Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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PA Bulletin, Doc. No. 97-1229h

[27 Pa.B. 3877]

[Continued from previous Web Page]

INTERNAL GUIDELINES:

PSERS Investment Policy

PSERS Board Minutes and Resolutions

Sample Domestic Relations Order and Instruction Memo

PSERS Employer Reference Manual

Board Bylaws

Board Election Guidelines

Asset Allocation Plan

Board Corporate Governance Voting Policy

PSERS Policy on Public Information

PSERS Business System Final Requirements Document

Contact: Frank Ryder (717) 720-4733

OTHER:

PSERS Annual Financial Report (Includes Mission Statement)

Actuarial Report (annual and 5 year)

Actuarial Tables

Health Options Program Enrollment Package

Contact: Frank Ryder (717) 720-4733

Pennsylvania Municipal Retirement System

POLICY STATEMENTS:

Paying and Tracking Outside Bills and Assets Portability

GUIDANCE MANUALS:

PMRS Notes & News

* PMRS Pamphlets:
Plan Benefit Summary (individualized for each municipality)
Evaluating Your Pension Plan
Pennsylvania Municipal Retirement System

Individual Municipality Plan Benefit Agreements

PMRS Procedures Manual (1984)

DECISIONS:

* PMRS Board of Trustees Adjudications
Topics:
   Death Benefit
Pension Forfeitures
Purchase of Service
Vesting
Miscellaneous

INTERNAL GUIDELINES:

PMRS Investment Guidelines and Proxy Voting

Investment Consultant Quarterly Reports

Comprehensive Annual Financial Report

Annual Report Summary

Actuarial Reports (Annual Evaluation and 5 year Experience Study Report)

Actuarial Tables

Sample Domestic Relations Order and Instruction Memo

PMRS Board Minutes and Resolutions

PMRS Policy on Public Information


PUBLIC WELFARE

   (Editor's Note: Statements of Policy are in upper and lower case. Notices of Rule Change are in all capitals. Notices of Rule Change adopted more than 180 days before deposit are starred (*).

Office of Income Maintenance - Contact: Patricia O'Neal (717-787-4081)

POLICY STATEMENTS:

CodeDateBulletin
YearCitationSubjectIssuedNumber
1983 Ch. 166 Computation of CWEP Hrs. 10/25/83 166-83-57
Ch. 275 Postmark Date as the Recpt. Indicator for Appeals and for Requests for Reconsideration 03/15/84 275-84-10
1984 Ch. 297 Change in Reimbursement Policy for AFDC/SSI 03/15/84 297-84-1
1985 Ch. 187 Definition of Child Born Out-of-Wedlock 11/08/85 00-85-23(T)
1988 Ch. 100 Health Insurance Provisions for Single Point of Contact (SPOC) 05/25/88 100-88-2
1989 Ch. 275 Instructions for Applying the Court Ruling in Juras vs. DPW 06/30/89 275-89-1
1991 *CH. 289 EMERGENCY ASSISTANCE 07/05/91 0289-91-01
*CH. 140 MANDATORY CONTINUATION OF MA THROUGHOUT PREGNANCY AND POSTPARTUM PERIOD 08/20/91 0140-91-01
1993 *CH. 178 MA-EXCLUSION OF RESOURCES FOR SSI-RELATED, AFDC-RELATED AND GA-RELATED CHILDREN UNDER 21 AND FOR SSI-RELATED, AFDC- RELATED AND GA-RELATED FAMILIES WITH CHILDREN UNDER 206/18/93178-93-01
*CH. 141CHRONICALLY NEEDY NON- FINANCIAL ELIGIBILITY DETERMINATION 07/19/93141-93-01
*CH. 166PROVIDING SUPPORTIVE SERVICES TO PARTICIPANTS IN THE COMMUNITY WORK EXPERIENCE PROGRAM 08/21/93166-93-01
1994*CH. 257REVISIONS TO 55 PA. CODE CHAPTER 177 (RESOURCES) AND 257 (REIMBURSEMENT) 06/24/94257-94-01
*CH. 141REVISIONS TO 55 PA. CODE CHAPTERS 171, 147, 166, 177, 178 AND 181: CHANGES TO THE GA NON-FINANCIAL REQUIREMENTS, RELATED MA BENEFITS AND CWEP 09/01/94141-94-01
*CH. 227REVISIONS TO 55 PA. CODE CHAPTER 227 CORRECTION OF UNDERPAYMENTS TO FORMER RECIPIENTS 11/22/94227-94-01
1995*CH. 257MA ESTATE RECOVERY - CHAPTER 178 - MEDICAL ASSISTANCE RESOURCES; CHAPTER 257 - REIMBURSEMENT 06/01/95257-95-01
*CH. 141REVISIONS TO 55 PA. CODE CHAPTERS 141, 178, AND 181: ELIMINATION OF THE TRANSITIONALLY NEEDY (TN) COMPONENT OF THE GENERAL ASSISTANCE (GA) PROGRAM 07/12/95141-95-01
1996CH. 125ACT 1995-20 PROVISIONS RELATING TO PERSONS SENTENCED OR CHARGED FOR A FELONY OR MISDEMEANOR 04/05/96125-96-01
CH. 141CHANGES TO AFDC, GA AND MA REQUIREMENTS AS MANDATED BY THE WELFARE REFORM ACT OF 1996, ACT NO. 1996-35 07/05/96141-96-01
*CH. 501FOOD STAMP DISQUALIFI CATION IMPLEMENTATION 11/16/96501-96-01
1997*CH. 141MINOR PARENT PROVISIONS FOR THE TANF AND GA PROGRAMS 03/03/97141-97-01
*VARIOUSCHANGES TO AFDC, GA, AND MA REQUIREMENTS AS MANDATED BY THE WELFARE REFORM ACT OF 1996, ACT NO. 1996-35, AND AFDC REQUIREMENTS AS MANDATED BY THE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT OF 199603/03/9799-97-1

GUIDANCE MANUALS:

Cash Assistance Handbook

Food Stamp Handbook

Medical Assistance Eligibility Handbook

Nursing Care Handbook

Supplemental Handbook

Medicaid in Pennsylvania

Low-Income Home Energy Assistance Program Final State Plan Actions for Support

Office of Medical Assistance - Contact: Suzanne Love (717-787-1870)

POLICY STATEMENTS:

CodeDateBulletin
YearCitationSubjectIssuedNumber
1981Ch. 1251Clarification of M.A. Bulletin # 22-80-01 08/19/8122-81-01
Ch. 1121Info. Concerning Claims Submitted as Compounded Prescriptions 06/30/8219-82-02
1983Ch. 1181Req. to Hold & Report Unclaimed Patient Funds 12/01/8324-83-04
1984Ch. 1101Third Party Resource and Copay11/01/8499-84-15
Ch. 1163Physician Attestation Statement12/31/8401-84-15
11-84-25
1985Ch. 1141Decision Concerning Prof. Component Billing 01/25/8501-85-01
Ch. 1181Life Care Contracts02/07/8524-85-01
Ch. 1123Policy Clarification03/21/8505-85-02
Ch. 1141Physician Assistant Use04/22/8501-85-05
Ch. 1245, 1163Ambulance Transportation04/22/8511-85-08
Ch. 1181Allowable Depreciation05/20/8534-85-03
Ch. 1163Psych. Inpatient Adm of Patients with D/A and Psychiatric Diagnoses 05/31/8513-85-04
Ch. 1101Copayments/Guidelines/ Exemption for Pregnancy & Ability to Pay 10/17/8599-85-12
Ch. 1153Require. for Treatment Plans & Doc. of Treatment10/31/8529-85-01
33-85-02
Ch. 1181Effect. Date of Change Recipient Level of Care Changes 12/17/8534-85-11
Ch. 1149Clarification of Treatment Plan Requirements for Orthodontists 02/11/8603-86-1
Ch. 1163
Ch. 1151
Offset of Investment Income02/21/8611-86-04
12-86-02
13-86-01
1986Ch. 1181Bona Fide Use of a Recipients' $25 Personal Care Allowance 03/14/8634-86-04
Ch. 1181Policy Clarification Available Income That Exceeds the Patient Pay Amount 05/06/8634-86-05
Ch. 1101.75(a)(5)Policy Clarification07/23/8619-86-06
Ch. 1101Policy Clarification Re: Provider's Signature 09/19/8699-86-06
Ch. 1101Professional License No.10/13/8611-86-12
12-86-05
Ch. 1101Preclusion of Convicted Persons, Not Providers, from Participation or Involvement in the MA Prg. 10/24/8699-86-09
Ch. 1123Durable Medical Equipment Warranties10/28/8605-86-02
19-86-07
Ch. 1101Records Maintenance and Avail. Requirements 11/05/8623-86-02
Ch. 1181PACE Program12/09/8634-86-10
1987Ch. 1101Physicians' Response. Home Health Services 01/12/8701-87-01
Ch. 1223Letter of Agreement-D&A Single County Authorities01/23/8711-87-01
12-87-01
13-87-01
Ch. 1223Contractual Agreement Single County Authority 02/12/8728-87-01
Ch. 1149Palliative Emerg. Treat.04/24/8703-87-02
27-87-01
1987Ch. 1101Records Maint. and Avail. Require. for Chiropractors 04/27/8707-87-01
Ch. 1249Reimbursement-Home Health Services in PCH 05/22/8723-87-01
Ch. 1101Professional Lic. No.06/10/8710-87-01
Ch. 1101Defin. Exm. of Emerg.07/06/8799-87-07
1987Ch. 1223Nonrecompensable Services Drug Screens 07/29/8711-87-05
12-87-04
16-87-01
28-87-02
Ch. 1101/Coverage for Motorized Wheelchairs 07/30/8705-87-02
Ch. 112301-87-08
19-87-06
Ch. 1181Medicare Rate Applied as Upper Limit of Payment 08/10/8734-87-04
Ch. 1101Policy Relating to Apnea Monitors09/02/8701-87-15
05-87-04
19-87-09
Ch. 1150Spec. Enroll. Req. to Bill Tech. Comp. of Ped. Pneumograms 10/07/8705-87-05
19-87-10
1988Ch. 1181Limitations on Payment for Reserved Beds 02/12/881181-88-01
Ch. 1181Medicare Part B Adjustments06/22/881181-88-04
Ch. 1101Policy Clarification Regarding Physician License 07/01/881101-88-01
Ch. 1249Clarification of Condition Under Which MA Recipients Are Considered Homebound 09/26/881249-88-01
Ch. 1181Clarification of Proc. When Bed Changes Occur 12/31/881181-88-03
Ch. 1181OBRA--Nursing Home Reform12/31/881181-88-08
1989Ch. 1181Elimination of Funded Depreciation Requirements 07/15/891181-89-01
Ch. 1181Updated List of OBRA Evaluation Agencies and Terminology to Describe Type 08/05/891181-89-02
Ch. 1101Policy Reminder Regarding Practitioner License Requirements 09/09/891101-89-02
1989Ch. 1181OBRA--Sanctions10/07/891181-89-04
Ch. 1181 OBRA--Transfers and Discharges 10/07/89 1181-89-03
Ch. 1181 Establishment of a Uniform Period for the Recoupment of Overpayments--COBRA 10/21/89 1181-89-05
Ch. 1163 Assignment of DRG (Neonate) 11/18/89 1163-89-01
Ch. 1181 Initial Resident Reviews Required by OBRA-87 Legislation 12/23/89 1181-89-06
1990Ch. 1150 Payment Policy for Consultations 04/27/90 1150-90-01
Ch. 1249 Use of Medicare Form HCFA-485 06/08/90 1249-90-01
Ch. 1181 Dual Participation Requirements for Medicare and Medical Assistance (Revised) 09/28/901181-90-02
1991Ch. 1150 Second Opinion Procedure List 03/22/91 1150-91-01
*CH. 1101
CH. 1121
CH. 1123
CH. 1241
EPSDT - OBRA '8908/02/91 1101-91-01
1121-91-02
1123-91-01
1241-91-01
1992*CH. 1141
*CH 1153
CLOZAPINE SUPPORT SERVICES 01/31/921141-92-01
1153-92-01
Ch. 1181 Charging Nursing Facility Residents for Bed Hold Days When a Hospital Stay Exceeds Fifteen Days 05/01/92 1181-92-03
Ch. 1181 Reimbursement for Hospital Reserved Bed Days 05/01/92 1181-92-04
Ch. 1181 Nursing Facility: OBRA '87 Forms (PASARR-ID) 06/17/92 1181-92-02
Ch. 1241 Revised EPSDT Immunization Guidelines 12/11/92 1241-92-01
1993 *CH. 1153 ACCESSING MENTAL HEALTH SERVICES NOT CURRENTLY INCLUDED IN THE MEDICAL ASSISTANCE FEE SCHEDULE FOR ELIGIBLE CHILDREN AND ADOLESCENTS UNDER 21 YEARS OF AGE 01/01/93 1153-93-01
1993*CH. 1165 PAYMENT FOR MENTAL HEALTH SERVICES PROVIDED IN A RESIDENTIAL TREATMENT FACILITY FOR ELIGIBLE INDIVIDUALS UNDER 21 YEARS OF AGE 01/01/93 1165-93-01
*CH. 1121 CHANGES IN THE MEDICAL ASSISTANCE PHARMACEUTICAL BENEFITS 07/09/93 1121-93-01
*CH. 1149 DENTAL SERVICES FOR ADULTS 07/09/93 1149-93-01
*CH. 1101 BASIC HEALTH CARE FOR ADULT GENERAL ASSISTANCE RECIPIENTS (FELIX ET. AL. V. CASEY ET. AL.) STIPULATION OF SETTLEMENT 07/21/93 1101-93-03
1993*CH. 1101 UPDATE TO EXCEPTIONS PROCESS AND CRITERIA UNDER THE GENERAL ASSISTANCE BASIC HEALTH CARE PACKAGE 07/21/93 1101-93-04
Ch. 1241 Centers for Disease Control Blood Lead Testing 09/03/93 1241-93-01
Ch. 1101 Business Arrangements Between Nursing Facilities and Pharmacy Providers 10/08/93 1101-93-05
1994Ch. 1241 Update to Blood Lead Testing Guidelines 04/08/94 1241-94-01
*CH. 1239 M.A. CASE MANAGEMENT SERVICES FOR RECIPIENTS UNDER THE AGE OF 21 05/17/94 1239-91-01
*CH. 1121 PHARMACEUTICAL SERVICES DRUG COVERAGE FOR MEDICALLY NEEDY IN NURSING FACILITIES 06/24/94 1121-94-01
*CH. 1249 PRIOR AUTHORIZATION OF HOME HEALTH SERVICES (REVISED) 07/01/94 1249-94-02
*CH. 1121 PHARMACEUTICAL SERVICES PRIOR AUTHORIZATION REQUIREMENT MULTISOURCE BRAND NAME DRUGS 08/26/94 1121-94-02
1994*CH. 1121
CH. 1126
CH. 1129
CH. 1141
CH. 1163
CH. 1221
CH. 1225
CH. 1242
TREATMENT OF INFERTILITY DISCONTINUED COVERAGE FOR DRUGS AND RELATED SERVICES08/30/941121-94-03
1126-94-01
1129-04-01
1141-94-01
1163-94-01
1221-94-01
1125-94-01
1242-94-01
*CH. 1101 GENERAL ASSISTANCE RESTRUCTURE AS A RESULT OF ACT 49 09/02/94 1101-94-01
1995 Ch. 1181 Reimbursement of Nurse Aide Training and Testing Fees 04/06/95 1181-95-01
CH. 1153 ACCESSING OUTPATIENT WRAPAROUND MENTAL HEALTH SERVICES 09/08/95 1153-95-01
CH. 1157 MENTAL HEALTH SERVICES PROVIDED IN NON-JCAHO 09/08/95 1157-95-01
CH. 1165 UPDATE-JCAHO-ACCREDITED RTF SERVICES 09/08/95 1165-95-01
Ch. 1163 Revision of Utilization Guidelines for Inpatient Hospital Drug & Alcohol Services 11/06/95 1163-95-01
1995*CH. 1153 PRIOR AUTHORIZATION OF PARTIAL HOSPITALIZATION 12/30/94 1153-95-01
CH. 1163 PAYMENT POLICY FOR ABORTION SERVICES 12/15/95 1163-95-02
1996CH. 1101 LIMITS ON OFFICE VISITS UNDER THE GENERAL ASSISTANCE (GA) BASIC HEALTH CARE PACKAGE 03/18/96 1101-96-01
Ch. 1101 Medical Assistance Deductible 09/20/96 1101-96-02
Ch. 1141Revision to Physician Assistant and Nurse Midwife Supervision Requirement 11/22/96 1141-96-01

GUIDANCE MANUALS:

Provider Handbook 01 - Physician

Provider Handbook 03 - Dentist

Provider Handbook 04 - Podiatrist

Provider Handbook 05 - Medical Supplier

Provider Handbook 06/08 - Short Procedure Unit/Ambulatory Surgical Center

Provider Handbook 07 - Chiropractor

Provider Handbook 09 - Birth Centers

Provider Handbook 10-I - Independent Medical/Surgical Clinic

Provider Handbook 11-I - Inpatient Hospital (Encompasses provider types General Hospital, Rehabilitation Hospital, Private Mental Hospital, State Mental Hospital and Extended Acute Psychiatric Care

Provider Handbook ll-O - Outpatient Hospital (Encompasses provider types General Hospital, and Rehabilitation Hospital

Provider Handbook 15 - Optometrist

Provider Handbook 16 - Independent Laboratory

Provider Handbook 17 - Health Maintenance Organization

Provider Handbook 18 - Ambulance Company

Provider Handbook 19 - Pharmacy

Provider Handbook 20 - Portable X-Ray Provider

Provider Handbook 21 - Renal Dialysis Center

Provider Handbook 22 - Funeral Director

Provider Handbook 23 - Home Health Agency

Provider Handbook 26 - Rural Health Clinic

Provider Handbook 28 - Drug and Alcohol Clinic

Provider Handbook 29 - Outpatient Psychiatric Clinic

Provider Handbook 30 - Family Planning Clinic

Provider Handbook 31 - Midwives

Provider Handbook 33 - Psychiatric Partial Hospitalization Facility

Provider Handbook 36-L - Nursing Facility Services (Encompasses provider types County Nursing Facility and Private Nursing Facility

Provider Handbook 37 - Hospice

Provider Handbook 41 - Psychologist

Provider Handbook 42 - Comprehensive Outpatient Rehabilitation Facility

Provider Handbook 43 - Physical Therapist

Provider Handbook 44 - Certified RN Anesthetist

Provider Handbook 48 - Family Based Rehabilitation Service

Provider Handbook 49 - Certified RN Practitioner

Provider Handbook 50 - Early Periodic Screening, Diagnosis and Treatment (EPSDT) Provider

Provider Handbook 53 - Extended Acute Psychiatric Care

Provider Handbook 54 - Nutritionist

Provider Handbook 55 - PA Department of Aging (PDA) Waiver

Provider Handbook 56 - Attendant Care

Office of Social Programs - Contact: Edward Spreha (717) 783-8741

POLICY STATEMENTS:

CodeDateBulletin
YearCitationSubjectIssuedNumber
1993Ch. 2620 Increase in Personal Needs Allowance for Residents of Personal Care Homes 08/16/93 2620-93-02

GUIDANCE MANUALS:

Bureau of Social Services

Attendant Care Program Fiscal Manual

996-1997 Attendant Care Program Requirements (Note: Revised/Reissued Annually.)

Home and Community-Based Services Waiver (Note: A CSPPPD Document on the Omnibus Budget Reconciliation Act Waiver, #0235.)

Office of Social Programs Independence Waiver

Homeless Assistance Program -- Instructions and Requirements for 1997-1998 - (Note: Revised/Reissued Annually.)

Human Services Development Fund -- 1997-1998 Instructions and Requirements - (Note: Revised/Reissued Annually.)

Human Services Development Fund (HSDF) -- Instructions and Requirements Supplements:

Supplement A -- Eligibility for Adult Services Funded Through the HSDF

Supplement B -- Services Definitions - Adult Services

Supplement C -- Services Definitions - Generic Services

Medical Assistance Transportation Program -- Instructions and Requirements

Medical Assistance Transportation Program -- Policy Clarifications Manual

Interpretive Guidelines for Personal Care Home Regulations -- Chapter 2620

Operating A Personal Care Home

Personal Care Home Administrator Training Requirements

Office of Children, Youth & Families - Contact: Brian G. Kahler 717-787-5199

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