Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Bulletin website includes the following: Rulemakings by State agencies; Proposed Rulemakings by State agencies; State agency notices; the Governor’s Proclamations and Executive Orders; Actions by the General Assembly; and Statewide and local court rules.

PA Bulletin, Doc. No. 13-1471c

[43 Pa.B. 4437]
[Saturday, August 3, 2013]

[Continued from previous Web Page]

Bureau of Workers' Compensation
• Workers' Compensation Rate Schedules. Revised February 2012.
BWC Website: www.dli.state.pa.us (''Workers' Compensation'')
• Independent Review Examination Physician's Listing. Updated Monthly.
BWC Website: www.dli.state.pa.us (''Workers' Compensation'')
• 2010 Medical Access Study Executive overview. Updated July 2011.
BWC Website: www.dli.state.pa.us (''Workers' Compensation'')
• Claim Petition for Additional Compensation from the Subsequent Injury Fund Pursuant to Section 306.1 of the Workers' Compensation Act, LIBC-375. Updated February 2010.
BWC Website: www.dli.state.pa.us (''Workers' Compensation'')• News & Notes (A Bureau of Workers' Compensation Public Newsletter). Published February 2012.
BWC Website: www.dli.state.pa.us (''Workers' Compensation'')
• Employer's Guide to Workers' Compensation Insurance in Pennsylvania (A folder which includes: An Employer's Overview, A Guide to Loss Cost Multipliers, A Guide to Classification Codes and other workers' compensation information of interest to employers). Updated January 2011.
Contact: Information Services Helpline (717-772-3702)
• Workers' Compensation and Workplace Safety Annual Report
BWC Website: www.dli.state.pa.us (''Workers' Compensation'')
• Report of Insurer/Self-Insured Employer Performance. Revised June 3, 2012.
BWC Website: www.dli.state.pa.us (''Workers' Compensation'')
• Work Injuries & Illnesses Report (Annual Statistical Publication). Updated February 2012.
BWC Website: www.dli.state.pa.us (''Workers' Compensation'')
• Frequently Asked Questions Workers' Compensation
BWC Website: www.dli.state.pa.us (''Workers' Compensation'')
• Frequently Asked Questions Health Care Services Review
BWC Website: www.dli.state.pa.us (''Workers' Compensation'')
• Frequently Asked Questions Workplace Safety Committee Certification Program
BWC Website: www.dli.state.pa.us (''Workers' Compensation'')
• Office of Adjudication Petition Count
WCOA Website: www.dli.state.pa.us (''Workers' Compensation'')
• Obtaining WC Hearing Transcripts
WCOA Website: www.dli.state.pa.us (''Workers' Compensation'')
• Medicare Policy: Evaluation and Approval of WC Lump Sum Settlements
WCOA Website: www.dli.state.pa.us (''Workers' Compensation'')
• Accommodation Requests
WCOA Website: www.dli.state.pa.us (''Workers' Compensation'')
• Lawyer Referral Service Information (Web guideline)
WCOA Website: www.dli.state.pa.us (''Workers' Compensation'')
• Appeal Forms and Their Instructions
WCOA Website: www.dli.state.pa.us (''Workers' Compensation'')
• Compromise & Release Form. Updated February 1, 2011.
WCOA Website: www.dli.state.pa.us (''Workers' Compensation'')
• Informal Conference Request Form
WCOA Website: www.dli.state.pa.us (''Workers' Compensation'')
• Subpoena Form. Revised October 31, 2010.
WCOA Website: www.dli.state.pa.us (''Workers' Compensation'')
• Alternative Dispute Resolution Pamphlet
WCOA Website: www.dli.state.pa.us (''Workers' Compensation'')

Workers' Compensation Appeals Board
(Contact: William Trusky 717-783-7838)
• LICB-25/26, Appeal From Judge's Findings of Fact and Conclusions of Law
• Workers' Compensation Appeal Board—Overview of Program
• Instructions for Completing the Appeal Form
• 2012/2013 Hearing Dates
• FAQs
• Members of the Board
http://www.portal.state.pa.us/portal/server.pt/community/workers%27_compensation_appeal_board/10314

Interpreter Law, Act 172 of 2006
(Contact: Richard Lengler 717-705-0464)
• Model Voir Dire for Qualifying a Non-Certified Sign Language Interpreter or Transliterator
• Model Voir Dire for Qualifying a Non-Certified Foreign Language Interpreter
• Suggested Oath
• Pennsylvania Code of Ethics and Professional Conduct for Interpreters
• Presiding Officer Checklist
• Interpreter Checklist
• Frequently Asked Questions
• Interpreter's Law Guide
http://www.portal.state.pa.us/portal/server.pt?open=514&objID=614764&mode=2

Office of Unemployment Compensation Benefits Policy
(Contact: Lara Hege 717-772-8830)
www.uc.pa.gov
• DUA-5 Disaster Unemployment Assistance
• UC-23 Pennsylvania Unemployment Compensation Filing Materials Checklist
• UC-23 (ESP) Pennsylvania Unemployment Compensation Filing Materials Checklist (Spanish)
• UC-24 UC REA Notice
• UC-27 UC Business Card
• UC-44F (Insert) Claimant Certification of Wages
• UC-200 Poster Protect Your Business From Higher Taxes
• UC-301 Work Search Warning Letter
• UC-304 Record of Job Applications and Work Search Activities
• UC-304 (ESP) Record of Job Applications and Work Search Activities (Spanish)
• UC-307 Work Search Review Form
• UC-309 Advertise Direct Deposit Option
• UC-310 Authorization for Direct Deposit
• UC-311 Important Information about Your UC Benefits
• UC-360 Claim Confirmation Letter
• UC-363 Employer Letter
• UC-365C New PIN Notice
• UC-361 Notary Public Signature (identity verification)
• UC-483 Request for Subsequent Benefit Year Information
• UC-494, UC-494(A) Credit Week Information Request
• UC-503A, UC-503V Cover Letter and Notice of Court Ordered Withholdings
• UC-528 Notice of Exhaustion of UC Benefits
• UC-529 Notice of Expiration of UC Benefits
• UC-600 Poster: Report UC Fraud
• UC-601 Poster: UC Fraud is a Crime
• UC-602 Cheating the System
• UC-700 UC Claims Poster (Private Employers)
• UC-700 (ESP) UC Claims Poster (Spanish)
• UC-700A UC Claims Poster (State Employers)
• UC-701 UC Reduction of Benefits poster
• UC-701 (ESP) UC Reduction of Benefits poster (Spanish)
• UC-723 Important Information about your Eligibility for UC (law changes)
• UC-1084 Application Shared-Work Plan (Employer)
• UC-1084(A) Application Instructions
• UC-1088 Application Shared-Work Plan (Claimant)
• UC-1088(A) Application Instructions
• UC-1089 Bi-weekly claim form (Employer)
• UC-1091 Application to modify approved Shared-Work Plan
• UC-1097 Shared-Work pamphlet
• UC-1201 Important Registration Requirement
• UC-1205 Fax Cover Sheet
• UC-1300 Federal Health coverage Tax Credit/ATAA
• UC-1300A Federal Health Coverage Tax Credit/RTAA
• UC-1300B Federal Health Coverage Tax Credit/RTAA
• UC-1609 How to Apply for UC benefits (State Employers)
• UC-1609 (INS) Instructions for Commonwealth Agencies When Completing Form
• UC-1609 How to Apply for Unemployment Compensation (UC) Benefits
• UC-1609P How to Apply for UC benefits (Private Employers)
• UC-1609P (INS) Instructions for Employers When Completing Form UC-1609P How to Apply for Unemployment Compensation (UC) Benefits
• UC-1804 Benefit Reduction to zero
• UCP-1 PA UC Handbook
• UCP-1 (ESP) PA UC Handbook (Spanish)
• UCP-8 State Unemployment Compensation and Supplemental Unemployment Benefit Plans
• UCP-9 Unemployment Compensation Extended Benefits (EB) Period Beginning February 2009
• UCP-9 (ESP) Unemployment Compensation Extended Benefits (EB) Period Beginning February 2009 (Spanish)
• UCP-11A Trade Act of 2002
• UCP-11A (ESP) Trade Act of 2002 (Spanish)
• UCP-11B Trade and Globalization Adjustment Assistance Act of 2009
• UCP-11B (ESP) Trade and Globalization Adjustment Assistance Act of 2009
• UCP-11C Trade Adjustment Assistance Extension Act of 2011
• UCP-16 UC for Reimbursable Employers
• UCP-18 UC Appeals Information
• UCP-18 (ESP)-UC Appeals Information (Spanish)
• UCP-22 RFC for Contributory Employers
• UCP-24 Support Withholding from UC
• UCP-25 Employee Unemployment Compensation Withholdings
• UCP-26 Emergency Unemployment Compensation (EUC) Program
• UCP-26 (ESP) Emergency Unemployment Compensation (EUC) Program (Spanish)
• UCP-32 Employee or Independent Contractor?
• UCP-36 Employers' Reference Guide to Unemployment Compensation
• UCP-39 UC Services for Employers
• UCP-41 UC Eligibility Issues
• UCP-41 (ESP) UC Eligibility Issues (Spanish)
• UCP-42 (ES-2762) UC Employer Rights

Office of Unemployment Compensation Benefits—Discontinued Non-Regulatory Documents
• UCP-28 Services Provided by Pennsylvania Teleclaims
• UCP-11 Assistance for Workers under Trade Act of 1974.
• UCP-11 (ESP) Assistance for Workers under Trade Act of 1974
• UCP-37 Your Unemployment Benefit Guide
• UCP-37 Your Unemployment Benefit Guide (Spanish)

Office of Unemployment Compensation Tax Services
• PA-100 Pennsylvania Enterprise Registration Form and Instructions
• UCP-7: The Problem of ''Localized'' and ''Nonlocalized'' Employment
• UCP-16: UC for Reimbursable Employers
• UCP-18: UC Appeals Information
• UCP-18 (ESP): Compensación por Desempleo
• UCP-22: Relief From Charges for Contributory Employers Questions and Answers
• UCP-25: PA Employee UC Withholdings
• UCP-30: PA UC—Preparing for your UC Audit
• UCP-32: Employee or Independent Contractor?
• UCP-34: PA UC Tax Clearance Program
• UCP-35: Family Employment
• UCP-36: Employer's Reference Guide to UC
• UCP-36 (Insert): PA UC Solvency Tax Information
• UCP-38: Internet Filing of Quarterly Reports for UC (Forms UC-2/2A) & Electronic Payment of Contributions via Electronic Funds Transfer
• UCP-39: Pennsylvania Unemployment Compensation Services for Employers
• UCP-40: Controlling UC Costs for Contributory Employers
• UCP-41: Unemployment Compensation Eligibility Issues
• UCP-41 (ESP): Compensacion de Desempleo Puntos de Derecho
• UC Issues Update Newsletter

Unemployment Compensation Board of Review
• UC-58 List of Issues
• UC-58 TRA List of Issues
• BD-54 Telephone Hearing Regs
• UC-53P Assistance card
• UC-46A Board appeal form
• UC-1627 Translation notice is owned by the service center but not listed for OUCB Website is located at: http://www.uc.pa.gov/portal/server.pt/community/appeals/20596

Bureau of Labor Law Compliance
Contact: Peter Von Getzie, Director (717-787-3681)
• Apprenticeship and Training Act
• Apprenticeship and Training Program Overview—forms application
• Child Labor Act—LLC-17, Schedule of Work Hours
• Child Labor Complaint Form—LLC-21
• Application for Minors in Performances—LLC-12
• Abstract of Child Labor Act—LLC-5/LLC-5 (ESP)
• Special waiver Request for entertainment in Perfor-
mances—LLC-76
• Prohibited Occupations under the Child Labor Act
• Equal Pay Law
• Industrial Homework Law—Industrial Homework Application/Application Renewal
• Industrial Homework Certification
• Medical Fee Act
• Minimum Wage Act—Minimum wage complaint form
• Overtime Rules in Pennsylvania
• Wage Payment and Collection Law
• Personnel File Inspection Act
• Prevailing Wage Act
• Wage Rate Submittal Form
• Seasonal Farm Labor Act—Contractor/Agent LLC-6
Applications for Farm Labor
• Underground Utility Line Protection Act
• Prevailing Wage Statistics and Collections
• Labor Standards Statistics and Collections
• Prevailing Wage Rate Determination Search
• Prevailing Wage Determination Request
• Prevailing Wage Act
• Prevailing Wage Regulations
• Current Labor & Industry debarment list
• Certified Payroll Certificate
• Apprenticeship and Training Regulations
• Prevailing Wage Complaint Form
 • Electronic Online Version (PW)
 • Printer Friendly (PDF Download)
 • Spanish Version (PDF Download)
• Labor & Industry Road Construction Interpretation
• Check form list
• HITS Incident Report Form
• Employment of Minors as Ambulance Attendants
• Definitions for 29 County Building Construction Laborers
• Definitions for 29 County Heavy, Highway Construction Laborers
• Definitions for 7 County Building Construction Operators
• Definitions for 22 County Building Construction Operators
• Definitions for 29 County Heavy Equipment Operators
• Definitions for 29 County Highway Construction Operators
• Definitions for 33 County Building Laborers
• Definitions for 33 County Heavy & Highway Laborers
• Definitions for 33 County Building Operators
• Definitions for 33 County Heavy & Highway Operators
• Definitions for 5 County Building Laborers
• Definitions for 5 County Heavy & Highway Laborers
• Definitions for 5 County Building, Heavy, Highway Operators
• Asbestos Removal—Asbestos Worker/Laborer
• Truck Driver (Building, Heavy, Highway)
• Painters (Building, Heavy, Highway)
• Mandatory Workplace Postings for Minimum Wage and Prevailing Wage.
• Act 102 Prohibition of Excessive Overtime in Health Care Act Frequently Asked Questions
• Act 102 Prohibition of Excessive Overtime in Health Care Act PowerPoint
• Act 102 Prohibition of Excessive Overtime in Health Care Act Complaint Form
• Act 102 Prohibition of Excessive Overtime in Health Care Act General Overview
• Regulations Governing the Employment of Minors in Performances
• Act 72 Construction Workplace Misclassification Act Workplace Poster in English and Spanish
• Act 72 Construction Workplace Misclassification Act Complaint Form in English and Spanish
• Act 72 Construction Workplace Misclassification Act Summary in English and Spanish
• Act 72 Construction Workplace Misclassification Act Copy of Law
• Solar Panel Classification Information
• Personnel File Complaint Form

Bureau of Mediation
Contact: William D. Gross, Director (717-787-2803)
• Grievance Mediation pamphlet
• Pennsylvania Bureau of Mediation pamphlet
• Steward & Supervisor Training pamphlet
• Timed Mediation pamphlet
• Dispute Notice LIMS-102
• Pennsylvania Public Employe Relations Act (195) Notice to Bureau of Mediation LIMS-103
• Act 88 Amendment to the Public School Code of 1949 Notice to Bureau of Mediation LIMS-104
• Request for Grievance Arbitration Panel LIMS-115
• Request for Grievance Medaition LIMS-15

Bureau of Occupational and Industrial Safety
Technical International Building Code 2003 Advisories
Contact: Edward L. Leister, Director, BOIS (717-783-6304)
• Advisory on Sections 302.1.1 and 302.2—Incidental use areas and accessory use areas. Issued March 3, 2005
• Advisory on Sections 310.1 and 310.2—Residential care facilities with 6-16 occupants. Issued April 1, 2005.
• Advisory on Section 404.8—Travel distance. Issued October 29, 2004.
• Advisory on Section 707.2—Shaft enclosure required (Exception 7). Issued March 3, 2005.
• Advisory on Section 1014.1—Exit or exit access doorways required. Issued October 29, 2004.
• Advisory on Section 1016.5—Corridor Continuity. Issued October 29, 2004.
• Advisory on Section 1019.1—Enclosures required (Exceptions 8 and 9). Issued March 3, 2005.
• Advisory on Sections 3409.3 and 3409.6 (and IEBC sections 812.5 and 506.2)—Accessibility requirements applicable to changes of group or occupancy and alterations. Issued March 3, 2005. Revised and re-issued January 8, 2007.
• Advisory ''S'' (Storage) versus ''U'' (Utility and Miscellaneous Use) classification and use. Issued June 30, 2005. Revised January 9, 2008.
• Technical International Building Code 2006 Advisories
Contact: Edward L. Leister, Director, BOIS (717-783-6304)
• Advisory on Sections 310.1 and 310.2—Residential care facilities with 6-16 occupants. Issued April 1, 2005. Revised January 26, 2007.
• Advisory on Section 404.8—Travel Distance. Issued October 29, 2004. Revised January 26, 2007.
• Advisory on Section 707.2—Shaft enclosure required (Exception 7)—Issued March 3, 2005. Revised January 26, 2007.
• Advisory on Section 1007.1—Accessible Means of Egress Required-Issued July 16, 2008.
• Advisory on Section 1007.6—Areas of Refuge—Issued July 16, 2008.
• Advisory on Section 1008.1.3.4—Access-controlled Egress Doors—Issued January 30, 2008.
• Advisory on Section 1015.1—Exit and exit access doorways required. Issued October 29, 2004. Revised January 26, 2007.
• Advisory on Section 1017.5—Corridor continuity. Issued October 29, 2004. Revised January 26, 2007.
• Advisory on Section 1020.1—Enclosures required. Issued March 3, 2005. Revised January 26, 2007.
• Advisory on Section 1020.1—Enclosures required (Exceptions 8 and 9). Issued March 3, 2005. Revised January 26, 2007.
• Advisory on Section 1020.1.5—Discharge identification barrier. Issued January 30, 2008.
• Advisory on Sections 3409.4 and 3409.7 (and IEBC sections 912.8 and 605.2)—Accessibility requirements applicable to changes of group or occupancy and alterations. Issued March 3, 2005. Revised January 26, 2007.
• Advisory ''S'' (Storage) versus ''U'' (Utility and Miscellaneous Use) classification and use. Issued June 30, 2005. Revised January 9, 2008.
• Uniform Construction Code Advisories
Contact: Joseph P. Marchioni, Chief, UCC Division (717-346-2729)
• Accessibility-Only Plan Reviews and Inspections.
• Building Code Official (BCO) Certification. Revised November 14, 2007.
• Certain Electrical Requirements with an Effective Date of 1/1/08.
• Ground Snow Loads. Revised June 28, 2007.
• Health Care Facilities Act
• Manufactured Housing
• One- and Two-Family Dwelling Fire Protection of Floors. Issued August 1, 2011.
• One- and Two-Family Dwelling Sprinkler Installation. Issued August 1, 2011.
• Recreational Cabin Exclusion
• Residential Care Facilities. Revised on July 12, 2010.
• Sprinkler System Shop Drawings
• ''State-Owned Buildings''
• Temporary Structures. Revised on January 19, 2011.
• Townhouse Sprinkler Installation. Revised on August 1, 2011.
• Utility Service Connections
Accessibility Directives
Contact: Edward L. Leister, Director, BOIS (717-783-6304)
• Accessibility Requirements in Certain Townhouses
• Accessibility Requirements When Adding Non-Grade Level Floors
• Additions and Accessible Exits
• Measuring Kitchen Base Cabinets for an ''Obstructed High Side Reach Range''
• Public Pools and Accessible
• Temporary Certificates of Occupancy & Accessibility
• Vending and Lottery Machine Reach Ranges
Advisories on Elevators & Other Lifting Devices
Contact: Michael J. Mellon, Jr., Chief, Elevator Division (717-214-4320)
• Building Approval Information
• Common Application Deficiencies
• Controller Change Alterations
• Emergency Permits
• Excessive Car Top Clearance
• Governors in Hoistway
• Hoistway Certifications
• Jack Replacement
• Major Repair—Equipment Number
• New Construction vs. Alterations
• Pit Ladders
• Proof of Contract
• Temporary Construction Elevators
• Variances
• VRCs
• Wheelchair and Stairchair Lifts
• Work/Equipment in Machine Rooms
• Worker & Community Right to Know Publications
• Contact: Carol Freeman, Pennsafe Division (717-783-2071)
• PSF-4 Employee Workplace Notice
• PSF-4S Employee Workplace Notice (Spanish version)
• PSF-8 Compliance Materials for Public Sector Employers Hazardous Substance Survey Form (booklet)
• PSF-22 Environmental Hazardous Survey Form
• PSF-23 Compliance Checklist for Public Sector Employers
• PSF-29 RTK Request for Information/Complaint Form
• PSF-38 Pennsylvania Tier II Emergency & Hazardous Chemical Inventory
• Guidance Manual Pennsafe website: www.dli.state.pa.us(Keywords: PATTS, HSSF)

INDUSTRIAL BOARD
Contact: Traci Willman, Administrative Officer (717-787-6114)
• Board description
• Appeal/Variance/Extension of Time Procedures
• Meeting Dates
• FAQs
• LIIB 115 Fire and Panic Act form
• LIIB 117 Uniform Construction Code form
• LIIB 118 Elevators and Other Lifting Devices form
• LIIB 119 Request for Industrial Board Plans form
• LIIB 121 Flammable and Combustible Liquids form
• LIIB 122 Liquefied Petroleum Gas form
• LIIB 303 Boiler form
• LIIB 305 Unfired Pressure Vessel form
• LIIB 306 Bedding & Upholstery Industrial Board Petition


MILITARY & VETERANS AFFAIRS

POLICY STATEMENTS:
• ADA Policy Statement
• HIV/AIDS Policy
• Sexual Harassment Policy
• Substance Abuse in the Workplace Policy
• Workplace Violence Policy
 o Contact: Office of Administration (717) 861-8850
• Equal Opportunity Statement
 o Contact: DMVA/HR (717) 861-8796
• Operation of Clubs within National Guard Facilities
• Privately Owned Weapons on National Guard Facilities
 o Contact: Office of Chief Counsel (717) 861-8503
• Smoking Policy
 o Contact: Office of Administration (717) 861-8849
• Public Affairs Airlift Policy
 o Public Affairs (717) 861-8468
• Military Aircraft Flyovers
 o Public Affairs (717) 861-8468
• Use of Military Equipment for Civilian Organizations
 o Contact: Military Support (717) 861-8938
• Recreational Access to Fort Indiantown Gap
 o Contact: FTIG Training Site (717) 861-8155
• Resident Abuse Policy and Procedures
• Staff/Resident Fraternization Policy, Veterans' Homes
• Handbook of Accounting Manual for State Veterans' Homes
• HIPAA Policies and Forms for State Veterans' Homes
 o Contact: Bureau of State Veterans' Homes (717) 861-8903
• Standard Operating Procedure for Armory Rentals
• Policy for State-Owned Family Housing
 o Contact: Bureau of Facilities and Engineering (717) 861-8580
• Policy on Maintenance and Use of Veterans' Trust Fund

INTERNAL GUIDELINES:
• Adherence to Work Hours/Wear of Military Uniform
• Bomb Threat Plan—DMVA contains classified information
• Curtailment of Activities at FTIG Due to Inclement Weather
• Discipline Manual
• Photo ID Cards for State Civilian Employees at FTIG
• Political Activity
• Reporting Procedures for Workplace Violence
• Retired Guardsmen Involvement
• Notification of VIP Visits for FTIG and DMVA Organizations
• Overtime/Compensatory Leave Policy
• Work Schedule
• Pennsylvania National Guard Military Regulations and Directives (PMR/PaANGR)
• Manual for Courts—Martial under PCMJ
• Discrimination Complaint Process
 o Contact: DMVA/HR (717) 861-8796
• Employee Orientation Checklist• Review of Procedures for Responding to PHRC/EEOC Complaints
• Sexual Harassment: Your rights and responsibilities
• DMVA Work Rules/Standards of Conduct
 o Contact: Office of Administration (717) 861-8550
• IT Policies and Procedures
 o Contact: OA/IT (717) 861-8639
• Policy Information Memos (PIMs)

OTHER/GUIDANCE/INSTRUCTIONAL MANUALS:
• Military Family Relief Assistance Program Guidelines
 o Contact: MFRAP (717)861-8268
• Personnel Manual
• DMVA Guide to Classification
• Employee Handbook
• Guide to Managing the Official Personnel Folder
• Leave Manual for the DMVA
• Employee Safety Handbook
• DMVA Guide for Controlling Sick Leave Abuse and Time and Attendance Problems
• PA Worker and Community Right to Know Training Booklet
• Partial and Full-Day Closings for State Employees at Ft. Indiantown Gap
• Training Guidelines Manual
• Work-Related Disability Leave and Modified Light Duty Manual
 o Contact: Office of Administration (717) 861-8550
• Equal Opportunity Plan
• Contract Compliance Plan for DMVA
• DMVA Workforce Profile
• Training Plan and Report
 o Contact: DMVA/HR (717) 861-8796
• Organizational and Functional Statement for the DMVA
• Index of Administrative Publications (contains classified information) Pamphlet 310
• Military Publications Index of Blank Forms (contains classified information) Pamphlet 25-32
 o Contact: Office of Administration (717) 861-8550
• Patient Care Policy Manual, Veterans' Homes
• State Home Construction Grant Program
• Veterans Administration Guidelines for State Veterans' Homes
 o Contact: Bureau of State Veterans' Home (717) 861-8903
• Directory of Agencies Providing Information to Veterans
• PA Veterans' Memorial
• Telephone Directory for Veterans Organizations


PENNSYLVANIA BOARD OF PROBATION
AND PAROLE

Publications available through the Pennsylvania
 Board of Probation and Parole

Parolee Handbook (January 2013)
Parolee Handbook (Spanish Version February 2013)
Pennsylvania's Reentry System: Towards Safer Communi-
 ties (April 2013)
Understand the New Technical Parole Violation Process  in Pennsylvania (March 2013)
Fact Sheet: Understanding Pennsylvania Parole (January  2013)
Fact Sheet: Effective Parole Systems Don't Just Happen  (September 2011)
Fact Sheet: Law Enforcement Collaboration (March 2012)
Building Your Life as a Veteran While on Parole (January  2012)
Parole Violator Center Program (April 2013)
Parole Violator Center Program (Spanish Version April  2013)
Employer Benefits of Hiring Individuals on Community  Supervision (March 2012)
Preparing for Your Return to the Community: What  Offenders and Their Families Need to Know (June  2012)
Types of Careers with the Pennsylvania Board of Proba-
 tion and Parole (Online)
PBPP 361 Decisional Instrument
Contact: Leo Dunn 717.787.6208


PENNSYLVANIA COMMISSION ON CRIME
AND DELINQUENCY

• U.S. Department of Justice, Bureau of Justice Assistance, ''Byrne Formula Grant Program Guidance''
• U.S. Department of Justice, Bureau of Justice Assistance, Fact Sheets
• Minimum Standards for Criminal Justice Advisory Boards (CJABs)
• 2011 Byrne Justice Assistance Grant—Local
• 2011 Coverdell PA POLLS—End Point Support
• 2011 Coverdell PA POLLS—Infrastructure Support
• 2011 PA DOC Culinary Arts Program
• 2012/13 Paul Coverdell Forensic Science Grants
• 2013 Chiefs' Council Training/Technical Assistance
• ARRA Better Automation and Sharing by Law Enforce
• ARRA Child Advocacy Centers
• ARRA County Technology Initiatives 2009
• ARRA—Criminal History Records Improvement (2011)
• ARRA DOC Reentry
• ARRA Juvenile Prosecution/Defense Capacity BLDG
• ARRA—Megan's Law Registration Support (2012)
• ARRA PSP Megan's Law Modernization System
• ARRA PSP PICS Phase II
• ARRA/Justice Practitioner Job Creation & Retention
• ARRA—Criminal Justice Improvement Programs
• ARRA—Protection From Abuse Database Transition
• Better Automation and Sharing by Law Enforcement
• Capital Case Litigation Initiative 2011
• Center of Excellence
• CJAB Technical Assistance (2012)
• County Intermediate Punishment (Re-release)
• County Offender Re-entry Planning Grants
• Criminal Justice Advisory Board Initiatives 2010
• Criminal Justice Advisory Board Initiatives 2011
• Criminal Justice Advisory Board . . . Phila CJAB
• Drug & Alcohol Restrictive Intermediate Punishment
• Law Enforcement Accreditation Program (2011)
• Megan's Law Registration Support (2012)
• Mental Health and Justice Housing Initiative
• PA SAVIN I Maintenance (2012)
• PA SAVIN I Maintenance (2013)
• Problem Solving Courts Performance Measurement
• PSN Middle District/Basic-Gang 2010
• PSN—Western Dist/Anti-Gang 2011/12
• Regional Policing
• Regional Policing 2012
• RSAT 2010
• RSAT 2011—Wernersville Continuation
• Sentencing Risk Assessment (2012)
• Sentencing Technical Assistance (2012)
• State Intermediate Punishment to HOPE
• Statewide Defender Training (2010)
• Statewide Defender Training—2012
• Substance Abuse Education (SAEDRF) Category 1 & 2
• Substance Abuse Education (SAEDRF) Category 1 & 2
• Substance Abuse Education (SAEDRF) Category 3
• Training Initiatives—PDAI (2011/12) (2011 JAG)
• Training Initiatives—PDAI (2012/13)

Constables Education and Training Board
• Constables' Training Bulletins and Annual Reports, August 1994 to present.
• Constables' Education and Training Board (CETB) instructor information produced solely for contractor schools.—Updated (NOV 07) and adopted by the CETB as an official policy.
• CETB / PCCD policy on Act 233 payments
• PA Constables' Classroom Code of Conduct—Adopted August 2008
• Constable Record Form
• Criteria for instructors as listed on constables' certification application. Form updated October 2009.
• Constable Background Check Form
• Act 49 Constable Training Grievance Form
• Basic, Continuing Education, Firearms, Optional and Transfer Enrollment Forms
• Request for Basic and Continuing Education Waiver Forms

Deputy Sheriffs
• Deputy Sheriffs' Training Bulletins and Annual Reports, April 1990 to present.
• Deputy Sheriffs' Education & Training Board (DSETB) Policy, updated March 2009.
• Code of Conduct for deputy sheriffs training, distributed by training contractor to trainees in each basic training and waiver class.
• Employment Form
• Basic Training Physical Form
• DSETB Instructor Application
• DSETB Time & Training Waiver Applications
• DSETB Physical Training Standards

Office of Financial Management and Administration
• PCCD Applicant's Manual and related documents on PCCD website.
• U.S. Department of Justice, Office of Justice Programs, Office of the Comptroller, Financial Guide.
• Commonwealth of Pennsylvania, Governor's Office, Management Directive 305.20, Grant Administration.
• Funding guidelines disseminated as needed by various offices.
• External Quick Start Guides for Egrants.
• PCCD Egrants Help Center Documents.
• PCCD Policy for Addressing Complaints Regarding Inherently Religious Activities.
• Memo from the Federal Office of Management and Budget regarding ACORN.
• Agreement Addendum for Implementation of the American Recovery and Reinvestment Act of 2009.
• ARRA Special Conditions for JAG.
• Certification as to Recovery Act Funding/Reporting Requirements (JAG).
• ARRA Special Conditions for VOCA.
• Certification as to Recovery Act Funding/Reporting Requirements (VOCA).
• STOP Recovery Act Implementation Plan.
• ARRA Special Conditions for STOP.
• Certification as to Recovery Act Funding/Reporting Requirements (STOP).
• Certification of Compliance with Statutory Eligibility Requirements of VAWA.
• Revised Standard Subgrant Conditions.
• Federal Funding Accountability and Transparency Act guidance.
• Responding to Discrimination complaints for Recipients of Federal Funds.
• Time and Effort Reporting Standards.
• Fiscal Accountability document.• American Recovery and Reinvestment Act (ARRA) Information for PCCD Applicants.
• Reporting Requirements under Section 1512(c) of the Recovery Act—Additional Information.
• PCCD Civil Rights Compliance Procedures.
• PCCD Discrimination Complaint Form.

Office of Juvenile Justice and Delinquency Prevention
Funding announcements that provide guidelines and requirements for applicants:
• Juvenile Justice System Enhancement: Planning and Implementation—Cycle 2 (Federal JJDP Funds), October 2012.
• Juvenile Accountability Block Grant (Federal JABG Funds), November 2012.
• Evidence-Based Violence Prevention Programs—2012 (State VPP Funds), March 2013.
• OJJDP Substance Abuse Education and Demand Reduction Category 1 Research-based Approaches (State SAEDR Funds), April 2013.
• Juvenile Justice System Enhancement: Planning and Implementation—Cycle 3 (Federal JJDP Funds), April 2013.
• Disproportionate Minority Contact Minority Youth-Law Enforcement Curriculum (Federal JJDP Funds), May 2013.
• Disproportionate Minority Contact Local Initiatives (Federal JJDP Funds), May 2013.
• Youth Violence and Delinquency Prevention and Intervention Programs (State VPP and Federal JJDP Funds), May 2013.

Office of Victims' Services

Victims Compensation
• Victims Compensation Claim Form. (Standard) (Updated 6/10).
• Victims Compensation Claim Form. (One Page) (Updated 4/13).
• Spanish Signature Page (11/06).
• Financial Assistance for Victims of Crime pamphlet (English 6/10, Spanish 02/11 and Braille).
• Compensation Resource Guide for Victim Service and Allied Professionals brochure (English and Spanish). (Updated 3/12).
• Victim Rights Notification Information (updated 4/13).
• Victim Advocate Manual—rewritten 2010 and merged with Standard Operating Guidelines.
• Victims Compensation Assistance Program Standard Operating Guidelines. (merged with Victim Advocate Manual).
• DAVE Brochure for online access of compensation claims, updated 04/08.
• Brochure of victim resources/materials request form, current 2007.
• Restitution/Compensation Brochure (new 5/08).
• Stolen Benefit Cash Claim form (updated 4/09).
• Vehicular Claim Addendum Form (updated 3/07).
• Large Print VCAP Short form (updated 4/06).
• VCAP Victim Response Surveys (Updated 10/11).
• Emergency Compensation Award Application (updated 8/10).
• Forensic Rape Examination Claim Form (updated 10/11).
• Protocols and Billing Procedures for Forensic Rape Examinations (updated 6/11).
• Handout Pads (English and Spanish) and Braille (updated 12/07).
• Law Enforcement Poster (updated 7/05).
• Public Awareness Posters (5/08).
• Law Enforcement Fact Sheet (4/08).
• Relocation Expenses (4/07).
• Compensation Benefits for Child Victims and their Families (9/08).

Victims Services
• Local Policy Board Requirements, revised June 2009.
• STOP Violence Against Women Funding Announcement, 2013-2015.
• Rights and Services Act (RASA) Funding Announcement 2013-2014.
• VOCA Funding Announcement, 2013-2015.
• VOCA Funding Guideline Amendment: Mass Violence, 2000.
• Consolidated Victim Service Program Standards, effective 2009.
• Sexual Assault Services Formula Grant Funding Announcement 2012-2013
• PDAI Training and Technical Assistance Funding Announcement 2013.
• STOP PCAR/PCADV Training and Technical Assistance Initiative Funding Announcement 2013.
• PA Chiefs of Police Association VCAP Funding Announcement 2013.
• Victims of Crime Act Statewide Funding Announcement for OVA Mediation 2013-2015.
• Substance Abuse Demand Reduction and Education Funding Announcement 2012
• Statewide Crisis Response Initiative Funding Announcement 2013.
• Office of Victims' Services Annual Report 2010-2011.

Office of Research Evaluation and Strategic Planning
• Criminal Justice Population Projections Protocol.
• Research, Evaluation, Data collection, and Analysis Advisory Committee Protocol.
• Procedures for Offices to Review Performance Indicators


PENNSYLVANIA HOUSING FINANCE AGENCY

POLICY STATEMENTS

Rental Housing Program
 12 Pa. Code, Sections 31.11—31.25
Contact: Holly Glauser (717.780.3876)

Owner-Occupied Residential Housing Program
 12 Pa. Code, Sections 31.101—31.105
Contact: Kate Newton (717.780.3891)

Mortgage Loan Program
 12 Pa. Code, Sections 31.111—31.117
Contact: Kate Newton (717.780.3891)

Policy Statement on Homeowners' Emergency Mortgage Assistance Program (including Program Guidelines, Act 91 Notice)
 12 Pa. Code, Sections 31.201 et seq.
Contact: Daryl Rotz (717.780.3940)

HEMAP Consumer Credit Counseling Agencies on PHFA website at www.phfa.org Privacy Policy
Contact: Tom Brzana (717.780.3996)

GUIDANCE MANUALS

Development Division
PHFA Multifamily Housing Application and Guidelines  (contains PennHOMES, Taxable and Tax-Exempt Fi-
 nancing and Low Income Housing Tax Credit Guide-
 lines)
PHFA Preprocessing Manual for Projects with Agency  Federal HOME Funds PHFA Preprocessing Manual for Projects with Agency  Reserve Funds
Contact: Lisa Lutz (717.780.3876)

Technical Services Division
Architectural Submission Guide
Submission Guide for Small Projects
PHFA Preconstruction Meeting Guide
General Payout Procedures for Mortgagors & Contractors
Contact: Kristy Provost (717.780.1846)

Housing Management Division
PHFA Property Operations Manual
PHFA Section 8 Non-Performance Based Property Op-
 erations Manual
PHFA Low-Income Housing Tax Credit Compliance  Manual
Contact: Barbara Huntsinger (717.780.3818)
PHFA Financial Reporting Manual for Agency Financed  Properties and Tax Credit Only Properties (No Agency  Financing)
Contact: Kathy Hughes (717.780.3819)

Housing Services Department
Senior Supportive Services Program Manual with  PennHOMES/Low Income Tax Credit Requirements
Supportive Services Program Manual with Section 8  Requirements
Family Supportive Services Program Manual with  PennHOMES/Low Income Tax Credit Requirements
Family Supportive Services Program Manual with Phila-
 delphia Family Resource Center Initiative Require-
 ments
Family Supportive Services Program Manual with Phila-
 delphia Escrow/Waiver Requirements
Quick Connections (supportive services newsletter)
Contact: Crystal Baker (717.780.1808)

Single Family Housing Division
PHFA Seller's Guide
Contact: Kate Newton (717.780.3891)
Renovate & Repair Program Guidelines
Contact: Roberta Schwalm (717.780.3838)

INTERNAL GUIDELINES
PHFA Board Agenda, Minutes and Resolutions
Bylaws of the Pennsylvania Housing Finance Agency
PHFA Right to Know Act Policy
PHFA Investment Policy
PHFA Interest Rate Swap Guidelines
Contact: Carrie Barnes (717.780.3911)
PHFA Employee Manual
PHFA Procurement Guide
Contact: Susan Heilig (717.780.4335)

OTHER
Anti-Predatory Lending
Anti-Predatory Lending and Foreclosure Prevention Pre-
 sentation—CD-Rom
Anti-Predatory Lending and Foreclosure Prevention—
 Trainer's Guide
Contact: Christina Brown (717.780.3832)
PHFA Annual Report
Pennsylvania Housing Studies (available only on website  at www.phfa.org)
PHFA Homebuyer Workbook
Do-Able Renewable Home (Accessibility Workbook)
Contact: Chris Anderson (717.780.3815)
PHFA Brochures
Programs for Homebuyers
Comprehensive Homeownership Counseling Initiative
Don't Get Hooked by Predatory Lending Homeowners' Emergency Mortgage Assistance Program
PAHousingSearch.com
Renovate & Repair Loan Program (R&R) (available only in the website at www.phfa.org) Contact: Chris Anderson  (717.780.3815)
PHFA Program Notices
PHARE Plan & RFP
Contact: Melissa Raffensperger (717.780.3947)
Manufactured Home Community Rights Act Notice
Contact: Legal Department (717.780.3846)

Additional information is available on PHFA's website (www.phfa.org) from time to time (including funding notices, Requests for Proposals, and news and public notices)


PENNSYLVANIA INFRASTRUCTURE INVESTMENT AUTHORITY—PENNVEST

GUIDELINES
• PENNVEST: Financing Clean Water for Pennsylvania, 2008.
• On-Lot Sewage Disposal System for the Individual Homeowner Funding Program, 2012.
• PENNVEST Annual Report, 2010-2011.
• Brownfield Redevelopment Guidelines & Forms
• Handbook for PENNVEST Waste Water Projects
• Handbook for PENNVEST Drinking Water Projects
• PENNVEST Nutrient Credit Clearinghouse Rulebook
• PENNVEST ONLINE 2012
 • Mission
 • Publications
  o Growing Greener Notification
   o On Lot Sewage Disposal System Funding Program Brochure
   o PENNVEST General Information Brochure
 • Webcasts
  o Buy America Webcasts—Substantially Made in America
  o Reserve Webinar
  o How to: Funds Disbursement
  o PENNVEST New Application
  o How to Implement: DBE Requirement
  o How to Implement: Davis Bacon Requirement
 • Regulations
  o State Regulations for PENNVEST Guidelines
  o State Regulations for PENNVEST Funded Projects
 • Financial Assistance
  • Available Funding
   o Drinking Water, Wastewater and Storm water Loans and Non-Point Source Financing
   o On-Lot Sewage Disposal Loans
   o Brownfield Redevelopment Loans
   o Growing Greener Grants
   o ARRA
  • Subsidy Calculator
  • Financial Assistance Simulator (FAS)
  • County Cap Rate
  • FAQs
 • Documents and Forms
  • Process Guidelines and Flowcharts
  • Application Planning Documents
  • Legal Conditions and Guidance
  • Brownfield Development Loans
  • ARRA Requirements
 • Programs
  • Approved Projects
  • Drinking Water State Revolving Fund
  • Clean Water State Revolving Fund
  • Commonwealth Funding  • American Recovery and Reinvestment Act (ARRA) 2009 Funding
  • Green Initiatives
  • Non-Point Source
  • Performance Measures
  • Nutrient Credit Trading
 • Loan Servicing
  • Payment Tracking
  • Continuing Education
  • Annual Financial Reporting
Contact: Lou Ann Buffington (717) 787-8138.

Public Procedure:
• PENNVEST Right to Know Policy
Contact: Kathlyn Domitrovich (717) 783-4493

Internet Policy:
• PENNVEST Privacy Policy
• PENNVEST Site Security
Contact: Laura A. Lewis (717) 783-4491


PUBLIC SCHOOL EMPLOYEES' RETIREMENT
SYSTEM & PENNSYLVANIA MUNICIPAL
RETIREMENT SYSTEM

Public School Employees' Retirement System

GUIDANCE MANUALS:
• PSERS Active Member Handbook (Current Ed. 09/2012)
• PSERS Retired Member Handbook (Current Ed. 5/2007)
• PSERS Update—Annually (January)
• PSERS Pamphlets:
Let's Talk About: Taxes on Your Retirement Benefits (02/2009)
Let's Talk About: Disability Retirement Benefits (04/2012)
Let's Talk About: Being Retired (02/2009)
Let's Talk About: Death Benefits During Employment (11/2003)
Let's Talk About: Death Benefits During Retirement (4/2001)
Let's Talk About: Purchasing Credit for Service (06/2008)
Let's Talk About: Returning To Service After Retirement (07/2011)
• Information for New School Employees (12/2012)
• PSERS Your Benefits & Leaving Employment (09/2012)
• PSERS Return to Service Guidelines and Clarifications (01/2013)
• PSERS Divorce Guidelines (09/2012)
• PSERS Active Member Newsletter (Spring, Summer, Fall)
• PSERS Retired Member Newsletter (Spring, Summer, Fall)
• The Employer Bulletin
• PSERS Employer Reference Manual (10/2011)
• Online Estimate Calculator Retirement Planning at your Fingertips (07/2012)
Contact: Evelyn Tatkovski (717) 720-4734

DECISIONS:
• PSERS Board of Trustees Adjudications Topics:
Beneficiary Change
Change Employment Status
Change of Option
Change Retirement Date
Class TD and TF Election
Cost of Living Increase
Credited Years of Service
Death Benefit
Disability
Divorce
Effective Date of Retirement
Emergency Return To Service
Final Average Salary
Frozen Present Value
Forced Maternity Leave
Full-Year Service
Health Care Premium Assistance
Mandatory Membership
Membership Eligibility
Military Service (purchase of)
Multiple Service Credit
Non Qualifying Part-Time Service
Overpayment
Payment of Interest
Pension Forfeiture
Purchase of Service
Recalculation of Benefit
Reinstatement
Retirement-Covered Compensation
Return To Public School Service
Service Adjustment
Tax Collector
Miscellaneous
Contact: Evelyn Tatkovski (717) 720-4734

INTERNAL POLICY STATEMENTS and GUIDELINES:
• PSERS Board Automation Policy
• PSERS Bylaws
• PSERS Election Procedures and Guidelines
• PSERS Board Ethics Policy
• PSERS Public Market Emerging Investment Manager Program Policy
• PSERS External Board Appointment and Attendance Policy
• PSERS Domestic Proxy Voting Guidelines
• PSERS International Proxy Voting Guidelines
• PSERS Investment Policy Statement, Objectives & Guidelines
• PSERS Public Information Policy
• PSERS Securities Litigation Policy
• PSERS Education Policy
Contact: Evelyn Tatkovski (717) 720-4734

OTHER:
• PSERS Website: www.psers.state.pa.us
• PSERS Comprehensive Annual Financial Report (Includes Mission Statement)
• PSERS Board Minutes and Resolutions
• PSERS Asset Allocation Plan
• Annual Actuarial Valuation Report
• Actuarial Experience Study Report (5 year intervals)
• Quarterly Financial Statements
• PSERS Budget Hearing materials
• PSERS SEC Form 13F filing
• Actuarial Tables and Computational Procedures, Pa. Bulletin, Vol. 43, No. 18, pp. 2415—2548, May 4, 2013
• Pennsylvania School Retiree Health Care Coverage
Website: www.hopbenefits.com
Health Options Program
Premium Assistance Program
Contact: Evelyn Tatkovski (717) 720-4734


PENNSYLVANIA MUNICIPAL RETIREMENT
SYSTEM

Pennsylvania Municipal Retirement System

POLICY STATEMENTS (Contact: James B. Allen) (717) 787-2065:
• Actuarial Tables
• Allocation of Excess Interest to Municipal Account, Member's Accounts, and Retired
• Business and Educational Travel Policy
• Calculation of Withdrawing Plan's Portion of Retired Member's Reserve
• Contractor Insurance
• Contract & Purchasing Procedures
• Date of Birth Proof
• Designating Signatories
• Disability Reserve Funding
• DROP—Deferred Retirement Option Program
• Excess Interest Process
• Indemnification Policy
• Investment Guidelines
• Member Contribution Receipts
• Overpayment Policy
• Permanent Employee
• Plan Withdrawal Procedures
• Portability: Individual Member
• Portability: Plan Spin-offs
• Proxy Voting Guidelines
• Refund—Plan Withdrawal
• Return to Work Policy Statement
• Right To Know Policy

GUIDANCE MANUALS (Contact: James B. Allen) (717) 787-2065:
• PMRS Notes & News
• PMRS Pamphlets:
 Plan Benefit Summary (individualized for each mu-
 nicipality)
 Evaluating Your Pension Plan
 Pennsylvania Municipal Retirement System
• Individual Municipality Plan Benefit Agreements
• PMRS WebSite: www.pmrs.state.pa.us

DECISIONS (Contact: James B. Allen) (717) 787-2065:
• PMRS Board of Trustees Adjudications
 Topics:
  Death
  Disability
  Membership Eligibility
  Miscellaneous
  Payment of Interest
  Pension Benefit
  Pension Forfeiture
  Purchase of Service

INTERNAL GUIDELINES (Contact: James B. Allen) (717) 787-2065:
• Actuarial Reports (Annual Evaluation and 5 year Experience Study Report)
• Actuarial Tables
• Comprehensive Annual Financial Report
• Investment Consultant Quarterly Reports
• PMRS Board Minutes and Resolutions
• Sample Domestic Relations Order and Instruction Memo
• Template Pension Plan Contract for Police, Municipal and Firefighter


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:

Year Code
Citation
Subject Date Issued Bulletin Number
1983 Ch. 166 Computation of CWEP Hrs. 10/25/83 166-83-57
Ch. 275 Postmark Date as the Receipt Indicator for Appeals and for Requests for Reconsideration 03/15/84 275-84-10
1993 *CH. 166 PROVIDING SUPPORTIVE SERVICES TO PARTICIPANTS IN THE COMMUNITY WORK EXPERIENCE PROGRAM 08/21/93 166-93-01
1995 *CH. 257 MA ESTATE RECOVERY— CHAPTER 178—MEDICAL ASSISTANCE RESOURCES; CHAPTER 257—REIMBURSEMENT 06/01/95 257-95-01
1996 CH. 125 ACT 1995-20 PROVISIONS RELATING TO PERSONS SENTENCED OR CHARGED FOR A FELONY OR MISDEMEANOR 04/05/96 125-96-01

GUIDANCE MANUALS:
• Cash Assistance Handbook
• Supplemental Nutrition Assistance Program (SNAP) Handbook
• Medical Assistance Eligibility Handbook
• Long Term Care Handbook
• Supplemental Handbook
• Medicaid in Pennsylvania
• Low-Income Home Energy Assistance Program Final State Plan
• Actions for Support
• TANF State Plan
• Homeless Assistance Program—Instructions and Requirements
• Summary of Pennsylvania's State Food Stamp Employment and Training Program
• TANF Work Verification Plan
• LIHEAP Handbook
• Pennsylvania Child Support Handbook
• Employment, Advancement and Retention Network (EARN) Program and Policy Procedures Manual
• WORK READY Program and Policy Procedures Manual
• Keystone Education Yields Success (KEYS) Program Policy and Procedures Manual
• Maximizing Participation Project (MPP) Program Policy and Procedures Manual
• Human Services Development Fund Instructions and Requirements
• Early Intervention Annual Expenditure Report Instructions
• Human Services Block Grant Annual Expenditure Report Instructions
• Human Services Non-Block Grant Annual Expenditure Report Instructions

Office of Medical Assistance—Contact: Robert J. Gardner (717) 772-6341

POLICY STATEMENTS:

Year Code
Citation
Subject Date Issued Bulletin Number
1981 Ch. 1251 Clarification of M.A.
Bulletin # 22-80-01
08/19/81 22-81-01
Ch. 1121 Info. Concerning Claims
Submitted as Compounded
Prescriptions
06/30/82 19-82-02
1984 Ch. 1251 Revisions to MA Chapter 1251
(Funeral Directors' Services)
05/11/84 22-84-01
1984 Ch. 1101 Third Party Resource and Copay 11/01/84 99-84-15
1985 Ch. 1141 Physician Assistant Use 04/22/85 01-85-05
Ch. 1245,
  1163
Ambulance Transportation 04/22/85 11-85-08
Ch. 1163 Psych. Inpatient Adm of Patients with D/A and Psychiatric Diagnoses 05/31/85 13-85-04
Ch. 1153 Requirements for Treatment Plans & Doc. of Treatment10/31/85 29-85-02
33-85-02
Ch. 1149 Clarification of Treatment Plan Requirements for Orthodontists 02/11/86 03-86-1
Ch. 1163
Ch. 1151
Offset of Investment Income 02/21/86 11-86-04
12-86-02
13-86-01
1986 Ch. 1101.75
(a)(5)
Policy Clarification 07/23/86 19-86-06
Ch. 1101 Policy Clarification Re:
Provider's Signature
09/19/86 99-86-06
Ch. 1101 Professional License No. 10/13/86 11-86-12
12-86-05
Ch. 1101 Preclusion of Convicted Persons, Not Providers, from Participation or Involvement in the MA Program 10/24/86 99-86-09
Ch. 1123 Durable Medical Equipment Warranties10/28/86 05-86-02
19-86-07
Ch. 1101 Records Maintenance and Avail. Requirements 11/05/86 23-86-02
1987 Ch. 1101 Physicians' Response. Home Health Services 01/12/87 01-87-01
Ch. 1223 Single County Authorities 12-87-01
13-87-01
Ch. 1149 Palliative Emerg. Treat. 04/24/87 03-87-02
27-87-01
Ch. 1223 Nonrecompensable Services
Drug Screens
07/29/87 11-87-05
12-87-04
16-87-01
28-87-02
Ch. 1101/
Ch. 1123
Coverage for Motorized Wheelchairs07/30/87 05-87-02
01-87-08
19-87-06
Ch. 1123 Policy Relating to Apnea Monitors 09/02/87 01-87-15
05-87-04
19-87-09
Ch. 1150 Spec. Enroll. Req. to Bill Tech. Comp. of Ped. Pneumograms 10/07/87 05-87-05
19-87-10
1988 Ch. 1101 Policy Clarification Regarding Physician License 07/01/88 1101-88-01
1989 Ch. 1101 Policy Reminder Regarding Practitioner License Requirements 09/09/89 1101-89-02
1990 Ch. 1150 Payment Policy for Consultations 04/27/90 1150-90-01
1991 *CH. 1101
CH. 1121
CH. 1123
Ch. 1241
EPSDT—OBRA '89 08/02/91 1101-91-01
1121-91-02
1123-91-01
1241-91-01
1992 *CH. 1141
*CH. 1153
CLOZAPINE SUPPORT SERVICES 01/31/92 1141-92-01
1153-92-01
Ch. 1241Revised EPSDT Immunization Guidelines 12/11/92 1241-92-01
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 1165-93-07
*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
*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
1994 Ch. 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 1239-94-01
*CH. 1121 PHARMACEUTICAL SERVICES DRUG COVERAGE FOR MEDICALLY NEEDY IN NURSING FACILITIES 06/24/94 1121-94-01
*CH. 1121 PHARMACEUTICAL SERVICES PRIOR AUTHORIZATION REQUIREMENT MULTISOURCE BRAND NAME DRUGS 08/26/94 1121-94-02
*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 08/30/94 1121-94-03
1126-94-01
1129-94-01
1141-94-01
1163-94-01
1221-94-01
1225-94-01
1242-94-01
*CH. 1101 GENERAL ASSISTANCE RESTRUCTURE AS A RESULT OF ACT 49 09/02/94 1101-94-01
1995 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. 1153 PRIOR AUTHORIZATION OF PARTIAL HOSPITALIZATION 12/30/94 1153-94-01
CH. 1163 PAYMENT POLICY FOR ABORTION SERVICES 12/15/95 1163-95-02
1997 Ch. 1141 Revision to Physician Assistant and Nurse Midwife Supervision Requirement 07/30/97 1141-97-01
1998 Ch. 1163 Revision of Utilization Guidelines for Inpatient Hospital Drug and Alcohol Services Under the Medical Assistance Program 05/18/98 1163-98-01
Ch. 1101 Regulation Changes Regarding 07/01/98 1101-98-01
Ch. 1141 ''Emergency Medical Condition'' 1141-98-01
Ch. 1150 1150-98-01
Ch. 1221 1121-98-01
Ch. 1141 Clozapine Support Services 12/29/98 33-98-08
Ch. 1153 29-98-08
01-98-19
1999 Ch. 1187 Capital Component Payments for Post-Moratorium Beds04/17/99 1187-99-01
35-99-05
36-99-05
Ch. 1101 ''Payment in Full'' 09/17/99 99-99-06
2001 Ch. 1101 Clarification of Coverage for Motorized Wheelchairs and Other Durable Medical Equipment02/16/01 01-01-02
05-01-01
17-01-01
19-01-02
49-01-02
50-01-01
1101-01-01
1123-01-01
Ch. 1241 Revision to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program07/01/01 01-01-10
10-01-03
11-01-05
17-01-04
26-01-03
49-01-07
Breast and Cervical Cancer Prevention and Treatment Program 12/26/01 99-01-12
2002 Ch. 1223 Drug and Alcohol Clinics with Provisional Licenses 10/26/02 28-02-02
Ch. 1241 Revision to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program 01/22/02 01-02-01
10-02-01
11-02-01
17-02-01
26-02-01
49-02-01
Breast and Cervical Cancer Prevention and Treatment Program 05/03/02 99-02-06
Ch. 1241 Addition of Procedure Code 90732 to Medical Assistance Fee Schedule for Administration of Pneumococcal Vaccine 11/18/02 01-02-13
11-02-06
10-02-04
17-02-07
26-02-04
49-02-06
2003 Ch. 1241 2003 Recommended Childhood Immunization Schedule03/31/03 01-03-04
10-03-01
11-03-01
17-03-01
26-03-01
49-03-02
Ch. 1241 Coverage of Pediarix and Addition of Procedure Code 90723 to Medical Assistance Fee Schedule for Administration of Pediarix Vaccine 05/15/03 01-03-06
10-03-02
11-03-02
17-03-03
26-03-02
49-03-03
Ch. 1241 Elimination of the Pennsylvania Children's Check-up (EPSDT) Form (MA-517) 09/05/03 01-03-08
10-03-03
11-03-05
17-03-04
26-03-03
49-03-05
Ch. 1223 Elimination of the Requirement for the Outpatient Drug and Alcohol Clinic's Supervisory Physician to Perform a Comprehensive Medical Examination Within 15 days following the Intake and Before the Provision of Treatment 10/01/03 28-03-02
Ch. 1101 Liability for Cost Sharing for Recipients Enrolled in Medical Assistance through Fee for Service or Managed Care and a Private Third Party Insurer 09/01/03 99-03-12
Continuity of Care for Recipients Transferring Between and Among Fee for Service and Managed Care Organizations 09/01/03 99-03-13
2004 Ch. 1223 Methadone Take—Home Services 02/01/04 28-04-01
2005 Ch. 1121 Pen and Ink Change—Medical Assistance Handbook, Prior Authorization of Pharmaceutical Services, Preferred Drug List 12/30/05 02-05-06
Ch. 1121 Preferred Drug List—Phase 3 12/01/05 30-05-06
Ch. 1121 Scope of Coverage of Pharmacy Services for Dual Eligibles in the Medical Assistance (MA) Program 11/17/05 99-05-21
Ch. 1121 Preferred Drug List—Phase 2 11/08/05 02-05-03
Ch. 1241 Revisions to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Periodicity Schedule 10/25/05 01-05-04
Ch. 1121 Preferred Drug List—Phase 1 10/07/05 02-05-01
Ch. 1121 Prior Authorization of Drugs That Exceed Established Quantity Limits—Phase 2 Enforcement 09/16/05 99-05-17
Ch. 1101 Copayment Changes for Brand Name and Generic Prescription Drugs 08/26/05 24-05-05
Ch. 1121 Prior Authorization of Drugs That Exceed Established Quantity Limits—Phase 1 Enforcement 08/10/05 99-05-14
Ch. 1153 Psychological/Psychiatric/Clinical Re-Evaluations and Re-Authorization For Behavioral Health Rehabilitation (BHR) Services for Children and Adolescents with Behavioral Health Needs Compounded by Developmental Disorders 06/24/05 07-05-01
2005 Recommended Childhood & Adolescents Immunization Schedule 05/26/05 33-05-01
2006 Implementation of the CMS-1500 Health Insurance Claim Form (Version 08/05) 12/18/06 99-06-16
Ch. 1101 Change to copayment requirements for recipients eligible under the Breast and Cervical Cancer Prevention and Treatment coverage group and Titles IV-B & IV-E Foster Care and Adoption Assistance 12/10/06 99-06-12
Ch. 1101 Clarification of Exclusions from Copayment Requirements 12/10/06 99-06-13
Ch. 1153 Mobile Mental Health Treatment 11/30/06 08-06-18
Ch. 1153 Clarification of Payment Policy for Abortion Services 11/28/06 99-06-15
Ch. 1245 Reimbursement for Non-Emergency Transportation Services 11/17/06 03-06-15
Ch. 1245 Implementation of ACCESS Plus Referral Requirements 10/20/06 99-06-11
Ch. 1101 Revised HealthCare Benefits Packages Provider Reference Chart (MA 446) 10/06/06 99-06-10
Ch. 1163 Medical Assistance Payment for Services of Teaching Physicians in Hospitals, Clinics and Emergency Rooms 09/16/06 1141-06-01
Ch. 1153 Revision to Minimum Staff Qualifications of Therapeutic Staff Support (TSS) Workers 08/24/06 08-06-15
Ch. 1153 Federal Medicaid Citizenship and Identity Eligibility Requirements 07/24/06 99-06-07
Ch. 1121 Preferred Drug List—Quarterly Update 04/24/06 02-06-07
Ch. 1241 2006 Recommended Childhood and Adolescent Immunization Schedule 04/16/06 01-06-03
Ch. 1150 Prudent Payment of Claims 04/03/06 99-06-04
Ch. 1121 Federal Clarification—Elimination of Medicaid Coverage of Drugs for Treatment of Erectile Dysfunction 03/07/06 03-06-03
Ch. 1150 Disenrollment of Dual Eligibles from Physical Health Managed Care 01/27/06 99-06-01
Ch. 1121 Prior Authorization of Drugs that Exceed Est. Quantity Limits—Phase 3 Enforcement and Additional Drugs With Quantity Limits01/27/06 02-06-03
03-06-02
08-06-02
09-06-02
11-06-02
14-06-03
24-06-02
27-06-05
30-06-02
31-06-04
32-06-02
Ch. 1121 Preferred Drug List—Phase 4 01/25/06 02-06-02
Ch. 1163 Place of Service Review Procedures 01/03/06 14-06-01
2007 Ch. 1249 Rescission of the Statement of Policy Clarifying the Conditions Under Which Medical Assistance Recipients May Be Considered Homebound 1249-07-04
Ch. 1150 The Addition of Isentress (raltegravir) to the Special Pharmaceutical Benefits Program12/21/07 09-07-16
21-07-04
24-07-16
31-07-22
Ch. 1150 Medical Assistance Program Fee Schedule: Addition of Telehealth Technology Code and Informational Modifier for Consultations Performed Using Telecommunication Technology 11/30/07 09-07-15
Ch. 1123 MA Program Outpatient Fee Schedule Revisions for Speech Generating Devices 11/29/07 24-07-11
25-07-05
31-07-18
Ch. 1121 Preferred Drug List—Fall Update—Part 2 11/29/07 02-07-06
11-07-07
30-07-07
03-07-09
14-07-06
31-07-20
08-07-15
24-07-14
32-07-07
09-07-14
27-07-09
Ch. 1101 Childhood Nutrition and Weight Management Services for Recipients Under 21 Years of Age 11/01/07 99-07-19
Ch. 1121 Preferred Drug List—Fall 2007 Update 11/01/07 02-07-05
11-07-06
30-07-05
03-07-08
14-07-05
31-07-17
08-07-14
24-07-13
32-07-06
09-07-12
27-07-07
Ch. 1121 Delay in Implementation of the Tamper-Resistant Pad Requirements 10/29/07 99-07-18
Ch. 1121 Special Pharmaceutical Benefits Program (SPBP) Income Ceiling for HIV Applicants10/15/07 09-07-10
21-07-03
24-07-10
31-07-14
Ch. 1121 Tamper Resistant Prescription Pads 09/28/07 99-07-16
Ch. 1123 2007 Power Mobility Device HCPCS Updates; Prior Authorization Requirements 09/19/07 99-07-15
Ch. 1163 Medicare Inpatient Pricing Logic Modification 08/17/07 01-07-08
Ch. 1123 Provider Specialty 220 (Hearing Aid Dispenser) Requirement and Updated Medical Assistance Program Fee Schedule for Hearing Aid Supplies08/03/07 01-07-07
24-07-09
31-07-12
20-07-03
25-07-04
Ch. 11221 Preferred Drug List—May 2007 Technical Correction 07/31/07 02-07-04
11-07-05
30-07-04
03-07-07
14-07-04
31-07-11
08-07-12
24-07-08
32-07-05
09-07-09
27-07-06
Ch. 1149 Discontinuance of the Prior Authorization
Requirement for Dental Procedure Codes D7140
and D7210
07/11/07 27-07-04
Ch. 1121 Preferred Drug List—Updates to Prior Authorization
of Pharmaceutical Services Handbook Pages
07/27/07 02-07-03
11-07-04
30-07-03
14-07-03
31-07-10
08-07-11
24-07-07
32-07-04
09-07-08
27-07-05
Ch. 1123 Special Pharmaceutical Benefits Program (SPBP) Income Ceiling Increase for HIV Applicants07/01/07 09-07-05
21-07-02
24-07-04
31-07-07
Ch. 1101 The Elimination of Paper Vouchers 06/14/07 99-07-10
Ch. 1123 Requirements for Coverage of Enteral Nutritional Supplements and Issuance of Enteral Nutritional Supplements MA Program Outpatient Fee Schedule06/01/07 08-07-10
09-07-07
24-07-06
25-07-03
31-07-09
Ch. 1121 Preferred Drug List—July 2007 Quarterly Update 06/01/07 02-07-02
03-07-03
08-07-08
09-07-06
11-07-02
14-07-02
24-07-05
27-07-03
30-07-02
31-07-08
32-07-03
Ch. 1101 Co-pay/Deductibles on Exceptional Durable Medical Equipment (DME) 06/01/07 03-07-04
Ch. 1249 Rescind MA Program Statement of Policy Regarding the Clarification of Conditions Under Which MA Recipients May be Considered Homebound 07/10/07 1249-07-04
Ch. 1150 Medical Assistance Program Fee Schedule Revision; Change to Conversion Factor for Anesthesia Services 05/10/07 31-07-05
Ch. 1121 Preferred Drug List—Quarterly Update 05/01/07 02-07-01
03-07-02
08-07-07
09-07-04
11-07-01
14-07-01
24-07-03
27-07-02
30-07-01
31-07-06
32-07-02
Ch. 1101 Clarification Regarding the Definition of Medically Necessary—Statement of Policy 04/21/07 99-07-04
Ch. 1241 2007 Recommended Childhood and Adolescent Immunization Schedules 03/23/07 01-07-05
Ch. 1123 Provider Specialty 220 (Hearing Aid Dispenser) Requirement 03/01/07 01-07-03
Ch. 1123 Behavioral Health Fee For Service (BH-FFS)
Transfer from Office of Medical Assistance
Programs (OMAP) To Office of Mental Health
and Substance Abuse Services (OMHSAS)
01/31/07 OMHSAS-06-07
Ch. 1150 Policy Reinforcement Regarding Billing For Tobacco Cessation Counseling Services 01/04/07 99-07-02
2008 Ch. 1121 Preferred Drug List—Fall 2007 Update Part 2 Technical Correction01/11/08 02-07-08
03-07-11
08-07-17
09-07-17
11-07-08
14-07-07
24-07-17
27-07-10
30-07-08
31-07-23
32-07-08
Ch. 1149 Implementation of ADA Claim Form—Version 2006 and Elimination of Dental Prior Authorization Forms 01/11/08 17-08-01
Ch. 1163 Preventable Serious Adverse Events 01/14/08 01-07-11
Ch. 1101 Implementation of SelectPlan for Women 02/01/08 01-08-02
Ch. 1241 Clarification of Childhood Nutrition and Weight Management Services for Recipients Under 21 Years of Age 02/15/08 99-08-01
Ch. 1241 The Addition of Selzentry (maraviroc) and Intelence (etavirine) to the Special Pharmaceutical Benefits Program 02/29/08 09-08-03
24-08-04
21-08-01
31-08-04
Ch. 1121 Medical Necessity Guidelines for Lyrica for Fibromyalgia 03/05/08 02-08-01
03-08-01
08-08-01
09-08-01
11-08-01
14-08-01
24-08-02
27-08-02
30-08-01
31-08-02
32-08-01
Ch. 1121 Tamper Resistant Prescription Pads 03/21/08 99-08-03
Ch. 1101 SelectPlan for Women Program—Addition of Covered Services 04/23/08 01-08-05
Ch. 1150 Prudent Payment of Claims—Updated 04/25/08 99-08-05
Ch. 1121 Preferred Drug List—Spring 2008 Update 06/02/08 02-08-03
03-08-03
08-08-07
09-08-08
11-08-03
14-08-03
24-08-07
27-08-04
30-08-03
31-08-10
32-08-03
Ch. 1149 ADA Claim Form—Version 2006 and Discontinuance of P. O. Box 8186 06/16/08 17-08-02
Ch. 1150
Ch. 1141
Ch. 1147
Medical Assistance Program Fee Increase for Select Ophthalmological
Examinations
07/22/08 18-08-04
31-08-12
Ch. 1150
Ch. 1249
Medical Assistance (MA) Program Fee Increases for Select Home Health Agency Services 07/22/08 05-08-02
Ch. 1150
Ch. 1141
Ch. 1147
Medical Assistance Program Fee Increases for Select Office Visits and Consultations for Vision Services 07/22/08 18-08-03
Ch. 1150
Ch. 1249
Medical Assistance Program Fee Increases for Select Private Duty/ Shift Nursing Services to MA Recipients Under 21 Years of Age07/22/08 05-08-03
16-08-01
Ch. 1150
Ch. 1149
Medical Assistance Program Fee Increases for Select Dental Services 07/22/08 27-08-06
Ch. 1150 Medical Assistance Program Fee Increases for Select Office Visits and Consultations07/22/08 09-08-09
31-08-11
33-08-05
Ch. 1150
Ch. 1243
Medical Assistance Program Fee Schedule Changes for Select Laboratory Procedure Codes 07/22/08 08-08-09
09-08-10
28-08-04
31-08-13
33-08-06
Ch. 1150
Ch. 1141
Medical Assistance Program Outpatient Fee Schedule Increase for a Select Colonoscopy Procedure 07/22/08 01-08-07
Ch. 1150 Fee Increases for Select Healthy Beginnings Plus Services07/25/08 05-08-04
08-08-13
31-08-17
33-08-08
47-08-11
Ch. 1150
Ch. 1241
Screening for Developmental Delays and Autism Spectrum Disorders 07/25/08 99-08-10
Ch. 1145 Recipient Access to Chiropractic Services 08/04/08 99-08-11
Ch. 1150 Prior Authorization of Advanced Radiologic Imaging Services 08/05/08 99-08-08
Ch. 1150
Ch. 1225
Medical Assistance Program Family Planning Clinic Select Fee Increases and Updates 08/29/08 08-08-08
Ch. 1101
Ch. 1150
Ch. 1221
SelectPlan for Women Updated Covered Services Chart 09/05/08 01-08-09
08-08-17
09-08-17
24-08-12
28-08-06
31-08-21
33-08-09
Ch. 1163 Payment Policy for Hospital Readmissions 09/12/08 01-08-10
Ch. 1241 Updates for Early Periodic Screening, Diagnosis and Treatment Program 09/18/08 99-08-13
Ch. 1150
Ch. 1121
Reminder of Implementation of Tamper Resistant Prescription Pad Requirements 09/24/08 99-08-14
Ch. 1101
Ch. 1150
Implementation of Claim Check 10/02/08 99-08-17
Ch. 1150
Ch. 1147
Addition of Procedure Code 67820 to Optometrist Medical Assistance Program Outpatient Fee Schedule 11/14/08 18-08-07
Ch. 1150 Preventable Serious Adverse Events 11/26/08 01-08-11
Ch. 1150
Ch. 1147
Addition of Procedure Codes to the Medical Assistance Program Fee Schedule for Office Visits for Optometrists 12/29/08 18-09-01
2009 Ch. 1150
Ch. 1123
Ch. 1147
Removal of Prior Authorization Requirement for Eyeglass Lenses 02/09/09 18-09-02
24-09-01
25-09-01
31-09-01
Ch. 1101
Ch. 1150
Ch. 1241
Pentacel® (DTaP-IPV/Hib), Kinrix® (DTaP-IPV) and Rotarix® (Rotavirus) Vaccines02/09/09 01-09-01
08-09-01
09-09-01
31-09-02
33-09-01
Ch. 1101
Ch. 1150
Ch. 1241
2009 Recommended Childhood and Adolescent Immunization Schedules 02/20/09 01-09-04
08-09-04
09-09-04
31-09-05
33-09-02
Ch. 1150 Medical Assistance Program Fee Schedule Procedure Code End-dating of Keratomileusis 03/27/09 99-09-04
Ch. 1149 Implementation of the Pediatric Dental Periodicity Schedule 04/24/09 27-09-02
Ch. 1121 Spring 2009 Preferred Drug List (PDL) Pharmacy Update06/05/09 01-09-06
09-09-07
27-09-04
02-09-03
11-09-03
30-09-03
03-09-03
14-09-08
31-09-08
08-09-07
24-09-06
32-09-03
Ch. 1150 Revisions to Medical Assistance Program Fee Schedule Rates for Select Services 06/15/09 99-09-05
Ch. 1150 2008 HCPCS Updates and Other Procedure Code and Procedure Code/ Modifier Combination Changes 07/06/09 99-09-06
Ch. 1105
Ch. 1150
Revised Medical Assessment Form (PA 635) 8/10/09 31-09-38
19-09-01
09-09-34
Ch. 1101
Ch. 1150
Changes to Procedure Codes for theAdministration Fees for Kinrix® (DTaP-IPV) and Rotarix® (Rotavirus Vaccines 08/13/09 01-09-38
08-09-39
09-09-40
31-09-41
33-09-03
Ch. 1101
Ch. 1150
Ch. 1141
Ch. 1221
SelectPlan for Women Program Forumulary 09/01/09 01-09-39
08-09-40
09-09-41
24-09-38
28-09-04
31-09-42
33-09-04
Ch. 1101
Ch. 1150
Ch. 1141
Ch. 1221
SelectPlan for Women Program—Addition of Covered Services 09/08/09 01-09-40
08-09-41
09-09-42
24-09-39
28-09-05
31-09-43
33-09-05
Ch. 1150
Ch. 1241
Structured Screening for Developmental Delays and Autism Spectrum Disorders 09/08/09 99-09-07
Ch. 1150 Billing for the Administration of the Influenza A (H1N1) 009 Monovalent Vaccine 10-9-0999-09-10
Ch. 1101
Ch. 1141
Ch. 1142
Ch. 1143
Ch. 1144
Ch. 1145
Ch. 1147
Ch. 1149
Revision of the PROMISe® Individual Practitioner Enrollment Application and Implementation of Credentialing for Certain Providers Types10/16/09 99-09-08
Ch. 1121 Fall 2009 Preferred Drug List (PDL) and Quantity Limits Update—Pharmacy Services 11/02/09 01-09-43
09-09-45
27-09-36
02-09-35
11-09-35
30-09-35
03-09-35
14-09-35
31-09-46
08-09-44
24-09-41
32-09-35
Ch. 1141
Ch. 1145
Recipient Access to Chiropractic Services 11/30/09 99-09-11
Ch. 1101
Ch. 1150
Ch. 1241
Hiberix®, Haemophilus Influenzae Type b (Hib) Vaccine 12/31/09 01-09-62
08-09-61
09-09-62
31-09-64
33-09-07
2010 Ch. 1150 Health Care Benefit Package 12 Updated Employability Assessment Procedure Code List2-5-10 01-10-02
08-10-03
09-10-03
18-10-01
28-10-01
29-10-01
31-10-03
Ch. 1150 Medical Assistance Program Fee Schedule Revisions 02/19/10 99-10-01
Ch. 1101
Ch. 1150
Ch. 1241
2010 Recommended Childhood and Adolescent Immunization Schedules 03/15/10 01-10-06
08-10-07
09-10-07
31-10-09
33-10-01
Ch. 1141
Ch. 1144
Application of Topical Fluoride Varnish by Physicians and CRNPs 03/15/10 09-10-08
31-10-08
Ch. 1121 Spring 2010 Preferred Drug List (PDL) Quantity Limits Update—Pharmacy Services 05/03/10 01-10-08
09-10-10
27-10-06
02-10-06
11-10-06
30-10-06
03-10-06
14-10-06
31-10-11
08-10-09
24-10-07
32-10-06
Ch. 1150
Ch. 1121
Updated Recommendations for Gardasil® Quadrivalent Human Papillomavirus (HPV) Vaccine05/03/10 01-10-14
08-10-15
09-10-16
31-10-17
33-10-02
Ch. 1101
Ch. 1150
Announcing the Federally Mandated Change to Electronic Healthcare Transactions for Healthcare and Pharmacy Transactions 06/08/10 99-10-07
Ch. 1101
Ch. 1150
Ch. 1241
Revisions to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 06/14/10 99-10-06
Ch. 1150 2009 HCPCS Updates and Other Procedure Code and Procedure Code/ Modifier Combination Changes 06/14/10 99-10-05
Ch. 1150 Health Care Benefit Package 12 Updated Employability Assessment Procedure Code List 07/09/10 01-10-20
08-10-21
09-10-22
18-10-03
28-10-02
29-10-02
31-10-23
Ch. 1101
Ch. 1102
Ch. 1121
Ch. 1123
Ch. 1149
Ch. 1151
Ch. 1163
Ch. 1181
Ch. 1187
Ch. 1230
Ch. 1243
Policy Clarification Regarding Written Prescriptions—Statement of Policy07/17/10 99-10-03
1101-10-01
1102-10-01
1121-10-01
1123-10-01
1149-10-01
1151-10-01
1163-10-01
1181-10-01
1187-10-01
1230-10-01
1243-10-01
Ch. 1101 SelectPlan For Women—Update to Covered Services07/30/10 01-10-22
08-10-24
09-10-21
24-10-19
28-10-03
31-10-26
33-10-03
Ch. 1225 Changes to the Provision of Hemoglobin Laboratory Services by Family Planning Clinics 07/30/10 08-10-23
Ch. 1101
Ch. 1150
Ch. 1241
Updates to the Medical Assistance Program Fee Schedule for the Administration of the Vaccines Prevnar 13®, Cervarix®, Twinrix®, Recombivax HB®, and Menveo® 08/30/10 01-10-27
08-10-28
09-10-29
31-10-30
33-10-05
Ch. 1163 Hospital Uncompensated Care Program and Charity Care Plan 08/30/10 01-10-24
Ch. 1150 Revisions to the Medical Assistance Program Fee Schedule Rates for Select Services 08/30/10 99-10-09
Ch. 1145 Recipient Access to Chiropractic Services 10/08/10 99-10-12
Ch. 1101
Ch. 1121
Requirement for Prescribing Provider National Provider Identifier (NPI) Number on Outpatient Pharmacy Claims— Pharmacy Services 11/12/10 99-10-13
Ch. 1129 Dental Encounter payment for Dental Services Rendered by Rural Health Clinics and Federally Qualified Health Centers 11/15/10 08-10-50
Ch. 1245
Ch. 1181
Payment for Non-Emergency Transportation Services 11/24/10 03-10-43
26-10-01
Ch. 1101 Missed Appointments 12/01/10 99-10-14
Ch. 1101
Ch. 1150
Ch. 1241
Medical Assistance Program Coverage of the 2010-2011 Influenza Vaccines 12/01/10 99-10-16
2011 Ch. 1150 2010 HCPCS Updates and Other Procedure Code and Procedure Code/ Modifier Combination Changes 01/03/11 99-11-01
Ch. 1123 Change in Billing of Repairs and Replacements for Durable Medical Equipment 01/14/11 24-11-01
Ch. 1150 Health Care Benefit Package Updated Employability Assessment Procedure Code List 12 04/13/11 01-11-02
08-11-04
09-11-03
18-11-02
28-11-01
29-11-01
31-11-03
Ch. 1101 SelectPlan for Women Program—Update to Covered Services 04/13/11 01-11-03
08-11-05
09-11-04
24-11-04
28-11-02
31-11-04
33-11-03
Ch. 1150 Revisions to the Medical Assistance Program Fee Schedule Rates for Select Services 05/30/11 99-11-02
Ch. 1101
Ch. 1150
Ch. 1241
2011 Recommended Childhood and Adolescent Immunization Schedules03/18/11 01-11-04
08-11-06
09-11-05
31-11-05
33-11-04
Ch. 1123 MA Program Outpatient Fee Schedule Decrease for Select Incontinence Products 04/05/11 24-11-02
Ch. 1150 2011 HCPCS Updates and Other Procedure Code Changes 08/08/11 00-11-04
Ch. 1101 Provider Screening of Employees and Contractors for Exclusion From Participation in Federal Health Care Programs and the Effect of Exclusion on Participation 8/15/11 99-11-05
Ch. 1149 Medical Assistance Dental Benefit Changes 9/26/11 27-11-47
08-11-51
Ch. 1163 Revised Payment Policy for Hospital Readmissions 10/3/11 01-11-44
Ch. 1150 Announcing the Federally Mandated Implementation of the National Correct Coding Initiative (NCCI) in the Pennsylvania Department of Public Welfare's Medical Assistance Program 11/10/11 99-11-10
Ch. 1150 ClaimCheck® Claims Criteria—Update 11/23/11 99-11-11
Ch. 1121 Medical Assistance Pharmacy Benefit Package Change 12/30/11 99-11-58
14-11-52
18-11-03
24-11-58
27-11-56
31-11-57
33-11-20
2012 Ch. 1128 Processing of Medicare Renal Dialysis Services Crossover Claims for Procedure Code 90999 2/21/12 30-12-22
Ch. 1101
Ch. 1150
Ch. 1241
2012 Recommended Childhood and Adolescent Immunization Schedules 03/08/12 01-12-23 08-12-24
09-12-24
31-12-24
33-12-24
Ch. 1101
Ch. 1150
Ch. 1241
Updates to the Medical Assistance Program Fee Schedule for the Administration of Prevnar 13® Vaccine 04/06/12 01-12-25
08-12-26
09-12-26
31-12-26
33-12-26
Ch. 1101 Updates to Medical Assistance Copayment Policy 04/16/12 99-12-03
Ch. 1121 Changes to the Drug Cost Component of Payment for Brand Name and Generic Drugs—Pharmacy Services05/01/12 01-12-28
09-12-29
27-12-26
33-12-28
02-12-25
11-12-25
30-12-26
03-12-25
14-12-25
31-12-29
08-12-28
24-12-26
32-12-25
Ch. 1121 Changes to the Dispensing Fee Component of Payment for Brand Name and Generic Drugs—Pharmacy Services05/01/12 01-12-27
09-12-28
27-12-25
33-12-27
02-12-24
11-12-24
30-12-25
03-12-24
14-12-24
31-12-24
08-12-27
24-12-25
32-12-24
Ch. 1149 Revision of Online Training Module for the Application of Topical Fluoride Varnish 5/1/1209-12-27
31-12-27
Ch. 1163 Newborn Payment Policy for Acute Care General Hospitals 5/4/12 01-12-26
Ch. 1150 Consultations Performed Using Telemedicine5/23/12 09-12-31
31-12-31
33-12-30
Ch. 1229 HealthChoices Physical Health Managed Care Expansion 5/25/12 99-12-05
Ch. 1150 2012 HCPCS Updates and Other Procedure Code Changes 06/25/12 99-12-06
Ch. 1229 HealthChoices Physical Health Managed Care New West Zone Expansion 08/08/12 99-12-08
Ch. 1101
Ch. 1150
Medical Assistance Program Fee Schedule Revisions 08/31/12 99-12-10
Ch. 1150 Information Regarding Peritoneal Dialysis Treatment 09/13/12 01-12-50
30-12-43
31-12-49
Ch. 1101
Ch. 1150
Medical Assistance Program Fee Schedule Changes for Renal Dialysis Services 09/13/12 30-12-39
13-12-45
Ch. 1150 New Procedure Codes for Tobacco Cessation Counseling Services 10/03/12 99-12-09
Ch. 1101 Delaying Alternative Cost Sharing for Families of Children with Disabilities with Incomes Over 200% of the Federal Poverty Income Guidelines 10/15/12 99-12-15
Ch. 1150 Federally Mandated Implementation: Updates to National Correct Coding Initiative (NCCI) 10/26/12 99-12-12
Ch. 1101
Ch. 1150
Medical Assistance Program Fee Schedule Revisions 12/10/12 99-12-13
Ch. 1101
Ch. 1150
Ch. 1149
Addition to the Medical Assistance Program Fee Schedule for Administration of Flu Vaccine for Intradermal Use: Fluzone Intradermal® 12/13/12 01-12-64
08-12-59
09-12-60
31-12-62
33-12-58
Ch. 1150 NPI Requirements on All Claim Submission Media 12/19/12 99-12-14
Ch. 1121 Anticoagulants—New Quantity Limit for Low Molecular Weight Heparins and Arixtra (Fondaparinux)—Pharmacy Services 12/21/12 01-12-63
09-12-59
27-12-55
33-12-57
02-12-53
11-12-52
30-12-55
03-12-53
14-12-53
31-12-61
08-12-58
24-12-54
32-12-53
Ch. 1150 Clinical Laboratory Improvement Amendments Requirements12/28/12 01-12-67
08-12-62
09-12-63
28-12-01
31-13-65
33-13-61
Ch. 1229 HealthChoices Physical Health Managed Care New East Zone Expansion 01/18/13 99-13-02
Ch. 1121 Preferred Drug List (PDL) Update January 15, 2013—Pharmacy Services01/22/13 01-13-11
09-13-11
27-13-11
33-13-11
02-13-10
11-13-10
30-13-10
03-13-10
14-13-10
31-13-12
08-13-11
24-13-11
32-13-10
Ch. 1150 Medical Assistance Program Fee Increase for Select Primary Care Services and Physician Attestation Form 01/22/13 31-13-11
Ch. 1101 Updated Procedures for Submitting the Deficit Reduction Act of 2005 Attestation Form 02/14/13 99-13-04
Ch. 1229 Continued Existence of the Fee-For-Service Delivery System in HealthChoices Zones and Enrollment of Breast and Cervical Cancer Prevention and Treatment (BCCPT) Recipients in HealthChoices 02/22/13 99-13-05
Ch. 1101
Ch. 1150
Medical Assistance Program Fee Schedule Revisions for Procedure Code K0606 04/01/13 24-13-10
25-13-01
Ch. 1149 2013 Recommended Childhood and Adolescent Immunization Schedules 04/12/13 99-13-06
Ch. 1101
Ch. 1150
Medical Assistance Program Fee Schedule Revisions 04/15/13 99-13-03
Ch. 1121 Medical Assistance Pharmacy Benefit Package Update 04/22/13 99-13-20
14-13-17
18-13-01
24-13-18
17-13-18
31-13-21
33-13-20

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