Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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PA Bulletin, Doc. No. 99-1295h

[29 Pa.B. 4213]

[Continued from previous Web Page]


HEALTH

POLICY STATEMENTS

Bureau of Drug and Alcohol Programs

   Confidentiality and Student Assistance Programs, January 1992.

   Disclosure of Confidential Information to the Criminal Justice System, October 1992.

   Oral Polio Vaccine, December 1991.

   Provision of Outpatient Treatment Services Within the School Setting, November 1994.

   Reporting of Communicable Diseases, December 1992.

   Requests for Exceptions to Regulations and Requirements in State Plan.

   Single County Authorities Subcontracts with Providers, January, 1997.

   Tuberculosis Testing, September 1992.

Contact: Hector Gonzales (717) 783-8200

Bureau of Managed Care

   Statement of Policy: Approval of Provider Contracting Arrangements Between HMOs, PHOs and IDs

   Statement of Policy: Health Maintenance Organizations and Preferred Provider Organizations

   Statement of Policy: Managed Care Organizations: Quality Health Care Accountability and Protection

Contact: Stacy Mitchell (717) 787-5193

GUIDANCE MANUALS

Bureau of Community Health Systems

   Bathing Place Manual, Part I: Swimming Pools

   Bathing Place Manual, Part II: Bathing Beaches

   Bathing Place Manual, Part III: Hot Tubs and Spas

Contact: Helen Burns, Ph.D. (717) 787-4366

Bureau of Community Program Licensure and Certification

   Free Standing Treatment Facility Guidelines

   Health Care Treatment Facility Guidelines

   Inpatient Hospital Activities Detoxification, Treatment and Rehabilitation Activity Guidelines

   Prevention and Intervention Facility Guidelines

Contact: Cheryl Williams (717) 783-8765

Emergency Medical Services Office

   Air Ambulance Licensure Manual for Air Ambulance Services--Rotorcraft

   Ambulance Licensure Manual for Basic and Advanced Life Support Units

   EMS Complaint Investigation Manual

   EMS Continuing Education Manual

   EMS Training Manual

   Emergency Medical Services Study Guide (Basic Life Support and Advanced Life Support)

   Medical Command Accreditation Manual

   Medical Command Course

   Pennsylvania Emergency Medical Services Continuing Education Handbook for Prehospital EMS Personnel

   Prehospital Care Personnel Manual

   Voluntary Recognition Program for Quick Response Services

   Trauma Patient Triage Protocols

Contact: Margaret E. Trimble (717) 787-8740

Bureau of Family Health

   Case Management and Tracking Protocol for Community Health Nurses, including Protocols for Early Intervention Referrals, August 1995 revision

   Pennsylvania Lead Lab Data Management System (PALL)

   Blood Lead Level Reporting Manual--November 1997

Contact: Kim Strizzi (717) 787-7192

Bureau of Health Planning

   Primary Health Care Practitioner Loan Repayment Program [updated 3/97]

   Loan Forgiveness for Primary Care Practitioners

   Commonwealth of Pennsylvania Appalachian Regional Commission J-1 Visa Waiver Application Procedure [updated 4/97]

   J-1 Visa Waiver Program Appalachian Regional Commission Fact Sheet [updated 4/97]

   State 20 J-1 Visa Waiver Program Application Policy and Procedure [updated 4/97]

   State 20 J-1 Visa Waiver Program Fact Sheet--[updated 4/97]

   Guidelines for Federally-Designated Primary Care Health Professional Shortage Area

   Guidelines for Federally-Designated Mental Health Professional Shortage Area

   Guidelines for Federally-Designated Dental Health Professional Shortage Area

   Guidelines for Federally-Designated Medically-Underserved Shortage Area

   Cardiac Catheterization Instructions

Contact: Leslie Best (717) 772-5298

Bureau of Health Statistics and Research:

   Application for Access to Protected Data, revised August 1997

   User's Guide for Access to Protected Data, revised August 1997

Contact: Craig Edelman (717) 783-2548

INTERNAL GUIDELINES

Bureau of Health Statistics and Research

   Policy and Procedures for Assisted Conception Birth Registrations, September 1995

Contact: Donna Ritchie (724) 656-3287

OTHER

Bureau of Community Program Licensure and Certification

   Complaint Investigations, Licensing Alert 2-96, April 19, 1996

   Distinction between Outpatient and partial hospitalization services, Licensing Alert 3-97, March, 1997

   Group Counseling, Licensing Alert 2-94, November 29, 1994

   Licensed Capacity, Licensing Alert 1-94, November 29, 1994

   Minimum Content Requirements for Pennsylvania Department of Health Approved Curriculum for Tuberculosis and Sexually Transmitted Diseases, Licensing Alert 6-97, June, 1997

   Minimum Content Requirements for Pennsylvania Department of Health Approved HIV/AIDS Curriculum, Licensing alert 1-97, February, 1997

   Physical Examinations, Licensing Alert 1-96, April 19, 1996

   Psychosocial Histories, Licensing Alert 4-96, April 19, 1996

   Relocation, Licensing Alert 3-94, November 29, 1994

   Reporting of Unusual Incidents, Licensing Alert 5-97, May, 1997

   Request for Exceptions to Regulations, Licensing Alert 4-97, March, 1997

   Rescheduling of LAAM, Licensing Alert 2-98, January, 1998

   Rescission of Shelter, Drop-in and Hot-line Regulations, Licensing Alert 1-98,

   Restrictions on Licenses/Certificates of Compliance/Approval, Licensing Alert 2-97

   Scheduling of Licensing Inspections, Licensing Alert 3-96, April 19, 1996

   Unannounced Visits, Licensing Alert 5-96, April 19, 1996

Contact: Cheryl Williams (717) 783-8765

   Abortion Control Act (footnoted)

   Ambulatory Gynecological Surgery in Hospitals and Clinics Regulations (footnoted)

Contact: John Hair (717) 783-8665

Division of Home Health

   New Licensure Application Directives

   Enforcement of Act 1996-169 and 1997-13

Contact: Aralene Trostle (717) 783-1379

Bureau of Health Planning

   State Health Improvement Plan

Contact: Lewis H. Wolkoff (717) 783-1410

Emergency Medical Services Office

   Pennsylvania EMS Report

   State Emergency Medical Services System Development Plan

Contact: Margaret E. Trimble (717) 787-8740

Bureau of Facility Licensure and Certification (Long Term Care Provider Bulletins)

   Long Term Care Provider Bulletin No. 22, July 1, 1991, revised June 1995

   Medicare Certification Letter (May 1988)

   Licensure Guidelines (September 1988)

   Criteria for Exceptions to State Regulation 211.12(7)(I) Staffing (December 1988)

   Influenza in Nursing Homes (February 1989)

   Licensure Guidelines--Pennsylvania Long Term Care Regulation 201.18(j)(2) Patient Funds (April 1989)

   Heavy Care/ICF Services (April 1989)

   Influenza and TB Control (November 1989)

   L-tryptophan (LT) Update (January 1990)

   Deficiencies at Exit Conference (February 1990)

   Draft of Proposed Resident Rights Provision Long Term Care Regulation 201.29 (June1990)

   HSQR Letter-Sarrassat and Sullivan Long Term Care Survey Modifications (June 1990)

   Physician's Participation in Resident Care Planning (July 1990)

   Nurse Aide Registry (July 1990)

   Salmonella Enteritidis-Guidelines for Eggs (July 1990)

   Exception Regulation 211.9. 211.1 Pharmacy and Infection Control Committee Composition and Functions (July 1990) and Functions (July 1990)

   MRSA Guidelines (August 1990)

   HSQ Letter Regarding Admission/Discharge/Transfer (September 1990)

   Transmission of Physicians Orders by Fax (November 1990)

   Resident Assessment State Designated Instrument (effective January 31, 1991) (December 1990)

   Sarrassat/Sullivan-Medicare Billing Notice and Billing Requirements (March 1991)

   Admission/Treatment of AIDS, AIDS Related Conditions (May 1991)

   Resident Assessment/Plan of Care Requirements for State Licensure (June 1991)

   Nurse Aide-Enrollment Information (July 1991)

   Use of Geri Chair-Conflict in State and Federal Regulations (October 1991)

   Visiting Hours-State Regulations in Conflict-OBRA (October 1991)

   Resident Assessment-HSQR Letter Regarding Documentation Requirements HCFA (November 1991)

   Potential Hazards of Restraint Devices-FDA Alert (January 1992)

   Nurse Aide Registry Update (March 1992)

   Resident Assessment-HSQR Letter Clarification of Assessment Requirements and Use of Section II Background Information (April 1992)

   Training of Companions/Sitters in T18 or 19 Facilities (April 1992)

   Advisory Bulletin Regarding Accidental Ingestion of Ceramic Glazes (July 1992)

   Sclavo TB Testing Products (October 1992)

   Adjustment of Licensure Fees (January 1993)

   Disposition of Patient Medications (April 1993)

   Advance Directives for Health Care/Durable Power of Attorney/Do Not Resuscitate Orders (May 1993)

   Exception/Waiver Requests (June 1993)

   Federal Clarification of RAI Issues-Amended (August 1993)

   MDS PA Supplement Data Transmission Confidentiality (August 1993)

   Potential Hazard of Unrefrigerated Garlic, Spice-in-oil Mixes (September 1993)

   Incident/Accident Reporting Procedures (December 1993)

   Taping of Exit Conference (January 1994)

   Precautions for Excessive Temperatures (June 1994)

   Informal Dispute Resolution (September 1995)

   Minimum Data Set (MDS)-How to Count Assessment Days

   Ban on Use of Egg Breaking Centrifuges

   Pennsylvania Nurse Aide Registry on Worldwide Web

   Surety Bond Requirements--Clarification of Obligee

   Department Access to Records at Nursing Homes Pursuant to 35 P. S. § 448.813

Contact: William A. Bordner (717) 787-1816

   Notice of Intent to Apply Uniform Standard to Both Skilled and Intermediate Care Patients in Long Term Care Facilities (Nursing Hours)

Contact: William A. Bordner (717) 787-1816

Division of Acute and Ambulatory Care

   Inpatient Care in Outpatient Settings

   Guidelines to Determine the Issuance of Separate or Multiple Hospital License(s) Immediate Presence

   Ninety-day Advance Notice Requirement for Changes in Ownership, Structure or Name

   Resident Choice of Pharmacy Provider

   Vancomycin Resistant Enterococci (VRE) Recommendations

Contact: Elaine Gibble (717) 783-8980

Bureau of Family Health

   Screening Young Child For Lead Poisoning: Guidance for State and Local Public Health Officials, Statement by the Centers for Disease Control--November 1997 (federal guidelines adopted by PA)

   Application for Chronic Renal Disease Transportation Services

   Application for Services (Division of Special Health Care Programs-Form #HD1072F and Guidelines for Completion

Contact: Kim Strizzi (717) 787-7192

   WIC State Plan of Operations

Contact: Frank Maisano (717) 783-1289

Bureau of Health Statistics and Research

   Application for Certified Copy of Birth or Death Record, Form H105.102.

   Applying for a Birth Certificate, Form H302.145P.

   Searching Your Family Tree, Form H105.182P

   Publication Request Form

Contact: Donna Ritchie (724) 656-3287
(except Publication Request Form, contact Donna Livering (717) 783-2548)

Bureau of Laboratories

   Submission of Rabies Specimens

   General Specimen Submission

   Compliance with Shipping of Diagnostic Specimen/Etiologic Agent

Contact: Richard E. Berman (610) 363-8500

   Postmortem Blood Testing on Motor Vehicle Accident Victims--Specimen Submittal Requirements

   Blood Lead Analysis--Specimen Submittal Requirements

   Environmental Lead Analysis--Specimen Submittal Requirements

   Neonatal Testing for Genetic Disorders--Specimen Submittal Requirements

Contact: M. Jeffrey Shoemaker, Ph.D. (610) 363-8500

   Clinical Laboratory Application Procedure

   Complaint Handling Procedure

   Glucose/Cholesterol Screening Procedure

   Multiphasic Screening Procedure

   Out-of-State Laboratory Licensure/Certification Procedure

   Physicians' Office Policy

   Nursing Home Policy

   Proficiency Testing Evacuation Procedure

Contact: Joseph Gasiewski (610) 363-8500

Bureau of Managed Care

   Requirements Regarding Prior Approval of Special Delivery Systems to Serve MA Recipients

   Service Area Expansion Guidelines

   Technical Advisory 1996-1: Criteria for HMO Approval of Special Needs Members Selection of a Specialist as Their Primary Care Physician-Health Choices Program

   HMO Technical Assistance Advisory 95-1: Exemption Request for CRNPs to Serve as Primary Care Providers

   Guidelines and Technical Advice to HMO Applicants Regarding Provider Contracts

   Guidelines and Technical Advice to HMO Applicants Regarding Member Grievance Procedures

   Guidelines and Technical Advice to HMO Applicants Regarding Quality Assurance Program Standards

   Guidelines and Technical Advice Regarding Credentialing Systems

   Application for Certification as a Utilization Review Entity

Contact: Stacy Mitchell (717) 787-5193

Bureau of Chronic Diseases & Injury Prevention

   Abortion: Making a Decision

   Directory of Services

Contact: Emilie Tierney (717) 787-5900


INSURANCE

NOTICES:

Executive Office

Executive Office: Insurance Department Notices

No.DateDescription
08/28/1986Ceding Credit Life/Accident and Health Insurance to Insurers Owned by Agents, Brokers or Creditors
06/16/1987Ceding Credit Life/Accident and Health Insurance to a Single Producer Owned Captive Reinsurer
1993-1911/19/199321 Pa. Code, Chapter 25, Rules and Procedural Requirements for Insurance Holding Company Systems
1994-0103/01/1994Guidelines for Record Retention
1994-0907/07/1994Approval and Solicitation of Long Term Care Policies for Continuing Care Retirement Communities
1994-1110/03/1994General Account Modified Guaranteed Annuity
1994-1210/03/1994Separate Account Modified Guaranteed Annuity
1994-1310/03/1994General Account Modified Guaranteed Life Insurance
1994-1410/03/1994Separate Account Modified Guaranteed Life Insurance
1994-1510/03/1994Nonforfeiture and Valuation Statutory Interest Rates
1994-1811/15/1994Guidelines for Record Retention
1995-0101/11/1995Valuation Standards for Life and Health and Accident Insurance
1995-0707/19/1995Modification of Contract for Use When an Annuity Premium Tax is Not Applicable
1995-0908/23/1995Deregulation of Commercial Lines Property And Casualty Forms
1996-0103/20/1996Deregulation of Accident and Health Forms
1996-1308/24/1996Deregulation of Life Insurance Forms
04/12/1997Deregulation of Accident and Health Forms
06/28/1997Deregulation of Accident and Health Forms
1997-0308/09/1997Mutual to Stock Notices
1998-0102/07/1998Continuing Education Advisory Board Guidelines and 1998 Continuing Education Advisory Board Members
1998-0407/25/1998Codification of Statutory Accounting Principles
08/29/1998Notice of Requirements to File Forms Under the A&H Filing Reform Act
1998-0509/05/1998Notice to Medical Malpractice Insurance Carriers & Self-Insured Health Care Providers
1999-0101/01/1999Limit on Cancellation, Refusals to Renew, Refusals to Write, Surcharges, Rate Penalties and Point Assignments
1999-0204/17/1999Repeal of Outdated Notices
1999-0306/26/1999Per Diem Charges for Financial Examinations Conducted by the Pennsylvania Insurance Department (Replaced Notice dated 06/28/1998)
1999-0406/26/1999Per Diem Charges for Market Conduct Examinations Conducted by the Pennsylvania Insurance Department (Replaced Notice 1998-03, dated 06/28/1998)

Statements of Policy

31 Pa. Code, Chapter 67, Sections 67.41-67.45 and Appendix A, Motor Vehicle Financial Responsibility Law, Subchapter D. Adopted 05/19/1989.

31 Pa. Code, Chapter 89, Sections 89.451-89.474, Approval of Life, Accident and Health Insurance. Subchapter H. Statements of Policy. Adopted 02/05/1982.

31 Pa. Code, Chapter 90c, Sections 90c.1-90c.25, Individual Applications. Adopted 01/18/1991.

31 Pa. Code, Chapter 90d, Sections 90d.1-90d.9, Individual Accidental Death Benefits; Provided by Riders or Built into Policies. Adopted 01/18/1991.

31 Pa. Code, Chapter 90e, Sections 90e.1-90e.13, Individual IRA Endorsements for Life Insurance and Annuities. Adopted 01/18/1991.

31 Pa. Code, Chapter 90f, Sections 90f.1-90f.16, Individual Imminent Death/Lifetime Health Care Facility Confinement Benefits Provided as Accelerated Death Benefit or Settlements of Death Benefit; Provided by Riders or Built into Policies. Adopted 01/18/1991.

31 Pa. Code, Chapter 90g, Sections 90g.1-90g.16, Individual Health Care Facility Benefits Provided as Accelerated Death Benefit or Settlement of Death Benefit; Provided by Riders or Built into Policies. Adopted 01/18/1991.

31 Pa. Code, Chapter 90h, Sections 90h.1-90h.11, Individual Waiver of Surrender Charges for Life and Annuity Contracts Resulting From Health Care Facility Usage; Provided by Riders or Built into Policies. Adopted 01/18/1991.

31 Pa. Code, Chapter 90i, Sections 90i.1-90i.3, Certificates of Assumption. Adopted 03/05/1993.

31 Pa. Code, Chapter 119, Sections 119.1-119.26, Anti-Fraud. Adopted 08/27/1993.

31 Pa. Code, Chapter 120, Sections 120.1-120.5, Loss Cost Adjustment Filing. Adopted 08/27/1993.

31 Pa. Code, Chapter 150, Sections 150.1-150.5, Uniform Health Insurance Claim Form. Adopted 07/02/1993.

31 Pa. Code, Chapter 152, Sections 152.101-152.105, Preferred Provider Organizations, Primary Care Gatekeeper PPO Products. Adopted 09/27/1991.

31 Pa. Code, Chapter 153, Section 153.2, Permission to file accident and health, life and annuity insert pages. Adopted 10/19/1990.

31 Pa. Code, Chapter 153, Section 153.3, Simplified review of company merger, assumption or name change form and rate filing. Adopted 06/28/1991.

31 Pa. Code, Chapter 301, Sections 301.201-301.204, Health Maintenance Organization, Subchapter H. Point-of-Service Products Group Specific Community Rating. Adopted 09/27/1991.

31 Pa. Code, Chapter 301, Sections 301.301-301.321, Health Maintenance Organization, Subchapter I. Contractual Arrangements Between HMOs and IDSs. Adopted 04/05/1996.

31 Pa. Code, Chapter 303, Section 303.1, Out-of-State Health Maintenance Organization Investments. Adopted 03/25/1988.

Contact: Peter J. Salvatore, Regulatory Coordinator, Office of Special Projects7l7-787-4429

II.  OTHER:

Office of Special Projects

Regulatory Procedures Manual

   Internal procedures regarding drafting of regulations

Contact: Peter J. Salvatore, Regulatory Coordinator, Office of Special Projects 7l7-787-4429

Bureau of Administrative Hearings

Digest of Automobile Policy Terminations (Act 68 and 78)

   Insurance Commissioner Decisions on Automobile Insurance Administrative Hearings

Digest of Homeowners Policy Terminations (Act 205)

   Insurance Commissioner Decisions on Homeowners Insurance Administrative Hearings

Digest of Agency Terminations (Act 143)

   Administrative Hearing Officer Decisions on Insurance Agency Administrative Hearings

Practice and Procedure Digest

   Describes the Administrative Hearing Process

Contact: B. Ward, Docket Clerk, Administrative Hearings Office, 7l7-783-2126

Bureau of Administration

Public Documents Room Procedures

   Procedures to review public documents at the Insurance Department

Contact: Tracey Pontius, Director, Bureau of Administration, 7l7-787-4298

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