[32 Pa.B. 3741]
[Continued from previous Web Page] PACE PROVIDER BULLETINS: 1995
* 1/6/95: Drug Utilization Review Program: Addition of new criteria for antidepressants, antipsychotics and benzodiazepines.
* 2/17/95: Antidepressants, Antipsychotics and Benezodiazepines: Reminder to Pharmacy to carefully review both the reject codes and accompanying messages.
* 2/24/95: Toradol: Reimbursement restrictions.
* 2/24/95: Minitran: 30-day supply limit.
* 3/95: PACE Drug Utilization Review Criteria.
* 3/3/95: Medicare Update: Extended coverage for prescription drugs used in immunosuppressive therapy to three years following hospital discharge for an organ transplant.
* 3/3/95: Maximum Initial Dose for selected antipsychotic, antidepressant or benezodiazepine agents.
* 3/27/95: Non-Sedating Antihistamines and Oral Antifungals Coadministration is Contraindicated. PACE will reject claims for Seldane, Seldane-D, Hismanal, Claritin, Claritin-D, Diflucan, Nizoral and Sporanox.
* 3/95: Third Party Billing Reminder: PACE is payer of last resort, pharmacy must bill other third parties first.
* 5/5/95: Brand Patent Expirations/Generic Substitutions.
* 7/95: CellCept Billing Instructions.
* 7/1/95: Claims Submissions: 90-day limit to file claims for reimbursement.
* 8/1/95: Injectable Chemotherapeutics: Effective 9/1/95 PACE Reimbursement for list of injectable chemotherapeutics limited to 20% of AWP.
* 8/18/95: Non-Participating Manufacturer List.
* 8/18/95: Drug Utilization Review Program: New maximum dose criteria added to the PACE ProDur Program effective 8/28/95--Nefazodone (Serzone) 600 mg/day; Fluvoxamine (Luvox) 50 mg/day (initial) and 300 mg/day (maximum); Lansoprazole (Prevacid) 30 mg/day.
* 9/1/95: Common Package Size Reimbursement Listing.
* 9/1/95: Epoetin Alfa (EPO) Injections: Effective 9/11/95 PACE reimbursing only 20% of AWP for Epogen and Procrit.
* 9/6/95: Early Refill Edit: Additional classes added to the Early Refill Edit.
* 9/22/95: Drug Utilization Review Program: Effective 9/25/95 duplicate therapy edit applied to the following class of drugs: Proton Pump Inhibitors--Prilosec and Prevacid.
* 10/95: PACE POCAS Telecommunications Number: New direct number available to pharmacy providers for Primary Claim Submission: 950-5545.
PACE PROVIDER BULLETINS: 1994
* 2/8/94: Reimbursement Criteria for Temazepam (effective 3/1/94).
* 5/23/94: Glyburide: Mandatory Substitution of Micronase and Diabeta.
* 5/94: Prograf Billing Instructions
* 5/94: Ophthalmics: Days Supply Provisions
* 5/94: Betaseron Billing Instructions
* 7/1/94 Ophthalmics: Noted billing discrepancies regarding pharmacies reporting of the days supply.
* 7/23/94: Narrow Therapeutic Index Exemption Listing (Revised)
* 8/94: Incorrect Physician License Numbers: Notice to Pharmacy Providers of Procedures to Disallow Claims Submitted with Wrong Prescriber I.D.
* 8/19/94: Physician/Medical Assistants: PACE Reimbursement of Prescriptions Written by Physician Assistants.
* 9/23/94: Serevent: PACE will no longer reimburse for more than 13 gm of Serevent per prescription.
* 9/26/94: Febatol--No PACE Reimbursement after 12/26/94.
* 9/30/94: Manufacturers' Rebate Update
* 10/3/94: DAW/Product Selection Code (Revised)
* 10/21/94: Oral Contraceptives: Effective 10/30/94 PACE no longer reimburses except through the Medical Exception process.
* 10/21/94: New Maximum Dose Criteria Added to the PACE ProDUR Program: Maximum daily dose and duplicate therapy criteria for NSAIDs (Trilisate; Disalcid; and Cataflam) and maximum daily dose criteria for miscellaneous anti-ulcer preparations (Propulsid and Reglan).
* 11/18/94: Oral Chemotherapeutics: Effective 12/15/94 PACE reimburses only 20% of AWP for Cyclophosphamide 25 mg/oral; Cytoxan 50 mg/oral; Etoposide/Vepesid 50 mg/oral; and Melphalan/Alkeran 2 mg/oral.
* 12/2/94: 30-Day Supply Requirement: Humulin and Solganal.
PACE PROVIDER BULLETINS: 1993
* 1/1/93: PACE Legislative Changes Effective 1/1/93
--Dispense as Written (DAW) Codes
--Mandatory Generic Substitution when an ''A'' rated generic therapeutically equivalent drug is available.
--Pricing Information
--Consultation Fee Discontinued* 2/28/93: Deadline for PACE Provider Reenrollment and Conversion to 3.2 NCPDP
--Telecommunications Standard for PACE.
--Telecommunications Standard for Claims Submission.* 3/1/93: Standard Error Codes
* 3/1/93: Early Refill Edit
* 3/1/93: Halcion Error Code Revisions
* 3/1/93: Processing Requirements: Conversion to NCPDP Version 3.2
* 3/19/93: POCAS System Maintenance on 4/10/93 and 4/11/93.
* 5/14/93: Delay in Provider Reimbursement
* 5/21/93: Change in the ProDUR screening criteria for H2 Receptor Antagonists effective 6/1/93.
* 6/28/93: Implementation of PACE ProDUR Changes:
--Maximum daily dose for NSAIDs
--Maximum daily dose for Omeprazole, Sucralfate and Misoprostrol.
--Maximum daily dosage allowed for Famotidine (Pepcid) changed from 80 mg/day to 40 mg/day.* 6/28/93: Claims Processing Procedures When POCAS Is Not Available.
* 7/1/93: Non-Participating Manufacturers List
* 7/23/93: 30-Day Supply Requirements
* 7/23/93: Narrow Therapeutic Index Exemption Listing (Revised)
* 9/28/93: Manufacturers Rebate Update (Non-Participating Manufacturer List, effective 10/5/93 was attached.)
PACE PROVIDER BULLETINS: 1992
* 4/92: Provider Training Seminars (5/11/92 through 7/2/92)
* 5/29/92: Manufacturers' Rebate News: Center Laboratories
* 6/19/92: Manufacturers' Rebate News: Roxane Laboratories, Inc.
--Astra Pharmaceutical Products
--Ocumed
--IPR Pharmaceutical
--Immunex Corporation* 8/16/92: PACE Rescue Plan:Implementation of ProDUR; NCPDP Version 3.2 and related Program Changes
* 9/92: Dixon-Shane recoupments/pharmacy credits.
* 11/9/92: PACE Pharmacy Provider Manual
* 12/23/92: Narrow Therapeutic Index Exemption Listing
* 12/92: Generic Substitution on Oral Prescriptions (Included Poster and Informational Flyers).
PACE PROVIDER BULLETINS: 1991
* 6/21/91: Co-Pay Change ($4 to $6 effective 7/1/91)
* 8/14/91: General Program Issues:
--Claims Payment
--Cardholder Eligibility Changes (Income Eligibility Changed to $13,000 for Single and $16,200 for Married Couples)
--Nursing Home Providers
--Cosmetic Drugs (Effective 10/1/91 claims for Rogaine and Retin-A no longer paid)
--Paper Claims (Only claims for Compound Drugs or claims whose Quantity is in Excess of 9999 accepted as paper claims)
--Persantine and Dipyridamole (These two drugs must have an indication on the prescription that it is being used as an adjunct to Coumadin anticoagulants for the prevention of postoperative thromboembolic complications of cardiac valve replacement in order to be allowed payment by (PACE).
--Audit Issues (Telephone Prescriptions and Brand Medically Necessary Requirements).* 8/21/91: Final Instructions Concerning the PACE On-line Claims Adjudication System (POCAS).
* 9/27/91: Billing Instructions
--Cosmetic Drugs
--Exception Claim Processing
--POCAS, post payment review
--Nursing Home ClaimsDIVISION OF PROGRAM & REGULATORY COORDINATION
Contact: Robert Hussar, Division Chief (717) 783-6207
Current Aging Program Directives
Provided below is a comprehensive list of current Aging Program Directives and LAMP/OPTIONS Bulletins. Directives which do not appear on the list are no longer in effect. Current directives are as follows:
Program Area 01--''AAA Administration''
88-01-07 Personnel Action Plan for Private Non-Profit Area Agencies on Aging (AAA)
91-01-01 Certification and Disclosure Regarding Lobbying
91-01-05 Area Agency on Aging Involvement in Corporate Eldercare Activities
92-01-01 Single Audit Act Audit Requirements
92-01-06 Minimum Standards for Governing Boards of Private Non-Profit Area Agencies on Aging
93-01-04 Providing AAA Funded Services to Domiciliary Care and Personal Care Home Residents
94-01-02 Indirect Cost Policy for Department of Aging Contracts
94-01-04 Department of Aging Heat Emergency Plan
95-01-05 Emergency Cooling Project
95-01-09 Assessments of Persons With ''An Other Related Condition'' Who Are Exceptional Admissions
97-01-02 Accounting Manual for AAA Programs
97-01-03 Interim Revision of the OPTIONS Assessment Reporting Forms OPT01 and OPT 01X
98-01-02 Area Agency on Aging Program Income Policies
00-01-01 FY 2000-2004 Four-Year Plan Requirements
00-01-04 PDA Waiver Paid Claims Reconciliation
00-01-07 OPTIONS Procedures Manual
01-01-02 AAA Utilization of Federal Funds in Provision of Caregiver Services
01-01-05 Family Caregiver Support Program
01-01-06 OPTIONS Procedures Manual
01-01-07 2001-2002 Aging Block Grant Amendment: Jump Start Funds
01-01-08 The Bridge Program
01-01-09 OPTIONS Cost Sharing
01-01-10 Assistive Technology/ Risk Reduction Home Modification Program
02-01-01 2001-2002 Tobacco/Bridge Program: Program Requirements, Slot Allocations, Final Funding Allocations and Application Format
02-01-02 Amended FY 2001-2002 Program and Financial Reporting Requirements To Reflect I Implementation of Tobacco/Bridge Program, Cost Sharing and Allocation of Jump Start Funds
02-01-03 Contract Procurement Requirements
02-01-04 OPTIONS Procedures Manual (Amends APD# 00-01-07)
02-01-05 2001-2002 Aging Block Grant Amendment: Final Funding Allocations
02-01-06 AAA Program Requirements, Planning Allocations, and Aging Services Block Grant Format for SFY 2002-2003
02-01-07 Tobacco/Bridge Program: Program Requirements, Slot Allocations, Final Funding Allocations, and Application Format
02-01-08 OPTIONS Procedures Manual (Amends APD# 00-01-07)
02-01-09 FY 2002-2003 Program and Financial Reporting RequirementsProgram Area 02--''Home Delivered Meals''
See Program Area 03.
Program Area 03--''Congregate Meals''
90-03-01 Policies and Standards for the Department of Aging Funded Nutrition Service Programs
Program Area 04--''Socialization/Recreation/Education/Health Promotion''
96-04-01 Senior Community Center And Satellite Center Policies and Standards
98-04-01 PrimeTime Health Program
Program Area 05--''Employment Services''
95-05-02 Title V Senior Community Service Employment Program: Final Rule
96-05-02 Title V S.C.S.E.P.: Eligibility and Assessment Forms
Program Area 06--''Volunteer Services''
85-06-01 Volunteer Services
Program Area 07--''Passenger Transportation Services''
85-07-01 Policies for Transportation Services
Program Area 11--''Information and Referral''
85-11-01 Policies and Procedures for the Provision of I & R Services by AAAs
Program Area 22--''Assessments''
See Book I of APD #00-01-07.
Program Area 23--''Care Management''
See APD #00-01-07.
Program Area 24--''Protective Services Intake/Investigation''
89-24-01 Protective Services for Older Adults Regulations
9-24-02 Required Standard Forms for Protective Services
92-24-01 Change in Report of Need Form (Supplements APD #89-24-02)
93-24-01 Protective Services Investigations
93-24-02 Protective Services Investigations
97-24-01 Protective Services Report of Need and Investigation Summary and Assessment Form
00-24-01 Perpetrator Designation and Notification in P. S. Cases
Program Area 13--''Personal Care''
See APD #00-01-07.
Program Area 12--''Home Health''
See APD #00-01-07.
Program Area 19--''Home Support''
See APD #00-01-07.
Program Area 20--''Adult Day Care''
See 6 Pa. Code Chapter 11, Sections 11.1 to 11.292.
Program Area 25--''Domiciliary Care''
85-25-02 Statewide Expansion of Domiciliary Care Program
90-25-01 Domiciliary Care Services for Adults--Final Rule making
93-25-01 Keys Amendment Implementation as It Relates to the Domiciliary Care Program
01-25-02 Domiciliary Care Consumer Payment To Providers
Program Area 09--''Legal Assistance''
85-09-01 AAA Program of Legal Services to the Elderly
Program Area 10--''Ombudsman''
98-10-01 Long-Term Care Ombudsman Program
Program Area 14--''Personal Assistance Service''
See APD #00-01-07.
Program Area 18--''Medical Equipment, Supplies and Adaptive Devices''
See APD #00-01-07.
Program Area 29--''Other''
85-29-01 Changes in PSA Boundaries
85-29-02 Generic Policies and Procedures for the Request and Consideration of Waivers of PDA Policies
85-29-04 PDA Fair Hearings and Appeals Regulations
85-29-06 Interdepartmental Cooperative Agreement between the PDA and DPW, Office of Mental Health
86-29-01 PACE Regulations
92-29-03 Final Regulations--Family Caregiver Support Program (replaces Sections I-V of APD 92-22-02)
92-29-07 Advance Notice to Health Care Facilities Prior to Termination of Utility Service
94-29-04 Emergency Operations Plan for the Department of Aging
96-29-01 Statement of PDA Intent Re: Allocation To New Area Agencies
97-29-01 Retention of AAA Records
97-29-02 Emergency Operations Plan for the Department of Aging.
98-29-01 List of Current Aging Program Directives (APDs) and Options Level II bulletins
00-29-01 Department of Aging Energy Emergency Response Plan
Current Options/Long-Term Care Assessment and Management Prorgram (LAMP) Bulletins
90-05 Protocol Requirements for Serving Medicaid Nursing Home Applicants and Medical Assistance Recipients with Acquired Immune Deficiency Syndrome (AIDS) or Symptomatic Immune Deficiency Virus (HIV)
90-07 Transmit DPW/OMA Memo (8/30/90)
90-08 Policy Change in Referral Procedures for Individuals with Mental Retardation/Other Related Condition Diagnosis
95-01 Medical Assistance (MA) Estate Recovery Program (supplements OPTIONS-Level II Bulletin #93-01)
AGRICULTURE
POLICY STATEMENTS:
Bureau of Animal Health and Diagnostic Services
* Scrapie Containment and Eradication Strategy
Contact: Phillip Debok (717-783-8300)
* Chronic Wasting Disease Containment and Eradication Strategy
Contact: Phillip Debok (717-783-8300)
Bureau of Food Distribution
* Allowable Uses of State Food Purchase Program Capital Asset Program (CAP) Monies
Contact: Beth Ann Hoagland (717-787-2940)
Bureau of Market Development
* Instructions for Completion of Application for Capital Improvement Matching Funds Grant
Contact: Pete Witmer (717-787-6041)
* Guidelines: Agricultural and Rural Youth Grant Program Direct and Matching Grants
Contact: Pete Witmer (717-787-6041)
Bureau of Plant Industry
* Fertilizer Enforcement Action Penalty Matrix
Contact: John Breitsman (717-787-4843)
* Soil and Plant Amendment Enforcement Action Penalty Matrix
Contact: John Breitsman (717-787-4843)
* Pesticide Enforcement Action Penalty Matrix
Contact: Joseph Uram (717-787-4843)
Pennsylvania State Conservation Commission
* Pennsylvania's Nutrient Management Plan Implementation Grants Program Application Form and Guidelines
Contact: Karl Brown (717-787-8821)
* Pennsylvania's Nutrient Management Act Technical Manual
Contact: Karl Brown (717-787-8821)
* Nutrient Management Program Administrative Manual
Contact: Karl Brown (717-787-8821)
GUIDANCE MANUALS:
Bureau of Animal Health and Diagnostic Services
* Pennsylvania Animal Diagnostic Laboratory System User Guide
Contact: Dr. Helen Acland (717-787-8808)
Bureau of Food Distribution
* Farmers Market Nutrition Program--Farmer/Vendor Procedure Manual
* Woman, Infants and Children (''WIC'') Clinic Procedure Manual
* Self Declaration of Need: Income Poverty Guidelines for TEFAP
Contact: Edward Wadlinger (717-787-2940)
Bureau of Food Safety and Laboratory Services
* rBST Labeling Information
* Application to Install or Remodel a Milking System
* Supplement to a Farm Refrigerated Bulk Milk Storage Tank and/or a Precooler Installation Application
Contact: James C. Dell (717-787-4316)
* Food Safety Concession Guidelines
* Ice Manufacturing Plants Consumer Confidence Program Guidelines
* Listeria Handbook for Retail Food Establishments
* Model Food Service Self-Inspection Checklist
* Procedures for Vacuum Packaging Foods in Reduced Oxygen Packages
* Retail Food Establishment Consumer Confidence Program Self-Inspection Checklist
Contact: Lenchen Radle (717-787-4315)
Pennsylvania Harness Racing Commission
* Guidelines for Medications in Racehorses
Contact: Anton J. Leppler (717-787-5196)
* Licensing Procedures and Standards for Applicants
Contact: Anton J. Leppler (717-787-5196)
Pennsylvania Horse Racing Commission
* Guidelines for Medications in Racehorses
Contact: Benjamin H. Nolt, Jr. (717-787-1942)
Bureau of Plant Industry
* Instructions for Licensing under the Pennsylvania Commercial Feed Law
* Instructions for Licensing under the Pennsylvania Fertilizer Act
* Directions for Renewing Specialty Fertilizer Registration in Pennsylvania
* Instructions for Licensing under the Pennsylvania Agricultural Liming Materials Act
Contact: John Breitsman (717-787-4843)
* Directions for Registering Pesticides in Pennsylvania
* Experimental Pesticide Use Permits
* Grower Record Keeping Guidelines for Pesticide Applications made under an Emergency Exemption
* Instructions for Licensing under the Pennsylvania Soil and Plant Amendment Act
* Directions for Soil and Plant Amendment Registration in Pennsylvania
Contact: John Lake (717-787-4843)
* IPM for Pennsylvania Schools: A How-To Manual
Contact: Ken Long (717-772-5227)
Bureau of Ride and Measurement Standards
* Amusement Ride Operators' and Attendants' Manual
Contact: Charles Bruckner (717-787-6772)
Pennsylvania State Conservation Commission
* Best Management Practices Manual for Pennsylvania Livestock and Poultry Operations
Contact: Karl Brown (717-787-8821)
INTERNAL GUIDELINES:
Bureau of Farmland Preservation
* Checklist for Review of an Agricultural Conservation Easement Purchase Recommendation
* Checklist for Evaluation of a County Agricultural Conservation Easement Purchase Program
Contact: Raymond Pickering (717-783-3167)
Bureau of Food Safety and Laboratory Services
* Summary of Enforcement Requirements for Violations of Bacterial Count, Somatic Cell Count and Antibiotic Residue Tests for Individual Milk Producer Samples
* Clarification of Enforcement Policy for a Producer Utilizing Two Bulk Milk Tanks
* Producer Record Transfer Program
Contact: James C. Dell (717-787-4316)
* Tolerances for Egg Quality, below which a Warning Letter shall be issued to a store
* Tolerances for Egg Quality, below which Seizure of Eggs will be made at a store
* Tolerances for Egg Quality, below which Prosecution will be initiated against a store
* Tolerances for Egg Quality, below which Seizure of Eggs will be made at a plant
Contact: Kim F. Miller (717-787-3294)
* Guidelines for Inspection of Food Concessions at Fairs
* Inspection Guidelines for Farmers Markets and Stands
Contact: Lenchen Radle (717-787-4315)
Bureau of Market Development
* Agricultural Fair Program State Premium Guideline Book
Contact: Ron Miller (717-787-5342)
Bureau of Plant Industry
* Turfgrass Seed Certification Interagency and Interstate Certification
Contact: Joe Garvey (717-787-5609)
* Plant Pest Act Enforcement Action Penalty Matrix
Contact: Walt Blosser (717-772-5205)
Pennsylvania Harness Racing Commission
* Procedures with respect to Unlicensed Owners
Contact: Anton J. Leppler (717-787-5196)
OTHER:
Bureau of Food Safety and Laboratory Services
* Industry Responsibilities with respect to Broken Seals
Contact: James C. Dell (717-787-4316)
* Temperature Requirements for Safe Handling of Hot and Cold Foods
* Guidelines for Self-Service Bulk Food Displays
* Guidelines for Maple Syrup Operations
Contact: Lenchen Radle (717-787-4315)
* A Retailer's Guide to Assuring Shelf Egg Safety & Quality
* Safe Handling of Eggs
* Safe Handling of Fresh Fruits & Vegetables
Contact: Kim F. Miller (717-787-3294)
Bureau of Plant Industry
* Pennsylvania Pesticide Hypersensitivity Registry Fact Sheet
Contact: Dave Scott (717-772-5214)
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