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PA Bulletin, Doc. No. 97-1708


Notice of 1997 Group One Exceptions Requests; MA/LTC Participation Review

[27 Pa.B. 5543]

   The Department of Public Welfare (Department), by statement of policy effective December 19, 1996, adopted an interim policy announcing that, as a general matter, it intended to exercise its discretion to terminate or to refuse to enter into a MA provider agreement with a provider of nursing facility services that sought to increase the number of MA certified nursing facility beds through enrollment or expansion, unless the Department granted an exception on a case-by-case basis to permit that provider to enroll or expand; or, in the case of an enrolled provider, the provider did not expand by more than ten beds or 10%, whichever was less, over a 2-year period. See 26 Pa.B. 5996 (December 14, 1996). The Department revised its interim policy effective August 11, 1997, to prohibit enrolled nursing facility providers from expanding their existing licensed bed capacity, under any circumstances, without first receiving an exception from the Department. See 27 Pa.B. 4005 (August 9, 1997).

   When it published its initial interim statement of policy, the Department announced its intention to supersede the interim policy with a permanent MA/Long Term Care (LTC) participation review process. To that end, the Department developed a process and guidelines that it intends to use to grant exceptions on a case-by-case basis to its general policy to deny or terminate MA enrollment. The Department anticipates publishing a final policy in the Pennsylvania Bulletin by November 1, 1997, and concluding its review of all exceptions requests received between December, 1996 and June 30, 1997 (collectively referred to as ''Group One'') by the end of December, 1997.

   Under the process and guidelines scheduled to be published by November 1, 1997, the Department has committed to publish a notice in the Pennsylvania Bulletin listing all pending Group One exceptions requests. By this notice, the Department announces the 1997 Group One exceptions requests covering the submission period of December 19, 1996 through June 30, 1997.

New Facility Projects

Number Name Address County Beds
JJ97001 Friends Hall 424 North Matlack Street, West Chester Chester   99
JJ97004 ManorCare--Wexford Wexford Allegheny 120
JJ97005 Home For The Jewish Aged Horsham Township Montgomery 360
JJ97006 Schoolyard Square 11 High Street, Pine Grove Schuylkill   16
JJ97007 Mon Valley Care Center Carroll Township Washington 118
JJ97009 Leader Nursing & Rehab. of Northampton Bethlehem Township Northampton 180
JJ97010 Leader Nursing & Rehab. of Whitehall Whitehall Township Allegheny 150
JJ97019 University of Pittsburgh M C (Montefiore) UPMC Oakland Campus, Pittsburgh Allegheny   30
JJ97024 Hallsworth House Grand Boulevard, Monessen Westmoreland   90
JJ97026 Golden Pond Health & Rehab. Ctr. Lords Valley Pike 150
JJ97035 Clara Burke Community 251 Stenton Avenue, Plymouth Meeting Montgomery   69
JJ97036 Belle Reve Health Care Center Milford Pike 120
JJ97038 Easton Hospital 250 S. 21st Street, Easton Northampton   25
JJ97039 Eastern PA Eastern Star Home 850 Norristown Road, Warminster Bucks   28
JJ97040 Western PA Eastern Star Home 226 Bellevue Road, Pittsburgh Allegheny   38
JJ97042 Pittston Hospital Pittston Luzerne 176
JJ97044 Presbyterian Medical Center 39th and Market Street Philadelphia   50
JJ97048 Eliza Cathcart Home (Westminster) 445 North Valley Forge Road, Devon Chester   67
JJ97053 Dowden Nursing & Rehabilitation Center 3503 Rhoads Avenue, Newtown Square Delaware 194
JJ97054 Lee Hospital Transitional Care Unit 320 Main Street, Johnstown Cambria   18
JJ97056 Germantown Hospital and Medical Center Germantown Philadelphia 180

Expansion Projects

Number Name Address County Beds
JJ97008 Davis Nursing Home 185 S. Mountain Blvd, Mountain Top Luzerne   10
JJ97011 Medbridge--Pittsburgh 1848 Greentree Road, Pittsburgh Allegheny   60
JJ97015 Normandie Ridge (York UM Home) 1700 Normandie Drive, York York   66
JJ97020 Carpenter Care Center Tunkhannock Wyoming   60
JJ97022 Mid Valley Hospital Peckville Lackawanna   60
JJ97023 Mount Lebanon Manor Conv. Ctr. 350 Old Gilkeson Road, Mount Lebanon Allegheny   60
JJ97031 St. Joseph's Manor 1616 Huntingdon Pike, Meadowbrook Montgomery 120
JJ97034 Philadelphia Protestant Home 6500 Tabor Road, Philadelphia Philadelphia   20
JJ97041 Maria Joseph Manor 875 Montour Boulevard, Danville Montour   60
JJ97045 Miners Memorial Medical Center 360 W. Ruddle Street, Coaldale Schuykill   28
JJ97049 Langhorne Gardens Langhorne Bucks   16
JJ97055 Washington County Health Center 36 Old Hickory Ridge Road, Washington Washington   50

   Copies of the above-listed exception requests are available for review by the public during regular business hours. To schedule an appointment to review a request, please call (717) 772-2570.

   The Department will accept written comments related to the requests for a 15 day period following the date of this publication. Written comments may be submitted to: Department of Public Welfare, Bureau of LTC Programs, Attention: Policy Section, MA/LTC Participation Review, P. O. Box 8025, Harrisburg, PA 17105.

   Persons with a disability may use the AT&T Relay Service by calling (800) 654-5984 (TDD users) or (800)654-5988 (voice users). Persons who require another alternative format, should contact Thomas Vracarich at (717) 783-2209.


[Pa.B. Doc. No. 97-1708. Filed for public inspection October 24, 1997, 9:00 a.m.]

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