
59-13-04
CH 52 Clarification of type, scope, amount, duration and frequency of services 05/16/13 05-13-05
08-13-05
11-13-05
17-13-05
19-13-05
25-13-05
26-13-05
41-13-05
51-13-05
54-13-05
55-13-05
59-13-05
CH 52 Providing for Absence Policies in the Enhanced Adult Daily Living Centers 03/22/13 03-13-03
41-13-03
55-13-03
CH 52 Billing Instructions-Home and Community Based Waiver Provider's Billing of Procedure Codes Based on Authorized Service Plans through PROMISeTM 02/07/13 05-13-02
51-13-02
54-13-02
55-13-02
59-13-02
CH 52
CH 52 		OLTL Enrollment Fee Increase
OLTL Service Coordination Rate Increase 		01/26/13
01/26/13
CH 52 Maintaining Waiver Eligibility While in an Institution 01/24/13 05-13-01
51-13-01
52-13-01
55-13-01
59-13-01
2014 — Preventable Serious Adverse Events 09/13/14 03-14-08
CH 52 Final Fee Schedule Rates for Personal Assistance Services (Agency)
Final Fee Schedule Rates for Personal Assistance Services (Consumer)
Final Fee Schedule Rates for Service Coordination Services
Service Coordination After-Hours Coverage 		09/13/14

09/13/14 09/13/14
06/19/14 		44 Pa.B. 5935
44 Pa.B. 5935
44 Pa.B. 5935
51-14-07
55-14-07
59-14-07
Financial Management Services Information 05/12/14 51-14-07
54-14-07
55-14-07
59-14-07
Revised Target Resident (MI, ID, ORC) Reporting Form (MA 408)
Revised Pennsylvania Preadmission Screening Resident Review Evaluation (Level II) Form (MA 376.2)
Revised Pennsylvania Preadmission Screening Resident Review Identification (Level I) Form 		02/12/14
02/12/14
02/12/14 		03-14-12
55-14-02
01-14-13
03-14-10
07-14-01 55-14-01
CH 52 Release of OLTL Home and Community-Based Services Provider Handbook 01/30/14 03-14-02
05-14-02
08-14-02
11-14-02
17-14-02
19-14-02
23-14-02
25-14-02
26-14-02
41-14-02
51-14-02
54-14-02
55-14-02
59-14-02
OLTL Home and Community-Based Services Service Authorization Form 01/15/14 51-14-01
55-14-01
59-14-01
2015 CH 52 Critical Incident Management 04/16/15 05-15-02
51-15-02
54-15-02
55-15-02
59-15-02
CH 52 Rescission of HCBS Directives, Bulletins and other Policy Documents 10/27/2015 54-15-03,
59-15-03
Revised Pennsylvania Preadmission Screening Resident Review Identification (Level I) Form (MA 376) 12/15/2015 01-15-04,
03-15-04,
07-15-04,
55-15-04
Revised Pennsylvania Preadmission Screening Resident Review Evaluation (Level II) Form (MA 376.2) 12/15/2015 01-15-05
03-15-05
2016 Medical Assistance Fee Schedule; Addition of Maximum Overtime Rates for Personal Assistance Services (Consumer) and Respite (Consumer) 01/02/16 46 Pa.B. 106
Medical Assistance Fee Schedule Revisions in the Aging, COMMCARE, Independence and OBRA Waivers 01/02/16 46 Pa.B. 107
Overtime and Minimum Wage Requirements in Participant-Directed Models of Service 01/11/2016 54-16-01,
59-16-01
Electronic Submission of Nursing Facilities' MA-11 Cost Reports, Supporting Documentation and Signed Certification Report 03/01/2016 03-16-02
Provider Choice Protocol 03/08/2016 59-16-03
Act 150 Program Guidelines 05/12/2016 54-16-04,
59-16-04
Act 150 Program Sliding Fee Scale for Calendar Year 2016 06/01/2016 54-16-05,
59-16-05
Employment and Employment Related Services 07/26/2016 59-16-07
Individual Service Plan Development, Review, and Implementation
Nursing Home Transition Program Changes Participant Reviews
Home and Community-Based Settings Requirements 		10/14/2016
10/28/2016
12/28/2016
12/28/2016 		59-16-13
59-16-09
59-16-12
59-16-14
Medical Assistance Fee Schedule; Final Rates for Additional Services Added to the COMMCARE and Independence Waivers 11/19/16 46 Pa.B. 7398
2017 Act 150 Program Sliding Fee Scale for Calendar Year 2017 03/24/2017 54-17-01
59-17-01

GUIDANCE MANUALS:

Bureau of Home and Community Based Services

• Aging Medicaid Waiver # 279
• Attendant Care Waiver # 277
• COMMCARE Waiver # 0386
• OBRA Medicaid Waiver # 0235
• Independence Medicaid Waiver # 0319

Community HealthChoices 1915(b)/(c) waiver—effective January 1, 2018

Nursing Facility

• Interpretive Guidelines—interpretations of the 1187 Nursing Facility regulations used during audits of the MA-11 Cost Reports
• Instructions for Financial and Statistical Report—Form MA-11
• MA-11 Cost Report Submission System—End User Manual V.5.1
• Nursing Facility Assessment End User Manual
• Resident Data Reporting Manual
• UB-04 Billing Guide for PROMISeTM Nursing Facilities for County and Nonpublic Nursing Facilities and State Restoration Centers—Nursing facility services only applies to county nursing facilities and nonpublic nursing facilities. Regulations related to payment for nursing facility services can be found under 55 Pa. Code Chapters 1187 and 1189 and does not include intermediate care facilities for persons with an intellectual disability, Federal or State-owned long-term care nursing facilities or Veteran's homes.
• Data Book (Participation Review Workbook)

Office of Children, Youth & Families—Contact: Cathy Utz (717) 705-2912

POLICY STATEMENTS:

Code
Year Citation Subject Date Issued Bulletin Number
1980 Ch. 3140 Funding of Basic Ed. Components of Private Day Treatment Center Programs 10/29/80 99-80-22
1982 Ch. 3130 Notice of Right to Appeal for Spanish-Speaking Clients 12/30/82 3130-82-01
1983 Ch. 3130 Clarification of the Definition of ''Accept for Service'' 02/04/83 3130-83-03
Ch. 3700 Waiver for Foster Family Homes by Foster Family Care Agencies 02/04/83 3700-83-01
Ch. 3130 Clarification of County C & Y Agency Requirements with Respect to Fee Setting 02/04/83 3130-83-04
Ch. 3130 Clarification on Caseworker-to-Family Case Load Ratio & Case Management Functions 02/04/83 3130-83-07
Ch. 3140 Clarification of Adoption Asst. to Relatives in Adoption Cases 05/02/83 3140-83-07
Ch. 3140 3130.64(b)(2), 3130.67(9), 3140.131(7), 3700.35(b)(1) Reimbursement to Parents for the Cost of Child Visits 08/15/83 3130-83-11
3140-83-13
3700-83-03
1984 Ch. 3001 Transmittal of Interdepartment Memo. on Nonimmunized Students Excluded from Attending School 07/08/84 99-84-13
Ch. 3490 Release of Child Abuse Info. to the Media 08/15/84 99-84-20
1985 Ch. 3130 Interstate Compact on Juveniles 09/30/85 99-85-27
Ch. 3490 Providing Copies of Child Abuse Reports to Subjects 11/20/85 99-85-28
1986 Ch. 3490 Law Enforcement Officials as Perpetrators of Suspected Child Abuse 07/15/86 3490-86-04
Ch. 3490 Policy Clarifications Regarding Child Protective Services Law and Regulations as Related to Act 33 04/01/86 3490-86-02
Ch. 3490 Policy Clarifications Regarding Child Protective Services Law and Regulations as Related to Act 33—Part II 06/16/86 3490-86-05
Ch. 3490 Policy Clarifications Regarding Child Protective Services Law and Regulations as Related to Act 33—Part III 11/01/86 3490-86-08
1987 Ch. 3490 Implementation of Child Protective Service Policies Relating to Alleged Medical Neglect of Disabled Infants 05/01/87 3490-87-01
Ch. 3490 Sharing Child Abuse Info Among DPW Offices 09/01/87 3490-87-03
Ch. 3490 Policy Clarification of the Child Protective Services Law and Regulations 06/01/87 3490-87-02
Ch. 3140 Personal Incident Costs 10/01/87 3140-87-05
Ch. 3140
Ch. 3170		OCYF Financial Participation in Costs of County Human Service Departments 08/31/873140-87-02
3170-87-01
1988 Ch. 3490 Screening Student Interns 05/88 3490-88-01
1989 Ch. 3350 Adoption Record Disclosure 07/01/89 3350-89-01
1991 Ch. 3130 Regulatory Interpretation Guidelines for Revisions to Chapter 3130 09/20/91 3130-91-03
1994 Supervised Independent Living Guidelines 07/94 00-94-07
Site Visits and Access to Records by PA Protection and Advocacy, Inc. 08/22/94 00-94-19
1995 Ch. 3490 Amendments to the Child Protective Services Law that Become Effective July 1, 1995 09/05 3490-95-02
1996 Ch. 3490 Certification and Training for Children and Youth Workers 06/20/96 3490-96-03
Surveying and Evaluating Child Welfare Agencies Implementation and Compliance with MEPA 08/15/96 00-96-06
1997 Ch. 3140 Availability of Federal Financial Participation For Profit Residential Child Care Facilities 01/17/97 3140-97-02
Access to Pennsylvania State Police Records 10/01/97 00-97-09
Priority Placement Request Procedures for the Interstate Compact on the Placement of Children 12/01/97 00-97-12
1998 Ch. 3140 MEPA 1994—Small Business 02/07/98 3140-98-03
1997Association of Juvenile Compact Administrators Rules and Regulations Amended Travel Permit 06/01/98 00-98-06
1999 Ch. 3140 Adoption Assistance Questions and Answers 03/17/99 3140-99-01
Ch. 3490 Drug Convictions Prohibiting Hiring and Approving Foster/Adoptive Parent Applications 02/03/99 3490-99-01
Ch. 3490 Implementation of Revisions to the Child Protective Services Law as Amended by Act 127 of 1998 10/01/99 3490-99-02
2000 Ch. 3140 AFCARS Planning, Budgeting and Invoicing Procedures 08/15/00 3140-00-02
Ch. 3490 Child Death Review and Report Protocols 10/10/00 3490-00-01
2001 Ch. 3130 The Second Revised Interim Guidelines for the Adoption and Safe Families Act of 1997 01/02/01 3130-01-01
Ch. 3140 Revised Policies and Procedures: Title IV-E Placement Maintenance Eligibility and Reimbursability, Title IV-E Adoption Assistance Eligibility and Title XX Medicaid Eligibility 04/09/01 3140-01-01
Ch. 3490 Revised Certification and Training Requirements for Children and Youth Supervisors 09/25/01 3490-01-02
2003 Kinship Care Policy 06/30/03 00-03-03
Megan's Law 04/13/03 00-03-02
Ch. 3140 Interstate Compact on Adoption and Medical Assistance 01/01/04 3140-03-02
Ch. 3350 Statewide Adoption Network Policies and Procedures 01/01/03 3350-03-01
Ch. 3490 A.Y. v. DPW/Allegheny County 03/10/03 3490-03-01
Ch. 3490 Federal Criminal History Clearances for PA Residents 04/25/03 3490-03-02
2004 MH/MR Services for Children Placed Out-of-County In Pre-Adoptive or Foster Homes 07/19/04 00-04-02
Ch. 3140 Child Welfare TANF Services Policies and Procedures 05/17/04 3140-04-06
Ch. 3140 Approval/Licensing of Foster Family Homes 04/01/04 3140-04-02
Ch. 3140
Ch. 3490		Child Placements with Emergency
Caregivers 		07/01/04 3140-04-05
3490-04-01
Ch. 3700 Medical Foster Care Services for Children Served by County Children and Youth Agencies 07/01/04 Special Transmittal
2005 Ch. 3490 Implementation of Act 160 of 2004 Amending the Child Protective Services Law 09/01/05 3490-05-01
2006 Federal Financial Participation Rate Change for Title IV-E Placement Maintenance and Adoption Assistance Costs 10/18/06 00-06-05
Ch. 3140 Random Moment Time Study Policy and Procedures—
Juvenile Probation Offices 		07/28/06 3140-06-03
Ch. 3140 Federal Title IV-E and Medicaid Administrative Invoicing Procedures 09/12/06 3140-06-05
Ch. 3140 Random Moment Time Study Requirements Family Service Plan Documentation 10/11/06 Special Transmittal
Ch. 3800 Strategies and Practices to Eliminate Unnecessary Use of Restraint 01/30/06 Special Transmittal
Ch. 3490 Safety Assessment and Planning Process 03/15/06 3490-06-01
2007 FFP Rate Change for Title IV-E Placement Maintenance and Adoption Assistance Costs 04/16/07 00-07-01
Ch. 3490 Protocol to Address Domestic Violence in Families with Child Welfare Involvement 08/03/07 Special Transmittal
2008 Ch. 3350 Expanded Ground for Involuntary Termination of Parental Rights 04/03/08 Special Transmittal
Ch. 3490 Frequency and Tracking of Caseworker Visits to Children in Federally Defined Foster Care05/01/08 3490-08-05
Ch. 3140 Title IV-E Foster Case Maintenance and Adoption Assistance Program Costs Allowable for Federal Financial Participation (FFP) 05/12/08 3140-08-01
Ch. 3350
Ch. 3490
Ch. 3700 		Implementation of Safe and Timely
Placement of Foster Children Act
(P.L. 109-239) 		05/12/08 99-08-01
Ch. 3490 Implementation of Act 126 of 2006 Amending the Child Protective Services Law 03/24/08 3490-08-02
Ch. 3490 Implementation of Act 179 of 2008 And Act 72 of 2007 Amending the Child Protective Services Law 06/27/08 3490-08-03
Ch. 3490 Implementation of New Reporting Requirements As Required by Act 146 of 2006 and Act 179 of 2006 10/01/08 3490-08-04
Ch. 3700 Implementation of Act 68 of 2005 (The Resource Family and Adoption Process Act), Act 73 of 2005 (The Resource Family Care Act), and Act 78 of 2007 10/01/08 3700-08-01
Ch. 3130
Ch. 3350
Ch. 3700 		Impact of Act 109 on Agency Operations 12/29/08Special Transmittal
2009 Act 76 of 2007 01/07/09 Special Transmittal
Ch. 3130
Ch. 3140
Ch. 3700 		Fostering Connections to Success and Increasing Adoptions Act of 2008 02/24/09Special Transmittal
Ch. 3130 Implementation of the Indian Child Welfare Act of 1978 03/09/09 3130-09-01
Ch. 3170 Out of Home Placement Services—Contract Documentation 04/07/09 3170-09-01
Ch. 3170 Out of Home Placement Services—Contract Documentation 08/25/09 3170-09-02
Ch. 3700
Ch. 3800 		Disaster Planning 10/09/09 Letter from Deputy Secretary
Ch. 3800 Strategies and Practices to Eliminate the Use of Unnecessary Restraints 12/19/09 3800-09-01
Ch. 3800 Prone Restraints in Children's Facilities 12/19/09 3800-09-02
Ch. 3140 Implementation of Child Care Funding Policy Beginning State Fiscal Year (SFY) 2010-2011 07/01/09 3140-09-03
Ch. 3130
Ch. 3140 		Fostering Connections to Success and
Increasing Adoptions Act of 2008—Adoption Program Requirements 		12/30/09Special Transmittal
2010 Ch. 3130 Shared Case Responsibility and Procedures
Permanent Legal Custodian		05/03/103130-10-01
3130-10-02
3140-10-03
Educational Portions of ''Non-Educational'' Residential Treatment 01/04/10 OMHSAS-10-02
Ch. 3130 Termination of Parental Rights and Compelling Reasons 01/05/10 Special Transmittal
Ch. 3140 Needs-Based Plan/Budget Amendment 04/20/10 3140-10-01
Ch. 3130 Shared Case Responsibility Policy and Procedures 05/03/10 3130-10-01
YDC/YFC Interim Per Diem Rates Effective July 1, 2010 07/01/10 00-10-01
Ch. 3130 Permanent Legal Custodian Policy 07/30/10 3130-10-02
3140-10-03
Ch. 3130 Change in Process for Verifying Paternity 08/04/10 Special Transmittal
Ch. 3800 Act 45 of 2010 Regarding Restraint Use and Reporting Requirements of Pregnant Females 08/04/10 3800-10-01
Ch. 3130 Implementation of 45 CFR Part 1356 Chafee Nation Youth in Transition Database Part 108/09/10 3130-10-03
Ch. 3130 Educational Stability & Continuity of Children Receiving Services from the County Children & Youth Agency (CCYA) Including the Use of an Education Screen 09/17/10 3130-10-04
Ch. 3130 Clean Indoor Air Act Compliance Guidance 09/17/10 3130-10-05
Ch. 3170 Out of Home Placement Services—Contract Documentation 12/23/10 3170-10-02
Complex Case Planning 12/28/10 00-10-02
2011 Ch. 3130 Basic Health Information Form (CY980) 04/01/11 3130-11-01
Ch. 3350 Implementation of Act 101 of 2010 04/25/10 3350-11-01
Ch. 3490 Developmental Evaluation and Early Intervention Referral Policy Issued 06/07/10; Revised 06/01/11 3490-10-01
Ch. 3140 Fiscal Year 2012-13 Children, Youth and Families Needs-Based Plan and Fiscal Year 2011-12 Implementation Plan Instructions Issued 05/27/11; Revised 06/17/11 3140-11-01
Ch. 3140 Act 148 Invoicing Procedures for County Child Welfare Services 07/06/11 3140-11-02
YDC/YFC Interim Per Diem Rates Effective 7/1/11 09/15/11 00-11-02
Ch. 3130 Youth Independent Living Services Guidelines (and Appendix) 07/08/11 3130-11-04
Ch. 3490 Implementation of Act 201 of 2002 (Safe Haven) 07/15/11 3490-11-01
2012 Master Client Index (MCI) Service Expansion YDC/YFC Interim Per Diem Rates Effective July 1, 2012 02/15/12
08/02/12
00-12-01
00-12-01
Ch. 3490 Statewide General Protective Services (GPS) Response Times 04/13/12 3490-12-01
Ch. 3130, 3680
3800 		Children in Foster Care Act (Act 119 of 2010) 02/10/12 3130-12-02
3680-12-01
3800-12-02
Ch. 3140Random Moment Time Study Policies and Procedures County Children and Youth Agencies 05/07/12 3140-12-02
Ch. 3130 Concurrent Planning Policy and Implementation 05/11/12 3130-12-03
2013 YDC/YFC Interim Per Diem Rates Effective July 1, 2013 10/07/13 00-13-01
Ch. 3140 Fiscal Year 2012/13 Act 148 Invoicing And Medicaid Invoicing Procedures for County Child Welfare Services 05/15/13 3140-13-01
Ch. 3140 County Children and Youth Program Title XX and Title IV-B Procedures 06/28/13 3140-13-04
Ch. 3140 Fiscal Year 2014-15 Children, Youth And Families Needs-Based Plan and Fiscal Year 2013-14 Implementation Plan Instructions 07/03/13 3140-13-03
Ch. 3140 Fiscal Year 2013-14 Act 148 Invoicing And Medicaid Invoicing Procedures for County Child Welfare Services 09/11/13 3140-13-05
Ch. 3140 Federal Title IV-E Invoicing Procedures Manual 10/15/13 3140-13-06
2014 Ch. 3800 Search and Seizure in Programs that Serve Children and Youth 02/28/14 3800-14-01
Information Sharing Policies and Procedures for Communication Between Agencies and Individuals Who Supervise and Care for Children and Youth in Out-of-Home Placement and the Physical Health and Behavioral Health Managed Care Organizations 05/23/14 00-14-01
YDC/YFC Interim Per Diem Rates Effective July 1, 2014 05/30/14 00-14-02
Act 80 of 2012 and Act 91 of 2012 10/16/14 Special Transmittal
Ch. 3130 Youth Independent Living Services Guidelines 12/08/14 3130-14-01
Ch. 3130, 3700, 3800 Implementation of the Sex Offender Registration and Notification Act relating to the Registration of Juvenile Offenders 09/17/14 3130-14-02
3700-14-01
3800-14-02
Ch. 3140 Fiscal Year 2015-16 Children, Youth And Families Needs-Based Plan and Fiscal Year 2014-15 Implementation Plan Instructions 05/14/14 3140-14-01
Ch. 3800 Fiscal Year 2014-15 Act 148 Invoicing And Medicaid Invoicing Procedures for County Child Welfare Services
11/21/14 3140-14-02
Search and Seizure in Programs that Serve Children and Youth 02/28/143800-14-01
2015 YDC/YFC Interim Per Diem Rates Effective July 1, 2015 07/01/15 00-15-02
Ch. 3140Fiscal Year 2016-17 Children, Youth And Families Needs-Based Plan and Fiscal Year 2015-16 Implementation Plan Instructions05/15/153140-15-01
Policy Clarification Termination of Parent Rights for Adoption Assistance 03/27/15
01/08/16		3140-15-01
3140-15-02
 
 
 
2016
 
 
 
 
2017		Ch. 3490
 
 
 
 
Ch. 3140
 
 
 
 
Ch. 3350		Implementation of Child Fatality and Near Fatality Review and Report Protocols As Required by Act 33 of 2008 and Act 44 of 2014
YDC/YFC Interim Per Diem Rates Fiscal Year 2016-2017 and 2017-2018
Fiscal Year 2017-18 Children, Youth and Families Needs-Based Plan and Fiscal Year 2016-17 Implementation Plan Instructions
YDC/YFC Interim Per Diem Rates Fiscal Years 2017-2018 and 2018-2019
Statewide Adoption and Permanency Network Unit of Service Payment Rates and Programmatic Changes		07/15/15
 
 
07/01/16
 

06/06/16
 
 
07/10/17
 
05/23/17		3490-15-01
 
 
00-16-01

 
3140-16-01
 
 
00-17-01
 
3350-17-01

GUIDANCE MANUALS:

• Planning Permanent Families for Children Residing in Mental Retardation Residential Facilities

• Audit Clause Language for Use in All County Child Welfare Service Provider Contracts
• Indirect Costs Under the County Cost Allocation Plan Guidelines
• Reporting of Indirect Costs—County Children and Youth Services
• Local Management Agency Policy and Procedures Manual
• PA Standards for Child Welfare Practice
• Model Petitions and Court Orders
• Foster Care Visitation Manual
• Safety Assessment and Management Process Reference Manual (last updated 06/09)
• Special Transmittal on Safe Sleep Environment Recommendations for Infants One Year of Age and Under (10/28/08)
• Pennsylvania's Child Welfare Practice Model
• Model Set of Standards for Pennsylvania's Multidisciplinary Investigative Teams

INTERNAL GUIDELINES:

• Youth Development Center/Youth Forestry Camp Policy Manual
• Report on Recommended Best Practices for IV-E & TANF Programs

Office of Mental Health and Substance Abuse Services/—Contact: Michelle Rosenberger (717) 783-8067

POLICY STATEMENTS:

Code
Year Citation Subject Date Issued Bulletin Number
1980
 
1981		Ch. 5310
Ch. 4210
Ch. 4226
 
Ch. 4220
Ch. 5100
 
 
Ch. 4226
 
 
Ch. 4000		Fee for Service Funding of Mental Health Community Residential Rehabilitation (CRR) Programs
Office of Mental Health County Program Record Retention Policy
Eligibility of ''At Risk'' Children for MH/MR Services
 
Interpretation of Section 6404.3.2 of the 6400 MH/MR Regulations
Search of Visitors and Residents/Patients at State-Operated Mental Hospitals, Long-Term Care Units and Restoration Centers
Funding of Early Intervention Services for Children Identified as MR, Mentally Disabled, or At Risk
Responsibility for Collection of Tuition Exp. Under Act 199 of 1980 for Out-of-State Residents		12/05/80
 
02/17/81
 
 
05/05/81
 
 
02/20/81
 
 
12/07/81
 
12/21/81
 
03/17/82 		6100-80-02
 
5000-81-01
 
 
99-81-23
 
 
6000-81-02
 
 
99-81-59
 
99-81-49
 
199-82-01
1982 Ch. 4210
Ch. 11
Ch. 5310
Ch. 5310
Ch. 11
 
Ch. 5100
Ch. 11
Ch. 5310
Ch. 11		Procedures for Discharge of Mentally Retarded Patients at State Mental Hospitals
Financial Competency Statements
8600 Letters of Agreement Between CRR Service Providers and County Administrative Programs
Building Occupancy Requirement for CRR Service Providers
Vecchione Competency Determinations, Procedures, and Alternatives
Voting Rights and Procedures
New Vecchione Petition Forms
Community Residential Rehabilitation Services for Young Adult Clients
Monitoring the Guardianship Petitioning Process at State Centers and State Mental Hospitals		04/02/82
 
04/16/82
05/10/82
 
06/25/82
 
07/16/82
 
08/17/82
08/20/82
09/15/81
 
09/24/82		99-82-14
 
99-82-14
8000-82-04
 
8000-82-06
 
99-82-33
 
99-82-36
99-82-39
99-82-50
 
99-82-47
1983 Ch. 1101
1150
 
4210 11
Ch. 5100
 
Ch. 5100
Ch. 5100
Ch. 5310
Ch. 5210
Ch. 5100
Ch. 20 		Payment of Residential Placement Costs for Mentally Retarded or Severely Emotionally Disturbed Children in Residential Facility
Continuity of Care
 
 
Guardianship Petitioning Process—Redeterminations
Informed Consent to Non-Psychiatric Health Care at State Mental Hospitals.
Referral Procedures for ''Guilty But Mentally Ill'' Individuals Notification of State Mental Hospital 302 Commitments
Guidelines for the Development of Children's Community Residential Rehabilitation Services (CRRS) Programs
Patient Care Review Committee
Child and Adolescent Partial Hospitalization Programs Associated with School Programs
Guidelines for Voluntary and Involuntary Patients Refusing Physical Examination on Admission
Expiration of 4th Provisional Cert. of Compliance 		03/08/83
 
 
05/26/83
 
 
07/18/83
08/02/83
08/08/83
08/08/83
09/15/83
 
 
 

09/21/83
11/14/83
 
11/22/83
12/15/83		99-83-10
 
 
99-83-19
 
 
99-82-47
99-83-26
99-83-23
99-83-29
99-83-35
 
 
 
99-83-38
99-83-41
 
99-83-42
99-83-49
1984 
Ch. 13
Ch. 4300
Ch. 4210
Ch. 5100
 
Ch. 4310		Charges for Evaluation and Reports Requested by OVR
Guidelines for the Physical Structure of Seclusion Rooms
County Indirect Cost Allocation Plan Guidelines
 
Continuity of Care
Treatment Team Management
Guidelines for Delivery of MH Forensic Svs. To Persons in Co. Jails & Persons on Prob. Or Parole
Use of Authorized Absence at Discharge
Care and Maintenance Policy
Standards for Psychological Services in State Mental Hospitals and South Mountain Restoration Center		04/13/84
05/01/84
06/13/84
 
06/05/84
08/01/84
08/27/84
 
08/23/84
08/29/84
10/12/84		99-84-11
99-84-19
99-84-22
 
99-84-24
99-84-30
99-84-38
 
99-84-39
99-84-42
99-84-49
1985 Ch. 4300County Indirect Cost Allocation Plan Guideline Update—Maintenance In Lieu of Rent as a Direct Cost (Joint MH/MR Bulletin) 08/22/8599-85-17
Ch. 1153 Requirements for Treatment Plans & Documentation of Treatment 10/31/8529-85-02
33-85-02
Ch. 4210 Readmission from Community Placement Within 30 Days of Discharge 05/03/85 99-85-21
Ch. 5100
 
Ch. 5100
 
Ch. 11
Ch. 4310
Ch. 5100		Administration of Psychotropic Medication to Protesting Patients
Treatment of Persons During Pendency of a 304 or 305 Commitment
Petition
Predischarge Money Management Planning
Care and Maintenance Policy Guidelines for Indigent Certification Guidelines for Use of Electroconvulsive Therapy (ECT)		03/11/85
 
 
 
07/22/85
 
10/28/85
12/10/85
03/05/85 		99-85-10
 
 
 
99-85-19
 
99-85-38
99-85-44
99-86-06
1986 Ch. 4000 Procedures for Review of Service Eligibility and Termination Decisions 01/17/86 99-86-01
Ch. 3490 Implementation of Act 33 of 1985 03/19/86 99-86-11
Ch. 5100 Involuntary Outpatient Commitment
Community Support Programs: Social Security Work Incentives
Education: A Crucial Strategy in the Rehabilitation of the Mentally Ill
Community Support Programs: The Job Training Partnership Act
Families of Mentally Ill Self Help Movement		05/08/86
06/23/86
 
05/21/86
 
 
 
03/18/86
03/18/86		99-86-14
99-86-20
 
99-86-16
 
 
 
99-86-10
99-86-07
1987Ch. 4305Client Liability Community MH/MR Liability 05/21/874305-87-02
Ch. 5100
 
Ch. 4305
 
 
 
 
 
 
Ch. 3490		Notice of Grievance & Appeal Proc. Involuntary Outpatient Commitment
Revised MH/MR Client Liability Community Services Regulations
Model Policy and Procedures AIDS/HIV
Blind/Visually Impaired Patients
The Consumer's Self-Help Alternative
OMH Policy on Application of Act 33 and Administrative Bulletin
00-85-96		09/08/87
 
01/08/87
 
 
07/22/87
01/15/87
01/15/87
 
01/16/87		99-87-23
 
4305-87-01
 
 
99-87-26
99-87-08
99-87-05
 
99-87-04
1988
 
 
 
 
 
 
 
 
1989
 
 
 
 
1990
1991
 
 
 
 
 
 
 
 
 
1992 		Ch. 4305
Ch. 1151
1163
Ch. 1101 1150
 
Ch. 1153
 
Ch. 1101
Ch. 4210
Ch. 1550
 
 
Ch. 5100
 
Ch. 1151
 
Ch. 1153
Ch. 5100
 
 
Ch. 4300
 
 
Ch. 1151
 
 
Ch. 1151
 
Ch. 1153
Ch. 5310
 
Ch. 5310
Ch. 5100
 
 
 
 
Ch. 14 		Quarterly Liability Summaries
MA Revisions to Chapters 1151 and 1163 Regulations
 
Fee Schedule Revisions and Transportation Requirements
 
Do Not Resuscitate (DNR)
Appropriate Billing for Psychiatric Partial Hospitalization Providers and Outpatient Psychiatric Clinics
County Payment Exception for TCM Services
Abatement for Liability for Psychological Evaluations
Signature Requirements
Accessibility of Appropriate MH Services for Persons who are Hearing Impaired
Requirement to Notify County Administrators
SSI Disability for Children
Certification of Need—Medical Assistance Patients Under the Age of 21
Clozaril Monitoring and Evaluation Visit
State Mental Hospital Admission of Involuntary Committed Individuals
Physicians Services Coverage
Annual Income and Expenditure Reports Certification and Appeal Process
Patient/Client Information System
MA Patients Under 21—Certification of Necessity
Transmittal of General Family Based Mental Health Services Program Issues
OMAP Independent Team—Certification of Need—MA Patients Under the Age of 21
Clozapine Support Services
Community Residential Rehabilitation Services (CRRS) Length of Stay Policy
Clarification of CRR Regulation Section 5310.33(e)
Policy and Guidelines on Ensuring the Protection of Human Rights (Patient Rights)
Patient Care Evaluation Studies
MH Crisis Intervention Services Implementation
Community Integrated Employment Program Definitions
Patient Abuse Investigations Investigator's Resource Manual		01/29/88
06/29/88
 
06/30/88
 
07/12/88
03/01/88
 
11/04/88
09/14/89
09/25/89
10/10/89
 
11/28/89
09/27/90
06/24/91
 
11/06/91
08/15/91
06/10/91
 
10/21/91
 
07/01/91
04/30/91
02/27/92
02/21/92
 
01/31/92
04/03/92
 
04/03/92
05/05/92
 
06/24/92
10/15/92
 
11/10/92
12/14/92		4305-88-01
11-88-02
 
00-88-14  
 
00-88-12
00-88-03
 
1101-89-01
00-89-17
00-89-07
00-89-09
 
00-89-12
00-90-24
13-91-01
 
29-91-07
SMH-91-04
SMH-91-03
 
OMH-91-13
OMH-91-09
OMH-91-05
OMH-91-19
13-92-03
01-92-04
OMH-92-05
OMH-92-06
OMH-92-07
SMH-92-01
OMH-92-16
OMH-92-12
OMH-92-14
1993 CH. 1101
 
 
 
 
 
Ch. 5221
Ch. 1101
 
 
Ch. 4210 		PAYMENT FOR MENTAL HEALTH SERVICES PROVIDED IN A RESIDENTIAL TREATMENT FACILITY FOR ELIGIBLE INDIVIDUALS UNDER 21 YEARS OF AGE
Patient Smoking
Tuberculosis Surveillance and Management
Immunization of Patients/Residents and Employees
Resource Coordination Implementation
Cooperation with Utilization Review
MH Crisis Intervention Service Guidelines
 
Medical Assistance for Children		01/01/93
 
 
 
06/15/93
06/15/93
07/09/93
07/30/93
09/17/93
08/09/93
09/15/93		1165-93-07
01-93-04
 
 
SMH-93-02
SMH-93-03
SMH-93-04
OMH-93-09
OMH_93-08
OMH-93-10
00-93-23
Ch. 5221 Intensive Case Management Record Requirement
Providing Service to Persons with Autism/Pervasive Developmental Disorder 		09/21/93
11/09/93		5221-93-01
00-93-29
1994 Ch. 1150
 
 
 
 
 
 
 
 
 
 
 
 
Ch. 1101
 
 
Ch. 1101
 
 
 
Ch. 1153		Outpatient Psychiatric Services For Children Under 21 Years of Age
 
 
 
Responsibilities of South Mountain Restoration/Long Term Care Facilities Regarding Implementation of Nursing Home Reform Legislation
Responsibilities of South Mountain Restoration/Long Term Care Facilities Regarding Implementation of Nursing Home Reform Legislation
180-Day Exception Requests and Invoice Submission Time Frames
180-Day Exception Requests and Invoice Submission Time Frames
Serious Mental Illness: Adult Priority Group
 
Prior Authorization of Partial Hospitalization Services for Children Beyond the Limit of Total Number of Hours
Plan of Care Summary Form Referenced in 01-94-01
Guidelines for Assuring Accessibility of State Mental Hospital Services for Person who are Hearing Impaired		01/11/94
 
 
 
 
 

 
02/14/94
 
 
02/23/94
 
 
 
04/11/94
 
05/27/94
 
03/04/94
 
12/30/94
04/01/94
06/28/94
01-94-01
41-94-01
48-94-01
49-94-01
50-94-01
 
 
OMH-94-03
 
 
OMH-94-02
OMH-94-07
OMH-94-09
 
OMH-94-05
33-94-04
 
01-94-05
SMH-94-02
1995 CH. 1153 ACCESSING OUTPATIENT WRAPAROUND MENTAL HEALTH SERVICES Not Currently Included in the Medical Assistance Program Fee Schedule for Eligible Children Under 21 years of Age 09/08/95 1153-95-01
Ch. 1163Revision of Utilization Guidelines for Inpatient Hospital Drug and Alcohol Services Under the Medical Assistance Program 11/06/9501-95-20
11-95-12
1163-95-01
Ch. 1163Guidelines for Inpatient Hospital Drug And Alcohol Services—Non Availability Of a Non-Hospital Bed 11/06/9501-95-21
11-95-13
12-95-08
Ch. 1150 Mental Health Services Provided In Non-JCAHO Accredited Residential Facility For Children Under 21 Years of Age 09/08/951157-95-01
01-95-12
11-95-08
12-95-04
13-95-01
14-95-01
17-95-05
41-95-03
50-95-03
53-95-01
C. 1101Update—JCAHO—Accredited RTF Services09/08/9501-95-13
11-95-09
12-95-05
13-95-02
14-95-02
17-95-06
41-95-04
50-95-04
53-95-01
Ch. 4000
 
 
Ch. 1101
Ch. 5100
 
 
Ch. 20		 
Room and Board Payments for MH-only Children in Residential
Facilities Which are Not JCAHO Accredited
Signature Requirement
Crime Victim Notification: Act 155 Expanding the Bill of Rights for
Victims of Crime License/Approval Process for Community Based Mental Health Service Programs
Guidelines for Safeguarding Patient Property
Distribution of PARF Position Statement for State Hospital Vocation Adjustment Services
Guidelines for Supporting the Development of Consumer Self-Help		 
04/03/95
 
02/01/95
08/25/95
 
06/12/95
 
03/01/95
03/15/95
 

03/15/95		1165-95-01
4000-95-01
 
 
01-95-01
SMH-95-01
 
OMH-95-08
OMH-95-05
OMH-95-04
OMH-95-03
1996 —
 
Ch. 20
 
Ch. 1150		Summer Therapeutic Activities Program
Procedure for Service Descriptions (for BHRS Providers)
Non-Renewal of Licenses for Community Based Mental Health Providers that have Suspended Services
Procedure for Claiming Federal Reimbursement of Administrative Costs for Medicaid Funded MH services
Tuberculosis Infection Control Program
Implementation of Act 28 of 1995 in OMH-Operated Long Term Care Units and South Mountain Restoration Center		04/25/96
04/29/96
05/24/96
 
06/14/96
 
08/09/96
08/26/96		50-96-03
01-96-11
OMH-96-02
OMH-96-04
SMH-96-01
SMH-96-02
1997 Ch. 14
 
Ch. 4305
 
 
 
 
Ch. 1150		Reporting Alleged Neglect of Care of Dependent Persons under Act 28 of 1995
Quarterly Liability Summaries Supplement and Amendment
Role of State Mental Hospital and Restoration Center Boards of Trustees
Training for EPSDT Expanded Services Providers (Provider Type 50) on Completing MA Invoices
Change in Billing Procedures for Psychotherapy 		01/15/97
 
02/07/97
 
3/21/97
 
07/07/97
07/14/97 		OMH-97-01
00-97-02
 
SMH-97-01
 
50-97-03
 
28-97-06
29-97-06
— Change in Procedure for Requesting and Billing Therapeutic Staff Support (TSS) Services 09/17/97 01-97-16
41-97-02
48-97-02
49-97-06
50-97-05
1998 Ch. 4300Reporting Requirements for Services Funded Through County Base and CHIPP Funds02/17/98 OMH-98-01
Ch. 1223Drug and Alcohol Clinics with Provisional Licenses 03/03/98 28-98-01
1123-98-01
Ch. 1163 Revision of Utilization Guidelines for Inpatient Hospital Drug and Alcohol Services Under the Medical Assistance Program 05/18/981163-98-01
Ch. 5310
 
 
 
Ch. 1153
 
Ch. 1163		Licensing Compliance Prediction Instrument Application in the Licensing of Community Residential Rehabilitation Services
Clozapine Support Services
Change in Billing Procedure for Behavioral Health Rehabilitation Services
Revision of Utilization Guidelines for Inpatient Hospital Drug and Alcohol Services under MA		08/01/98
 
 
 
12/29/98
07/10/98
 
05/18/98		OMH-98-02
01-98-19
 
 
01-98-10
 
01-98-06
1999 — Procedures for Licensed, Enrolled Mental Retardation Providers to Access And Submit Claims for Outpatient Behavioral Health services for Individuals Under 21 years of age 12/03/9917-99-02
50-99-03
Emerich v. Philadelphia Center for Human Development 720 A.2d 1032 (Pa. 1998) (Duty to Ward Third Parties—Tarasoff in Pennsylvania) 09/15/99OMHSAS-99-09
Ch. 1153Medication Management Visit 04/26/9928-99-02
29-99-01
Ch. 1153
 
Ch. 1223
 
 
Ch. 1141
 
 
Ch. 4300		Increase Fees for Outpatient Psychiatric Clinics, Psychiatric Partial
Hospitalization Programs and Outpatient Drug and Alcohol Clinics
Maximum Allowable Rates of Reimbursement for Psychiatric Physicians
Mental Health Research Involving Human Subjects
Sanctions Policy for Noncompliance with MH/MR Income and Expenditure, Consolidated Waiver, and Cost Settlement Reporting Requirements		06/23/99
 
 
 
 

03/24/99
07/28/99
 
11/02/99		28-99-03
29-99-02
33-99-01
 
 
OMHSAS-99-02
OMHSAS-99-06
 
OMHSAS-99-10
2000 Guidelines for Identifying Persons with Mental Retardation and Mental Illness for State Mental Health Hospital Discharge 05/15/00 00-00-04
Ch. 4300 The Roles and Responsibilities of County Mental Health/Mental Retardation Programs in the Development of a Child's Individual Education Program
Clarification of Billing Instructions for Methadone Maintenance Services
Changes in Terminology in MA Program Fee Schedule for Type of Services/Procedure Code AG/W1855
Freedom of Choice for MA Recipients Requiring Behavioral Health Services
Prior Authorization of Therapeutic Staff Support Services		10/04/00
 
 
08/21/00
 
03/13/00
 
12/29/00
 
12/29/00		OMHSAS-00-04
 
 
28-00-03
 
28-00-01
 
01-00-16
 
01-00-13
Ch. 5100 Age of Consent for Voluntary Outpatient Mental Health Treatment 06/18/01OMHSAS-01-04
Accessibility of Community Mental Health and Substance Abuse Services For Persons Who are Deaf, Hard of Hearing, Late Deafened, or Deaf-Blind 10/01/01 OMHSAS-01-06
Ch. 5100 Procedures for Client Rights Grievances and Appeals 08/10/01SMH-01-03
 
 
 
Ch. 4300		Accessibility of State Mental Health Facilities for Persons who are Deaf, Hard of Hearing, or Deaf-Blind
Behavior Specialist Consultant and Mobile Therapist
Community Support Services Fee Schedule
Revisions to Policies and Procedures Relating to Mobile Therapy and Behavioral Specialist Consultant
Addition of Behavioral Health Rehabilitation Services (BHRS) to the MA Fee Schedule
The Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities (RTF)		06/18/01
 
4/26/01
06/01/01
06/01/01
 
06/21/01
 
07/23/01		SMH-01-01
01-01-04
OMHSAS-01-02
01-01-05
01-01-07
 
53-01-01
2002Coordination of treatment and support for people with a diagnosis of serious mental illness who also have a diagnosis of mental retardation 12/17/0200-02-16
Ch. 1223Drug and Alcohol Clinics with Provisional Licenses 10/26/0228-02-02
Ch. 5100Interpretation of Pennsylvania Law Related to 402(b) Commitment 09/12/02OMHSAS-02-04
The Use of Seclusion and Restraint in Mental Health Facilities and Programs 04/08/02 OMHSAS-02-01
Performance Expectations and Recommended Guidelines for the County Child and Adolescent Service System Program (CASSP) 06/06/02OMHSAS-02-02
 
Ch. 1101		Generic Drugs
Documentation and Recordkeeping Requirements
Residential Treatment (RTF) Services Provided in a Secure Setting
Reissue of MA Bulletin Adding BHRS to the MA Program Fee Schedule
Reminder to Providers who Prescribe BHRS of Documentation Requirements		04/01/02
03/21/02
10/01/02
 
 
03/06/02
 
04/03/02		SMH-02-01
29-02-03
01-02-11
 
 
01-02-05
 
01-02-07
2003 Ch. 1223
 
 
 
 
Ch. 4300
 
 
 
 
 

Ch. 1101
 
 
 
 
 
Ch. 1101		Elimination of the Requirement for the Outpatient Drug and Alcohol Clinic's Supervisory Physician to Perform a Comprehensive Medical Examination Within 15 days following the Intake and Before the Provision of Treatment
Community Support Services Fee Schedule
 
Additional Place of Service (Office) for Psychotherapy
Availability of Training for Completion of Provider BHRS Reports
Site Visits and Access to Records by Pennsylvania Protection and Advocacy, Inc.
Process to Handle Residential Treatment Facility Reports of Death, Serious Injury, or Attempted Suicide (Serious Occurrences)
Obligation of MA Providers Participating in Managed Care Delivery System to Comply with MA Regulations
OMHSAS Bulletin Series Update (1980-2003)		10/01/03
 
 
 
 
07/01/03
 
01/06/03
 
01/31/03
 
02/19/03
 
 
06/13/03
 
 
08/01/03
12/19/03		28-03-02
 
 
 
 
OMHSAS-03-01
 
01-03-01
 
01-03-02
 
00-03-02
 
 
53-03-01
 
 
99-03-09
OMHSAS-03-04
2004Ch. 1223 Methadone Take-Home Services
Federally Qualified Health Centers (FQHC) and Rural Health Clinics Providing BHRS
Services for Children Placed Out of County in Pre-Adoptive or Foster Homes
Revised Reporting Requirements for BHRS in the HealthChoices Program
Discontinuation of the Provider BHRS Reports and Issuance of the BHRS Provider Handbook
Revision to STAP Annual Service Description Requirements
Employee and Contractor's Use of Personal Pager and Cellular Telephones		02/01/04
04/02/04
 
07/19/04
 
11/30/04
 
11/30/04
 
12/23/04
 
11/05/04		28-04-01
08-04-01
 
00-04-02
 
08-04-05
 
08-04-06
 
08-04-07
 
SMH-04-02
2005Ch. 1153 Psychological/Psychiatric/Clinical Re-Evaluations and Re-Authorization For Behavioral Health Rehabilitation (BHR) Services for Children and Adolescents with Behavioral Health Needs Compounded by Developmental Disorders 06/24/05 07-05-01
Ch. 5100 Transporting Patients02/28/05 SMH-05-02
Ch. 5100Administrative Transfers between State Mental Hospitals Civil Sections 04/29/05SMH-05-04
Ch. 4300Cost Settlement Policy and Procedures for Community-Based Medicaid Initiatives08/15/05 OMHSAS-05-01
Integrated Children's Services Initiative 06/09/0500-05-05
Quality at the End of Life for Consumers and Residents
Limited English Proficiency (LEP)
MA Program Fee Schedule Procedure Code Changes for Behavioral Health Services
MA Program Fee Schedule Procedure Code Changes for Case Management Services		09/16/05
01/20/05
09/08/05
 
10/27/05		SMH-05-05
00-04-13
08-05-05
 
21-05-03
2006 Memorandum of Understanding Between the Office of Mental Health and Substance Abuse Services and the Pennsylvania Department of Aging 02/01/06OMHSAS-06-01
Service Priority For: Older Adult Population 02/01/06OMHSAS-06-02

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