[34 Pa.B. 4217]
[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 CONSUMER PROTECTION
Contact: Robert Hussar, Division Chief (717)-783-6207
Current Aging Program Directives
Provided below is a comprehensive list of current Aging Program Directives. 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
--98-01-02 Area Agency on Aging Program Income Policies
--00-01-04 PDA Waiver Paid Claims Reconciliation
--01-01-02 AAA Utilization of Federal Funds in Provision of Caregiver Services
--01-01-08 The Bridge Program
--01-01-10 Assistive Technology/Risk Reduction Home Modification Program
--02-01-03 Contract Procurement Requirements
--02-01-11 Updated Area Plan Assurances--Attachment a--Attachment B
--03-01-03 OPTIONS Cost Sharing-Fee Scale Attachment
--03-01-04 2002-2003 Tobacco/Bridge Program Amendment
--03-01-06 Home and Community Based Services Procedures Manual (This Manual is a comprehensive guide to Department of Aging procedures. It is the operational handbook used by employees of Area Agencies on Aging. The following are individual chapters from the Manual. They contain a significant number of appendices, which are not yet displayed. They will be added to this site in the near future. In the meantime, please contact the Department at 717-783-6207 for additional information.)
* Table of Contents
* Chapter 1--Assessments
* Chapter 2--Care Management
* Chapter 3--Programs and Requirements
* Chapter 4--Services
* Chapter 5--Hearings and Appeals
--Comprehensive OPTIONS Assessment Form (COAF) Instructions
--Comprehensive OPTIONS Assessment Form
--Nursing Facility OPTIONS Assessment Form
--03-01-07 HIPAA Standards for Privacy of Individually-Identifiable Health Information and How the Requirements Impact the Pennsylvania Aging Network
--03-01-10 FY 2004-2008 Four-Year Plan Requirements
--04-01-01 2003-2004 Aging Block Grant Amendment: Final Funding Allocation
--04-01-02 AAA Program Requirements, Planning Allocations and Aging Services Block Grant Format for Fiscal Year 2004-2005Program Area 02--''Home Delivered Meals''
--See APD #04-03-01
Program Area 03--''Congregate Meals''
--04-03-01 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 ProgramProgram 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 FormsProgram Area 06--''Volunteer Services''
--85-06-01 Volunteer Services
Program Area 07--''Passenger Transportation Services''
--85-07-01 Policies for Transportation Services
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
--02-10-01 Implementation of Ombuds Manager
--04-10-01 Components of an Effective Ombudsman ProgramProgram Area 11--''Information and Referral''
--85-11-01 Policies and Procedures for the Provision of I & R Services by AAAs
Program Area 12--''Home Health''
--See APD #03-01-06.
Program Area 13--''Personal Care''
--See APD #03-01-06.
Program Area 14--''Personal Assistance Service''
--See APD #03-01-06.
Program Area 18--''Medical Equipment, Supplies and Adaptive Devices''
--See APD #03-01-06.
Program Area 19--''Home Support''
See APD #03-01-06.
Program Area 20--''Adult Day Care''
See 6 Pa. Code Chapter 11, Sections 11.1 to 11.292 and APD #03-01-06.
Program Area 22--''Assessments''
See Book I of APD #03-01-06.
Program Area 23--''Care Management''
See APD #03-01-06.
Program Area 24--''Protective Services Intake/Investigation''
--89-24-02 Required Standard Forms for Protective Services
--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. CasesProgram Area 25--''Domiciliary Care''
--85-25-02 Statewide Expansion of Domiciliary Care Program
--93-25-01 Keys Amendment Implementation as It Relates to the Domiciliary Care Program
--03-25-01 Revised Domiciliary Care Agreement Forms
--04-25-01 Domiciliary Care Consumer Payment To ProvidersProgram 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
--85-29-06 Interdepartmental Cooperative Agreement between the PDA and DPW, Office of Mental Health
--92-29-07 Advance Notice to Health Care Facilities Prior to Termination of Utility Service
--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
--00-29-01 Department of Aging Energy Emergency Response Plan
AGRICULTURE
POLICY STATEMENTS:
Bureau of Animal Health and Diagnostic Services
* Scrapie Containment and Eradication Strategy
Contact: Dr. Paul Knepley (717-783-8300)
* Chronic Wasting Disease Containment and Eradication Strategy
Contact: Dr. Paul Knepley (717-783-8300)
Bureau of Food Distribution
* Allowable Uses of State Food Purchase Program Capital Asset Program (CAP) Monies
Contact: Sandy Hopple (717-772-2693)
Bureau of Market Development
* Instructions for Completion of Application for Capital Improvement Matching Funds Grant
Contact: Brant Bickel (717-787-5342)
* Guidelines: Agricultural and Rural Youth Grant Program Direct and Matching Grants
Contact: G. Carl Muller (717-783-9944)
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: Sandy Hopple (717-772-2693)
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)
* Licensing Procedures and Standards for Applicants
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: Kent Shelhamer (717-787-6772)
Pennsylvania State Conservation Commission
* Best Management Practices Manual for Pennsylvania Livestock and Poultry Operations
Contact: Karl Brown (717-787-8821)
* Interim Guidance Addressing Phosphorus and other Nutrients in Nutrient Management Plans
Contact: Doug Goodlander (717-705-3895)
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: Sandra Robison (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 (717-787-294)
* 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: Brant Bickel (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 Registration Information
Contact: Dave Scott (717-772-5214)
BANKING
Nonregulatory public documents of the Department of Banking are divided into three indexed categories listed below: Letters from Secretaries of Banking to Regulated Entities; Guidance Available Regarding Compliance with Depository Institution Statutes and Regulations; and, Guidance Available Regarding Compliance with Licensee Statutes and Regulations. The contact person for all Department of Banking documents is Carter Frantz (717) 787-1471.
[Continued on next Web Page]
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