Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 50 Pa.B. 3192 (June 27, 2020).

Pennsylvania Code



TITLE 55



HUMAN SERVICES

 PART I. Department of Human Services
  Subpart A. General Provisions
    Chapter 9. Regulatory Document Information System   
  Subpart B. Rights
    Chapter 10. General Provisions [Reserved]   
    Chapter 11. Fiscal Advocacy   
    Chapter 13. Use of Restraints in Treating Patients/Residents   
    Chapter 14. Abuse of Patients/Residents   
  Subpart C. Licensing/Approval
    Chapter 20. Licensure or Approval of Facilities and Agencies   
  Subpart D. Hearings and Appeals
    Chapter 30. Licensure or Approval Appeal Procedures [Reserved]   
    Chapter 41. Medical Assistance Provider Appeal Procedures   
  Subpart E. Home and Community-based Services
    Chapter 51. [Reserved]   
    Chapter 52. Long-term Living Home and Community-based Services   
 PART II. Public Assistance Manual
  Subpart A. Assistance Policies and Procedures
    Chapter 100. Statements of Policy   
    Chapter 101. General Provisions   
    Chapter 103. Definitions [Reserved]   
    Chapter 105. Safeguarding Information   
    Chapter 107. Nondiscrimination   
    Chapter 108. Family Violence and TANF and GA General Provisions   
    Chapter 109. Audits   
    Chapter 111. Quality Control   
    Chapter 113. [Reserved]   
  Subpart B. Intake and Redetermination
    Chapter 121. General Intake and Redetermination Provisions   
    Chapter 123. Definitions   
    Chapter 125. Application Process   
    Chapter 127. [Reserved]   
    Chapter 129. [Reserved]   
    Chapter 131. [Reserved]   
    Chapter 133. Redetermining Eligibility   
  Subpart C. Eligibility Requirements
    Chapter 140. Special MA Eligibility Provisions   
    Chapter 141. General Eligibility Provisions   
    Chapter 142. Monthly Reporting   
    Chapter 143. [Reserved]   
    Chapter 145. Age   
    Chapter 147. Residence   
    Chapter 148. MA Residence Provisions for Categorically Needy NMP MA and MNO-MA   
    Chapter 149. Citizenship and Alienage   
    Chapter 150. Citizenship and Alienage Provisions for Categorically Needy NMP-MA and MNO-MA   
    Chapter 151. Specified Relatives   
    Chapter 153. Deprivation of Support or Care   
    Chapter 155. Enumeration   
    Chapter 161. Persons in Institutions   
    Chapter 163. Guardians and Trustees   
    Chapter 165. Road to Economic Self-Sufficiency Through Employment and Training (RESET) Program   
    Chapter 166. Employment and Community Work Experience Program   
    Chapter 167. [Reserved]   
    Chapter 168. Child Care   
    Chapter 169. [Reserved]   
  Subpart D. Determination of Need and Amount of Assistance
    Chapter 171. Budget Group Provisions for AFDC/GA   
    Chapter 175. Allowances and Benefits   
    Chapter 177. Resources   
    Chapter 178. Resource Provisions for Categorically NMP-MA and MNO-MA   
    Chapter 179. [Reserved]   
    Chapter 181. Income Provisions for Categorically Needy NMP-MA and MNO-MA   
    Chapter 183. Income   
    Chapter 187. Support from Relatives Not Living with the Client   
  Subpart E. Verification Process
    Chapter 201. General Verification Provisions   
    Chapter 205. Steps in Verification   
  Subpart F. Disbursements
    Chapter 225. Basic Authorization   
    Chapter 227. Central Office Disbursement   
    Chapter 229. County Disbursement   
    Chapter 231. Checks Requiring Special Handling   
    Chapter 233. Proration and Conversion   
  Subpart G. Restitution and Reimbursement
    Chapter 255. Restitution   
    Chapter 257. Reimbursement   
    Chapter 258. Medical Assistance Estate Recovery   
    Chapter 259. Third-Party Liability   
  Subpart H. Appeal and Fair Hearing
    Chapter 273. [Reserved]   
    Chapter 275. Appeal and Fair Hearing and Administrative Disqualification Hearings   
  Subpart I. Other Income Maintenance Programs
    Chapter 281. Time-Out Benefits   
    Chapter 283. Payment for Burial and Cremation   
    Chapter 285. [Reserved]   
    Chapter 287. Payment for Child Care   
    Chapter 289. Emergency Assistance   
    Chapter 291. Protective and Vendor Payments   
    Chapter 293. Assistance Provided to Refugees   
    Chapter 295. [Reserved]   
    Chapter 297. [Reserved]   
    Chapter 299. Supplemental Security Income Program and State Supplementary Payment Program   
  Subpart K. Blind Persons
    Chapter 451. State Blind Pension   
  Subpart L. Food Stamp Program
    Chapter 501. Food Stamp Discretionary Provisions   
    Chapter 505. [Reserved]   
    Chapter 507. [Reserved]   
    Chapter 515. [Reserved]   
    Chapter 517. [Reserved]   
    Chapter 519. [Reserved]   
    Chapter 521. [Reserved]   
    Chapter 523. [Reserved]   
    Chapter 525. [Reserved]   
    Chapter 527. [Reserved]   
    Chapter 541. [Reserved]   
    Chapter 543. [Reserved]   
    Chapter 544. [Reserved]   
    Chapter 545. [Reserved]   
    Chapter 551. [Reserved]   
    Chapter 561. [Reserved]   
    Chapter 598. [Reserved]   
    Chapter 599. [Reserved]   
  Subpart M. Home Energy Assistance
    Chapter 601. Low Income Home Energy Assistance Program   
  Subpart N. [Reserved]
    Chapter 901. [Reserved]   
 PART III. Medical Assistance Manual
    Chapter 1101. General Provisions   
    Chapter 1102. Shared Health Facilities   
    Chapter 1121. Pharmaceutical Services   
    Chapter 1123. Medical Supplies   
    Chapter 1126. Ambulatory Surgical Center Services and Hospital Short Procedure Unit Services   
    Chapter 1127. Birth Center Services   
    Chapter 1128. Renal Dialysis Services   
    Chapter 1129. Rural Health Clinic Services   
    Chapter 1130. Hospice Services   
    Chapter 1140. Healthy Beginnings Plus Program   
    Chapter 1141. Physicians’ Services   
    Chapter 1142. Midwives’ Services   
    Chapter 1143. Podiatrists’ Services   
    Chapter 1144. Certified Registered Nurse Practitioner Services   
    Chapter 1145. Chiropractors’ Services    
    Chapter 1147. Optometrists’ Services   
    Chapter 1149. Dentists’ Services   
    Chapter 1150. MA Program Payment Policies   
    Chapter 1151. Inpatient Psychiatric Services   
    Chapter 1153. Outpatient Psychiatric Services   
    Chapter 1155. Intensive Behavioral Health Services   
    Chapter 1163. Inpatient Hospital Services   
    Chapter 1181. Nursing Facility Care   
    Chapter 1187. Nursing Facility Services   
    Chapter 1189. County Nursing Facility Services   
    Chapter 1221. Clinic and Emergency Room Services   
    Chapter 1223. Outpatient Drug and Alcohol Clinic Services   
    Chapter 1225. Family Planning Clinic Services   
    Chapter 1229. Health Maintenance Organization Services   
    Chapter 1230. Portable X-ray Services   
    Chapter 1241. Early and Periodic Screening, Diagnosis and Treatment Program   
    Chapter 1243. Outpatient Laboratory Services   
    Chapter 1245. Ambulance Transportation   
    Chapter 1247. Targeted Case Management Services   
    Chapter 1249. Home Health Agency Services   
    Chapter 1251. Funeral Directors’ Services   
 PART IV. Adult Services Manual
  Subpart A. General Provisions [Reserved]
  Subpart B. Eligibility for Services
    Chapter 2050. Eligibility for Services Funded Through the Adult Services Block Grant   
    Chapter 2060. Eligibility for Refugee and Cuban/Haitian Social Services   
    Chapter 2070. Eligibility for Services Funded through the Public Assistance Transportation Block Grant   
  Subpart C. Administration and Fiscal Management [Reserved]
  Subpart D. Nonresidential Agencies/Facilities/Services
    Chapter 2380. Adult Training Facilities   
    Chapter 2390. Vocational Facilities   
    Chapter 2430. Business Enterprises Program   
    Chapter 2440. Social Casework Services Program [Reserved]    
    Chapter 2450. Rehabilitation Teaching Program   
  Subpart E. Residential Agencies/Facilities/Services
    Chapter 2600. Personal Care Homes   
    Chapter 2610. Foster Home Care Services for Adults   
    Chapter 2620. [Reserved]   
    Chapter 2800. Assisted Living Residences   
 PART V. Children, Youth and Families Manual
  Subpart A. General Provisions [Reserved]
  Subpart B. Eligibility for Services
    Chapter 3040. [Reserved]   
    Chapter 3041. Subsidized Child Care Eligiblilty   
  Subpart C. Administration and Fiscal Management
   Article I. [Reserved]
   Article II. County-Administered Services
    Chapter 3130. Administration of County Children and Youth Social Service Programs   
    Chapter 3140. Planning and Financial Reimbursement Requirements for County Children and Youth Social Service Programs   
    Chapter 3150. Grants to Counties for New Social Services for Children and Youth   
    Chapter 3170. Allowable Costs and Procedures for County Children and Youth Social Service Programs   
  Subpart D. Nonresidential Agencies, Facilities and Services
   Article I. Licensing/Approval
    Chapter 3270. Child Day Care Centers   
    Chapter 3280. Group Child Day Care Homes   
    Chapter 3290. Family Child Day Care Homes   
    Chapter 3300. [Reserved]   
    Chapter 3350. Adoption Services   
   Article II. Purchasing [Reserved]
   Article III. County-Administered Services
    Chapter 3480. [Reserved]   
    Chapter 3490. Protective Services   
    Chapter 3500. [Reserved]   
    Chapter 3510. [Reserved]   
    Chapter 3520. [Reserved]   
   Article IV. Demonstration Projects
    Chapter 3620. Demonstration Projects for Child Day Care Services [Reserved]   
  Subpart E. Residential Agencies, Facilities and Services
   Article I. Licensing/Approval
    Chapter 3680. Administration and Operation of a Children and Youth Social Service Agency   
    Chapter 3700. Foster Family Care Agency   
    Chapter 3710. [Reserved]   
    Chapter 3760. [Reserved]   
    Chapter 3800. Child Residential and Day Treatment Facilities   
    Chapter 3810. [Reserved]    
 PART VI. Mental Health/Intellectual Disability/Autism Manual
  Subpart A. Statements of Policy
    Chapter 4000. Foster Care   
  Subpart C. Administration and Fiscal Management
    Chapter 4200. County Board and Program Administration   
    Chapter 4205. Program Administration [Reserved]   
    Chapter 4210. Description of Services and Service Areas   
    Chapter 4215. Annual Plan and Estimate of Expenditures   
    Chapter 4220. Reimbursement for Medications   
    Chapter 4225. [Reserved]   
    Chapter 4226. Early Intervention Services   
    Chapter 4230. Waiver of Service   
    Chapter 4300. County Mental Health and Intellectual Disability Fiscal Manual   
    Chapter 4305. Liability for Community Mental Health and Intellectual Disability Services   
    Chapter 4310. Client Liability—State MH/ID Facilities   
    Chapters 4315 to 4395. [Reserved]   
  Subpart D. Nonresidential Agencies/Facilities/Services [Reserved]
  Subpart E. Residential Agencies/Facilities/Services [Reserved]
 PART VII. Mental Health Manual
  Subpart C. Administration and Fiscal Management
    Chapter 5100. Mental Health Procedures   
  Subpart D. Nonresidential Agencies/Facilities/Services
    Chapter 5200. Psychiatric Outpatient Clinics   
    Chapter 5210. Partial Hospitalization   
    Chapter 5221. Mental Health Intensive Case Management   
    Chapter 5230. Psychiatric Rehabilitation Services   
    Chapter 5240. Intensive Behavioral Health Services   
  Subpart E. Residential Agencies/Facilities/Services
    Chapter 5300. Private Psychiatric Hospitals   
    Chapter 5310. Community Residential Rehabilitation Services for the Mentally Ill   
    Chapter 5320. Requirements for Long-Term Structured Residence Licensure   
 PART VIII. Intellectual Disability and Autism Manual
  Subpart A. Statements of Policy
    Chapter 6000. Statements of Policy   
  Subpart B. Eligibility for Services [Reserved]
  Subpart C. Administration and Fiscal Management
    Chapter 6100. Services for Individuals with an Intellectual Disability or Autism   
    Chapter 6200. [Reserved]   
    Chapter 6201. County Intellectual Disability Services   
    Chapter 6210. Participation Requirements for the Intermediate Care Facilities for the Intellectual Disability Program   
    Chapter 6211. Allowable Cost Reimbursement for Non-State Operated Intermediate Care Facilities for Individuals with an Intellectual Disability   
    Chapter 6250. Commitment and Admission Procedures for Individuals with an Intellectual Disability   
  Subpart D. Nonresidential Agencies/Facilities/Services
   Article I. Licensing/Approval [Reserved]
   Article II. Funding
    Chapter 6350. Family Resource Services   
  Subpart E. Residential Agencies/Facilities/Services
   Article I. Licensing/Approval
    Chapter 6400. Community Homes for Individuals with an Intellectual Disability    
    Chapter 6401. [Reserved]   
    Chapter 6500. Family Living Homes   
    Chapter 6600. Intermediate Care Facilities for Individuals with an Intellectual Disability   

Cross References

   This title cited in 22 Pa. Code §  121.405 (relating to approved child-care facility); 49 Pa. Code §  16.95 (relating to medical records); 49 Pa. Code §  21.284b (relating to prescribing, administering, and dispensing controlled substances); 49 Pa. Code §  40.202 (relating to suspected child abuse—mandated reporting requirements); and 61 Pa. Code §  2.3 (relating to issuance of voucher (Form REV-1601)).



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