Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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55 Pa. Code § 4305.19a. Quarterly liability summaries—statement of policy.

§ 4305.19a. Quarterly liability summaries—statement of policy.

 (a)  Form MH/MR 877, titled ‘‘Liability Decision Summary Face Sheet’’ and Form MH/MR 883, titled ‘‘Summary of Write-Offs’’ shall be submitted by counties to the following addresses:

   Office of Mental Health:

 Office of Community Programs Liability Write-Off Reports Room 308, Health and Welfare Building Harrisburg, Pennsylvania 17120

   Office of Mental Retardation:

 The following appropriate Regional Mental Retardation Program Manager:

 Regional Mental Retardation Program Manager Southeast Region 306 State Office Building 1400 Spring Garden Street Philadelphia, Pennsylvania 19130

 Regional Mental Retardation Program Manager Northeast Region 100 Lackawanna Avenue Third Floor, Room 315 Scranton, Pennsylvania 18503

 Regional Mental Retardation Program Manager Central Region 2330 Ararat BoulevardPost Office Box 2675 Harrisburg, Pennsylvania 17105

 Regional Mental Retardation Program Manager Western Region 1403 State Office Building 300 Liberty Avenue Pittsburgh, Pennsylvania 15222

 (b)  Forms MH/MR 877 and MH/MR 883 are due on a quarterly basis on July 10, October 10, January 10 and April 10 of each year. If there are no write-offs or adjustments, reports indicating ‘‘none’’ shall be submitted.

Source

   The provisions of this §  4305.19a adopted February 5, 1988, effective January 29, 1988, 18 Pa.B. 596.



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