55 Pa. Code § 6100.82. HCBS enrollment documentation.

§ 6100.82. HCBS enrollment documentation.

An applicant who wishes to provide an HCBS in accordance with this chapter shall complete and submit the following completed documents to the Department:
   (1)  A provider enrollment application on a form specified by the Department.
   (2)  An HCBS waiver provider agreement on a form specified by the Department.
   (3)  Copies of current licenses as specified in §  6100.81(c) (relating to HCBS provider requirements).
   (4)  Verification of compliance with §  6100.47 (relating to criminal history checks).
   (5)  Verification of completion of the Department’s monitoring documentation.
   (6)  Verification of completion of the Department’s pre-enrollment provider training.
   (7)  Documents required in accordance with applicable Federal and State statutes and regulations.

Cross References

   This section cited in 55 Pa. Code §  6100.805 (relating to vendor goods and services).

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