Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1032 (February 24, 2024).

6 Pa. Code § 11.403. Additional services.

§ 11.403. Additional services.

 (a)  To supplement the core services required in §  11.123 (relating to core services), centers should consider providing the following additional services:

   (1)  Dentistry. The dentist:

     (i)   Provides basic dental services, including examination and, as necessary, oral prophylaxis and emergency dental care to relieve pain and infection.

     (ii)   Develops and implements written dental services and oral hygiene policies and procedures.

   (2)  Laboratory, radiological and diagnostic services.

     (i)   The center establishes written policies to ensure that laboratory, radiological and diagnostic services are provided as ordered by a physician.

     (ii)   The findings of these services are reported in writing to the physician ordering the services. The center should also keep a record of findings.

   (3)  Pharmacy. A pharmacist:

     (i)   Assists in the development and review of written policies and procedures regarding medication storage, distribution, recording and disposal in the center.

     (ii)   Monitors at least quarterly the implementation of policies and procedures related to medication at the center.

     (iii)   Furnishes the administrator periodically with a written report on the status of medication-related services.

   (4)  Psychiatric or psychological services.

     (i)   The psychiatrist, psychologist, licensed clinical social worker or psychiatric nurse clinician:

       (A)   Provides assessments and reassessments when indicated by the plan of care.

       (B)   Acts as liaison with family members and referral sources that may yield information for psychiatric or psychological treatment.

       (C)   Provides group counseling and techniques as indicated by client need.

       (D)   Provides consultation to staff persons regarding behavioral management, motivation strategies and management of stressful situations such as the death of a client.

       (E)   Supervises implementation of a treatment plan.

     (ii)   Consultant services are indicated when the assessment indicates apparent mental, emotional or behavioral problems that need further assessment/treatment.

   (5)  Podiatry. A podiatrist provides:

     (i)   Examination, diagnosis and treatment when indicated by the plan of care.

     (ii)   Consultation to center staff persons about foot care.

   (6)  Ophthalmology/optometry. An ophthalmologist or optometrist provides:

     (i)   Vision testing and eye examinations.

     (ii)   Prescription of appropriate treatment or vision aids, or both.

     (iii)   Consultation with the center staff regarding techniques for working with clients with visual impairments.

   (7)  Audiology. An audiologist provides:

     (i)   An audiological evaluation.

     (ii)   Prescription of appropriate treatment such as a hearing aid.

     (iii)   Consultation with the center staff persons regarding techniques for working with clients with visual impairments.

   (8)  Other. Other services offered in the center shall meet applicable State and local requirements and professional standards. These services may include, for example, those of a licensed cosmetologist or barber.

 (b)  Additional services may be provided directly or through contractual or other arrangements if appropriate for the center and needed by clients.

 (c)  If offered, services shall be delivered by licensed persons according to the standards of the relevant specialty.



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