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COMMONWEALTH OF PENNSYLVANIA

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PA Bulletin, Doc. No. 99-1295j

[29 Pa.B. 4213]

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PUBLIC SCHOOL EMPLOYES' RETIREMENT SYSTEM
PENNSYLVANIA MUNICIPAL RETIREMENT SYSTEM

Public School Employes' Retirement System

POLICY STATEMENTS:

Paying of Benefits when PSERS has been Notified of Pending or Completed Divorce Action
Purchase of Service Waiving of Payroll Deductions
Paying Death Benefits when Ex-Spouse is Last Named Beneficiary
Contested Death Benefits
Maternity Leave of Absence
Elimination of Frozen Present Value
Crediting Service For Lockouts
Method of Payment For Purchase of Service
Return to School Service for an Emergency Annuitant
Direct Rollover Limitations
Overpayments and Direct Rollovers
Alternate Retirement Dates and Termination Date
Special Retirement Incentive 30-Year Window
Inactive Interest
Employment and Income Restrictions for Disability Annuitants
Interpretation of Declaration of Intent to Retire Under Mellow
Multiple Service Election
Leaving Service Before Age 62 With Less Than Ten Years of Service
Converting Hours to Days
Crediting Purchases of Service during a Non-Qualifying Year
Definition of ''School Year''
Rate of Contribution
Paying Death Benefits and Collecting Overpayments from Deceased Members' Accounts
Activated Military Leave (Approved Military Leave of Absence)
Paying Death Benefits and Collecting Overpayments from Deceased Members' Accounts
Cadet Nurse Service
Birthday Rule for Determining Eligibility for Retirement Benefits
Designation of Primary and Contingent Alternate Payees in an Approved Domestic Relations Order
Processing Faxed Documents
Contested Death Benefits
Purchase of Service Payment Plan
Purchase of Service Payment Plan
Purchase of Previous Non-Qualifying School Service
Worker's Compensation Offset Under Act 57
Contact: Frank Ryder (717) 720-4733
GUIDANCE MANUALS:
PSERS Member Handbook (Current Ed. 1998)
PSERS Retired Member Handbook (Current Ed. 1993)
PSERS Update
PSERS Videos:
   Working For Your Future
   A Foundation For Your Retirement
   Here When You Need Us
   Enjoying Your Retirement
   Making the Most of Your Retirement Dollars
PSERS Pamphlets:
   Let's Talk: About Leaving Employment
   Let's Talk: About Taxes on Your Retirement Account
   Let's Talk: About Disability Benefits
   Let's Talk: About Being Retired
   Let's Talk: About Your Retirement and Divorce
   Let's Talk: About Death Benefits
   Let's Talk: About Purchasing Credit for Service
PSERS Retirement Chalkboard (Active Members Newsletter)
PSERS Benefits Hotline (Retired Members Newsletter)
PSERS Reporting Unit Bulletin
Contact: Frank Ryder (717) 720-4733
DECISIONS:
PSERS Board of Trustees Adjudications Topics:
   Act 1991-23 (''Mellow Bill'')
      Change of Option
      Cost of Living Increase
      Credited Years of Service
      Death Benefit
      Disability
      Effective Date of Retirement
      Final Average Salary
      Frozen Present Value
      Forced Maternity Leave
      Health Care Premium Assistance
      Membership Eligibility
      Merchant Marine
      Multiple Service Credit
      Overpayment
      Payment of Interest
      Pension Forfeiture
      Purchase of Service
      Reinstatement
      Retirement-Covered Compensation
      Miscellaneous
Contact: Frank Ryder (717) 720-4733
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 Website: www.psers.state.pa.us
PSERS Annual Financial Report (Includes Mission Statement)
Actuarial Report (annual and 5 year)
Actuarial Tables and Computational Procedures, Pa. Bulletin, Vol. 27, No. 33, pp. 3726-3739, July 26, 1997
Health Options Program Enrollment Package
Contact: Frank Ryder (717) 720-4733
Pennsylvania Municipal Retirement System
POLICY STATEMENTS:
Calculation of Withdrawing Plan's Portion of Retired Member's Reserve
Allocation of Excess Interest to Municipal Account, Member's Accounts, and Retired Member's Reserve Accounts
Portability: Individual Member
Portability: Plan Spin-offs
Crediting of Regular Interest
Business and Educational Travel Policy
Contact: Frank Ryder (717) 720-4733
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)
Contact: Frank Ryder (717) 720-4733
DECISIONS:
PMRS Board of Trustees Adjudications
Topics:
   Death Benefit
   Pension Forfeitures
   Purchase of Service
   Vesting
   Miscellaneous
Contact: Frank Ryder (717) 720-4733
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
Contact: Frank Ryder (717) 720-4733

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: Edward J. Zogby (717-787-4081)

POLICY STATEMENTS:

CodeDateBulletin
YearCitationSubjectIssuedNumber
•  1983Ch. 166Computation of CWEP Hrs.10/25/83166-83-57
Ch. 275Postmark Date as the Recpt. Indicator for Appeals and for Requests for Reconsideration 03/15/84275-84-10
•  1984Ch. 297Change in Reimbursement Policy for AFDC/SSI 03/15/84297-84-1
•  1985Ch. 187Definition of Child Born Out-of-Wedlock 11/08/8500-85-23(T)
•  1988Ch. 100Health Insurance Provisions for Single Point of Contact (SPOC) 05/25/88100-88-2
•  1989Ch. 275Instructions for Applying the Court Ruling in Juras vs. DPW 06/30/89275-89-1
•  1990Ch. 183Additions to/Deletions from a Budget Group 01/08/90183-90-01
Ch. 183Cash Assistance Clarifications: Residence and Income 12/28/90183-90-05
•  1991*CH. 289EMERGENCY ASSISTANCE07/05/910289-91-01
*CH. 140MANDATORY CONTINUATION OF MA THROUGHOUT PREGNANCY AND POSTPARTUM PERIOD 08/20/910140-91-01
•  1993*CH. 178MA-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 21 06/18/93178-93-01
*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 141, 147, 166, 177, 178 AND 181: CHANGES TO THE GA NON-FINANCIAL REQUIREMENTS, RELATED MA BENEFITS AND CWEP 09/01/94141-94-01
•  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 07/12/95 141-95-01
•  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
•  1998*CH. 140SPECIAL MA ELIGIBILITY PROVISIONS--INCREASES IN INCOME LIMITATIONS 10/01/98140-98-01

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
•  1984Ch. 1101Third Party Resource and Copay11/01/8499-84-15
Ch. 1163Physician Attestation Statement12/31/84
11-84-25
01-84-15
•  1985Ch. 1141Decision Concerning Prof. Component Billing 01/25/8501-85-01
Ch. 1141Physician Assistant Use04/22/8501-85-05
Ch. 1245, 1163Ambulance Transportation04/22/8511-85-08
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 Treatment 10/31/8529-85-01
33-85-02
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. 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. Requirements11/05/8623-86-02
•  1987Ch. 1101Physicians' Response. Home Health Services01/12/8701-87-01
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 County Authority02/12/87 28-87-01
Ch. 1149Palliative Emerg. Treat.04/24/8703-87-02
27-87-01
Ch. 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
•  1987Ch. 1223Nonrecompensable Services Drug Screens07/29/8711-87-05
12-87-04
16-87-01
28-87-02
Ch. 1101/
Ch. 1123
Coverage for Motorized Wheelchairs 07/30/8705-87-02
01-87-08
19-87-06
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. 1101Policy Clarification Regarding Physician License 07/01/881101-88-01
Ch. 1249Clarification of Condition Under Which MA Recipients Are Considered Homebound 09/26/88 1249-88-01
•  1989Ch. 1101Policy Reminder Regarding Practitioner License Requirements 09/09/891101-89-02
•  1989Ch. 1163Assignment of DRG (Neonate)11/18/891163-89-01
•  1990Ch. 1150Payment Policy for Consultations04/27/901150-90-01
Ch. 1249Use of Medicare Form HCFA-48506/08/901249-90-01
•  1991*CH. 1101
CH. 1121
CH. 1123
CH. 1241
EPSDT--OBRA '8908/02/911101-91-01
1121-91-02
1123-91-01
1241-91-01
•  1992*CH. 1141
*CH. 1153
CLOZAPINE SUPPORT SERVICES01/31/921141-92-01
1153-92-01
Ch. 1241Revised EPSDT Immunization Guidelines 12/11/921241-92-01
•  1993*CH. 1165PAYMENT FOR MENTAL HEALTH SERVICES PROVIDED IN A RESIDENTIAL TREATMENT FACILITY FOR ELIGIBLE INDIVIDUALS UNDER 21 YEARS OF AGE 01/01/931165-93-01
*CH. 1121CHANGES IN THE MEDICAL ASSISTANCE PHARMACEUTICAL BENEFITS 07/09/931121-93-01
*CH. 1149DENTAL SERVICES FOR ADULTS 07/09/931149-93-01
*CH. 1101BASIC HEALTH CARE FOR ADULT GENERAL ASSISTANCE RECIPIENTS (FELIX ET. AL. V. CASEY ET. AL.) STIPULATION OF SETTLEMENT 07/21/931101-93-03
•  1993*CH. 1101UPDATE TO EXCEPTIONS PROCESS AND CRITERIA UNDER THE GENERAL ASSISTANCE BASIC HEALTH CARE PACKAGE 07/21/931101-93-04
Ch. 1241Centers for Disease Control Blood Lead Testing 09/03/931241-93-01
Ch. 1101Business Arrangements Between Nursing Facilities and Pharmacy Providers 10/08/931101-93-05
•  1994Ch. 1241Update to Blood Lead Testing Guidelines04/08/941241-94-01
*CH. 1239M. A. CASE MANAGEMENT SERVICES FOR RECIPIENTS UNDER THE AGE OF 21 05/17/94 1239-91-01
*CH. 1121PHARMACEUTICAL SERVICES DRUG COVERAGE FOR MEDICALLY NEEDY IN NURSING FACILITIES 06/24/941121-94-01
*CH. 1249PRIOR AUTHORIZATION OF HOME HEALTH SERVICES (REVISED) 07/01/941249-94-02
*CH. 1121PHARMACEUTICAL SERVICES PRIOR AUTHORIZATION REQUIREMENT MULTISOURCE BRAND NAME DRUGS 08/26/941121-94-02
•  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 SERVICES 08/30/941121-94-03
1126-94-01
1129-94-01
1141-94-01
1163-94-01
1221-94-01
1125-94-01
1242-94-01
*CH. 1101
1101-94-01
GENERAL ASSISTANCE RESTRUCTURE AS A RESULT OF ACT 49 09/02/94
•  1995CH. 1153ACCESSING OUTPATIENT WRAPAROUND MENTAL HEALTH SERVICES 09/08/951153-95-01
CH. 1157MENTAL HEALTH SERVICES PROVIDED IN NON-JCAHO 09/08/951157-95-01
CH. 1165UPDATE-JCAHO-ACCREDITED RTF SERVICES 09/08/951165-95-01
•  1995*CH. 1153PRIOR AUTHORIZATION OF PARTIAL HOSPITALIZATION 12/30/941153-95-01
CH. 1163PAYMENT POLICY FOR ABORTION SERVICES 12/15/951163-95-02
•  1996CH. 1101LIMITS ON OFFICE VISITS UNDER THE GENERAL
ASSISTANCE (GA) BASIC HEALTH CARE PACKAGE
03/18/961101-96-01
Ch. 1101Medical Assistance Deductible09/20/961101-96-02
•  1997Ch. 1141Revision to Physician Assistant and Nurse Midwife Supervision Requirement 07/30/971141-97-01
•  1998Ch. 1101
Ch. 1141
Ch. 1150
Ch. 1221
Regulation Changes Regarding ''Emergency Medical Condition''07/01/981101-98-01
1141-98-01
1150-98-01
1221-98-01
Ch. 1163Revision of Utilization Guidelines for Inpatient Hospital Drug and Alcohol Services Under the Medical Assistance Program 05/18/98 1163-98-01
Ch. 1223Drug and Alcohol Clinics with Provisional Licenses 03/01/981223-98-01
1999Ch. 1187Capital Component Payments for Post-Moratorium Beds 04/17/991187-99-01

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 State Mental Retardation Center, Private ICF/MR, State Restoration Center, 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. 2620Increase in Personal Needs Allowance for Residents of Personal Care Homes 08/16/932620-93-02
•  1998Ch. 2620Licensing Compliance Prediction System for the Personal Care Home Regulations 06/30/9899-98-01

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