[44 Pa.B. 6315]
[Saturday, October 4, 2014]
[Continued from previous Web Page] GUIDANCE MANUALS:
• Community Hospital Integration Projects Program (CHIPP) Guidelines
• Updated Olmstead Plan for Pennsylvania's Mental Health System
Office of Developmental Programs—Contact: Jeanine Zlockie (570) 443-4312POLICY STATEMENTS:
Year Code
CitationSubject Date Issued Bulletin Number 1980 PCIS Instructions for Discharged Patients 10/6/80 99-80-13 1981 Procedures for Charging and Collecting of Tuition Expenses for School-Age Residents in Mental Retardation and Mental Health Residential Facilities 9/2/81 199-81-01 Maintenance of Resident Abuse Files 1/2/81 99-81-02 Redefining ''Transfer''—PCIS 2/27/81 99-81-14 Search of Visitors and Residents at State Centers and Mental Retardation Units 9/19/81 99-81-40 Policies and Procedures Governing Admissions, Commitment, Transfers, and Discharges at State-Operated Mental Retardation Facilities 12/01/81 99-81-51 1982 Guidelines for State Center Boards of Trustees 2/17/02 99-82-02 Responsibility for Collection of Tuition Expenses Under Act 199 for Out-of-State Residents 3/17/82 199-82-01 Notice of Assessments 4/16/82 99-82-15 New Vecchione Petition Forms 8/20/82 99-82-39 Monitoring the Guardianship Petitioning Process at State Centers and State Mental Hospitals 9/24/82 99-82-47 Memorandum #44—Personnel Action Plan 10/4/82 99-82-52 Patient Services Accountability System County MH/MR Memorandum No. 9 10/18/82 99-82-55 State Supplemental Security Income Supplement for Licensed Personal Care Boarding Home Residents 297-82-73 Personal Care Boarding Home Resident Assessment Summary 12/31/82 II-30-82-02 1983 Creation of Base Service Units and catchment Areas 1/26/03 99-83-03 Guardianship Petitioning Process at State Centers 2/11/83 99-83-05 Payment of Residential Placement Costs for Mentally Retarded or Severely Emotionally Disturbed Children in Residential Facilities 3/8/83 99-83-10 Guidelines for State Center Board of Trustees—Revision 8/18/83 99-83-21 DPW Policy on Support Service for Persons with Mental Retardation and Their Families 10/14/83 99-83-24 1984 Therapeutic Leave Guidelines for 2176 Waiver Facilities and State and Non-State Intermediate Care Facilities for the Mentally Retarded (ICFs/MR) 8/1/84 99-84-08 Licensing Inspection Instrument—Vocational Rehabilitation Facilities 8/1/84 00-84-09 Community Residential Program Slot and Funding Adjustments 12/27/84 99-84-20 Supplement & Amendment to the DPW Policy on Support Services for Persons with Mental Retardation & Their Families 12/27/84 99-84-21 County Indirect Cost Allocation Plan Guidelines 6/13/84 99-84-22 Reporting of Early Intervention Services 9/3/84 99-84-40 Elimination of the PA 162-D Form and Replacing it with the PA/FS 162 Form 6/27/84 297-84-42 Personal Care Boarding Home Supplement 6/27/84 297-84-43 1985 Fair Hearing Procedure Related to Services under 2176 Waiver Program 5/1/85 00-85-05 Investigative Manual for Use in Client Abuse Investigations at State Centers and MR Units 5/17/85 99-85-09 County Indirect Cost Allocation Plan Guideline Update—Maintenance in Lieu of rent as a Direct Cost 8/22/85 99-85-17 Tobacco Products Purchase (with State Funds) for Client use in MR Facilities 10/15/85 99-85-19 Classification and Reimbursement Policy for Administrative/Fiscal Positions in Program Funded Agencies 12/5/85 99-85-43 1986 Revised Definition of Developmentally Disabled Persons who Receive Services in Intermediate Care Facilities for the Mentally Retarded (ICRs/MR) 12/31/86 42-435-86-01 Choking Prevention and Management 12/4/86 00-86-14 1987 Clarification of Definition of Developmentally Disabled Persons Receiving Services in Intermediate Care Facilities for the Mentally Retarded 12/9/87 4398-87-01 CH. 4305 Client Liability—Community Mental Health and Mental Retardation Services 5/21/87 4305-87-02 Changes in the Reimbursement Method for Hospital Reserved Bed Days 7/21/87 00-87-10 Documentation Requirements—Waiver Requests for Increases for Workers' Compensation Costs 9/25/87 99-87-15 Submission of Cost Reports (MA-11s) to the Office of Mental Retardation 10/9/87 99-87-16 Conversion of Comm. Res. MR Facilities to ICF/MR 10/23/87 99-87-17 Case Management Services 11/19/87 99-87-18 State Employees Acting in Voluntary Capacity to Control Client Funds 11/19/87 00-87-18 1988 Work Incentives for SSI and 2176 Waiver Recipients 6/15/88 00-88-02 Prevocational and Supported Employment Component Under the Community Based Services Waiver Program 6/15/88 99-88-4 Ch. 6000 Change in Zoning Requirements for Licensing Intermediate Care Facilities for the Mentally Retarded 10/3/88 6000-88-07 Obtaining Criminal Clearances On Prospective Employees 6/24/88 00-88-07 Ch. 1181 OBRA-87—Nursing Home Reform 12/28/88 1181-88-08 Ch. 6000 Administration and Management of Client Funds 10/05/88 6000-88-08 Applicability of Appropriate Life Safety Codes 8/9/88 00-88-09 P. L. 99-457, Part H, State Interagency Coordinating Council Mission Statement 11/10/88 00-88-14 1989 Ch. 6000 Guidelines for Enhancing and Conducting Direct and Independent Assessment 10/16/89 6000-89-01 Ch. 1101 Copayment Exemption for Targeted Case Management Services 11/4/88 1101-89-01 Cardiopulmonary Resuscitation and Relief of Upper Airway Obstruction 3/1/89 SC-89-01 Care and Services Policy for State Centers and MR Units 8/25/89 SC-89-02 New Federal ICF/MR Regulations 2/7/89 00-89-03 Account Code Structure—Offices of Mental Health and Mental Retardation Cost Center Definitions 7/28/89 00-89-05 Abatement of Liability for Psychological Evaluations 09/14/89 00-89-17 LEKOTEK 11/1/89 00-89-18 1990 Ch. 4300 Account Structure Manual for County Mental Health and Mental Retardation 7/1/90 4300-90-01 Ch. 6000 Family-Driven Family Support Services 12/12/90 6000-90-01 Children's Cardiac Program 1/31/90 00-90-03 Adult Day Service Performance Guidelines for Counties 2/27/90 00-90-05 Childhood Lead Poisoning Prevention Program 4/9/90 00-90-12 Department of Health Programs for Young Children 4/9/90 00-90-14 Supplemental Security Income (SSI) Disability Benefits for Children 9/27/90 00-90-24 Residential Data System Instruction Manual 7/1/90 00-90-25 Correction to Residential Data System Instruction Manual 11/14/90 00-90-36 1991 Positive Approaches 2/8/91 00-91-05 Resources for Children with Sensory Impairments 1/31/91 00-91-06 Licensing Policies and Procedures for Intermediate Care Facilities for the Mentally Retarded (ICFs/MR) 4/22/91 00-91-12 Mental Health/Mental Retardation Annual Income and Expenditure Reports 10/21/91 OMH-91-13 Licensing Policies and Procedures for Intermediate Care Facilities for the Mentally Retarded 5/13/91 00-91-14 Approved 2176 Waiver Amendment 6/18/91 00-91-15 Opportunities and Supports for Older Persons with Mental Retardation 11/1/91 00-91-17 Joint Statement by the Department of Public Welfare and The Department of Aging 7/31/91 00-91-18 Applicability of OMB Circular A-133 for Non-State Operated Intermediate Care Facilities for the Mentally Retarded (ICFs/MR) 10/31/91 00-91-26 1992 Special Innovative Services Expenditures Under Family Support Services 1/16/92 00-92-03 Information on Public Law 102-119: Reauthorization of the Individuals with Disabilities Education Act 4/20/92 00-92-10 Issuance of Audit Guide for Non-State Operated Intermediate Care Facilities for the Mentally Retarded 8/31/92 00-92-22 County Responsibilities for Waiver Case Management 11/23/92 00-92-23 1993 Supporting People in the Community 2/24/93 00-93-02 Tuberculosis Surveillance and Management 9/21/93 SMH-93-03 Immunization of Patients/Residents and Employees 7/9/93 SMH-93-04 Announcement—Medications Administration Training—Selinsgrove Center 2/17/93 00-93-05 Announcement—Medications Administration Training—Polk Center 2/17/93 00-93-06 Announcement—Medications Administration Training—White Haven Center 2/17/93 00-93-07 At-Risk Definition for Infants and Toddlers 6/23/93 00-93-12 Individualized Family Service Plan 6/25/93 00-93-14 Screening, Evaluation, and Eligibility for Infants and Toddlers 6/25/93 00-93-15 Conflict Resolution and Mediation for Infants, Toddlers and Their Families 6/25/93 00-93-17 Announcement—Medications Administration Training—Polk Center 8/25/93 00-93-19 Announcement—Medications Administration Training—Embreeville Center 8/25/93 00-93-20 Announcement—Medications Administration Training—White Haven Center 8/25/93 00-93-21 Announcement—Medications Administration Training—Western Center 8/25/93 00-93-22 Medical Assistance for Children 9/15/93 00-93-23 1994 FTA Section 16 Capital Assistance Program 8/26/93 00-93-24 Family Support Services Subcommittee Observations and Recommendations 8/31/93 00-93-25 Licensing Report 9/13/93 00-93-26 Amendments to Licensing Policy and Procedure Manual 10/27/93 00-93-27 Western Center Settlement Agreement 11/1/93 00-93-28 Providing Services to Persons with Autism/ Pervasive Developmental Disorder 11/9/93 00-93-29 OBRA Procedures for Individuals with Mental Retardation 12/30/93 00-93-30 1994 Closure of Admissions of Children to State-Operated Intermediate Care Facilities for the Mentally Retarded 12/14/94 SC-94-01 Federal Regulations on Occupational Exposure to Bloodborne Pathogens 2/1/94 00-94-02 Early Intervention Program Issues for Children Who Are Deaf or Hard of Hearing 2/22/94 00-94-04 Account Structure Manual—Revised Cost Centers for County Mental Health and Mental Retardation Programs 6/24/10 OMH-94-10 Facilitated Communication 3/1/94 00-94-11 Community Resource Development in Family Support Services Projects 3/10/94 00-94-12 Targeted Service Management and Third Party Liability 4/20/94 00-94-14 Targeted Service Management Assistance Packet 4/20/94 00-94-15 Movement of funds in Intermediate Care Facilities for the Mentally Retarded 5/16/94 00-94-16 Additional Interpretive Guidelines for Intermediate Care Facilities for the Mentally Retarded 6/7/94 00-94-17 Definition and Procedures for Infants and Toddlers with Developmental Delays 6/27/94 00-94-18 Early Intervention Services for Infants and Toddlers 8/2/94 00-94-21 Early Intervention Medical Assistance Eligible Service Coordination 8/12/94 00-94-22 Targeted Service Management and 180-Day Invoice Exceptions 8/15/94 00-94-23 Early Intervention Reporting System Roles and Responsibilities 10/5/94 00-94-29 Assessments: Lifetime Medical History 12/6/94 00-94-32 Targeted Service Management Handbook 12/12/94 00-94-33 Facilitated Communication—Best Practices and Guidelines 12/30/94 00-94-34 1995 Educational and Vocational Training in Intermediate Care Facilities for the Mentally Retarded 3/28/95 00-95-04 Early Intervention Principles 6/15/95 00-95-08 Medicaid 2176 Waiver Services Amendment 5/25/95 00-95-09 Part H/PA Act 212—1990 Non-Compliance Resolution Process 6/15/95 00-95-10 Conflict Resolution and Mediation Options for Infants, Toddlers and Their Families 6/15/95 00-95-11 State Match Verification and Targeted Service Management 6/20/95 00-95-12 Individualized Family Service Plan 6/15/95 00-95-14 Medical Assistance Funded Services for Children 9/20/95 00-95-19 Approved 2176 Waiver Renewal 12/1/95 00-95-21 Coordination of Vocational Training and Supporting Employment Under the 2176 Waiver 11/28/95 00-95-23 Act 28 of 1995 00-95-25 1996 Ch. 6000 Criteria for Approval of New Intermediate Care Facilities for People with Mental Retardation 04/06/96 6000-96-01 Tuberculosis Infection Control Program 8/9/96 SMH-96-01 Screening, Evaluation and Assessment or Infants and Toddlers 1/5/96 00-96-03 Social Security Administration Alternate Vocational Rehabilitation Provider Initiative 3/19/96 00-96-05 Resources for Children with Sensory Impairment 1/31/96 00-96-06 Revised Intermediate Care Facility for the Mentally Retarded (ICF/MR) Guidelines 4/12/96 00-96-07 2176 Waiver Supplement Grant agreement for 1996-2000 7/12/96 00-96-08 Announcement—Medications Administration Training 7/8/96 00-96-10 Office of Vocational Rehabilitation Memorandum of Understanding with the Offices of Mental Health and Mental Retardation 7/31/96 00-96-11 State Match Verification Signatures 8/21/96 00-96-12 Claiming Federal Reimbursement for Targeted Service Management Administration Costs 9/18/96 00-96-13 Signature Requirements for Medical Assistance Case Management Services 10/16/96 00-96-15 Consolidated Community Reporting System (CCRS) 10/9/96 00-96-17 Additions To TSM Handbook and Technical Assistance Packet 10/30/96 00-96-18 Regulation Interpretation Unobstruction Egress 11/8/96 00-96-19 Survey Guidelines and Procedures Intermediate Care Facilities for the Mental Retarded (ICFs/MR) 11/18/96 00-96-20 Regulation Interpretation—Family Living Medication Administration Training 11/19/96 00-96-21 Revised Listing of Participation Targeted Service Management Providers 12/31/96 00-96-22 Guidelines Concerning Sexuality 12/31/96 00-96-23 1997 1995-96 Annual Report 4/7/97 00-97-03 OMR Statewide Peer Review Committee 3/17/97 00-97-04 Announcement—Medications Administration Training 7/1/97 00-97-05 Act 26 of 1997 (Amending Act 28 of 1995) 8/29/97 00-97-06 Annual Report from Family Living Subcommittee Fiscal Year 1996/97 10/14/97 00-97-09 1998 Guidelines To Supporting People Moving From State Centers Into The Community 03/27/98 00-98-03 Waiver Funding for Prevocational, Supported Employment and Educational Services 4/7/98 00-98-04 Supplemental Grant Agreement Medicaid Waiver for Infants, Toddlers and Families 5/7/98 00-98-05 Eligibility and Freedom of Choice in Medicaid Waiver for Infants, Toddlers and Families 7/1/98 00-98-07 1999 Maximum Rates of State Participation for the County Mental Health Programs/Mental Retardation Programs 6/18/99 OMHSAS-99-05 Individualized Family Service Plan 8/2/99 00-99-06 Definition and County Responsibility for Surrogates for Infants and Toddlers 8/2/99 00-99-07 Natural Environment 8/2/99 00-99-08 Early Intervention Due Process System 8/2/99 00-99-09 Sanctions Policy for Noncompliance with Mental Health & Mental Retardation Income & Expenditure, Consolidated Waiver, and Cost Settlement Reporting Requirements 11/2/99 OMHSAS-99-10 Person/Family Directed Support Waiver 7/30/99 00-99-11 Acceptable Signers of the Beneficiary Choice Form for the Infant/ Toddler/ Family Waiver 9/15/99 00-99-13 2000 Listing of Current Mental Retardation Bulletins 3/13/00 00-00-01 Medicaid Waiver for Infants, Toddlers and Families 1/14/00 00-00-02 Person Family Directed Supported Waiver Supplemental Grant Agreement for 1999-2002 4/6/00 00-00-03 The Roles and Responsibilities of County Mental Health/Mental Retardation Programs in the Development of a Child's Individual Education Program 10/4/00 OMHSAS-00-04 Guidelines for Identifying Persons with Mental Retardation and Mental Illness for State Mental Health Hospital Discharge 5/15/00 00-00-04 Domiciliary Care for Persons with Mental Retardation 5/23/00 00-00-05 2001 FTA Section 5310 Capital Assistance Program 10/2/00 00-00-08 Reorganization of the Office of Mental Retardation 8/11/00 00-00-10 2001 Person/Family Directed Support Waiver Renewal 8/21/01 00-01-04 Announcement: Step-By-Step Guide to Ready Providers for the Reporting of Incidents through HCSIS 12/17/01 00-01-07 2002 Medicaid Waiver for Infants, Toddlers and Families Renewal 1/29/02 00-02-01 Performance Expectations and Recommended Guidelines for the County Child and Adolescent Service System Program (CASSP) 6/6/02 OMHSAS-02-02 Office of Mental Retardation's Monitoring of Counties 3/5/02 00-02-03 Ch. 4210 Clarifying Eligibility for Mental Retardation Services and Supports 05/31/02 4210-02-05 Revision of Definition of Conflict Free Providers for Targeted Service Management 4/12/02 00-02-06 Accessing Public Transportation for Individuals Enrolled in the Consolidated or Person/Family Directed Support Waivers 4/15/02 00-02-07 Pro Re Nata Medication Usage For Psychiatric Treatment—Clarification Of Interpretation 7/11/02 00-02-09 Foster Care Tax Reform as it relates to the Lifesharing/Family Living program 5/20/02 00-02-10 Need for ICF/MR Level of Care 08/07/02 00-02-13 Coordination of Treatment and Support for People with a Diagnosis of Serious Mental Illness who also have a Diagnosis of Mental Retardation 12/17/02 00-02-16 2003 Passage of Act 171 relating to the Older Adults Protective Services Act (OAPSA) 2/11/03 00-03-01 Clarifying Waiver Funding and Domiciliary Care Payments 3/4/03 00-03-03 OBRA Time-Limited Determinations 5/13/03 00-03-04 Principles for the Mental Retardation System 6/13/03 00-03-05 FY 2001/2002 Utilization, Statistical and Financial Report 7/28/03 00-03-06 Medication Administration Training Program 8/12/03 00-03-07 Payments for Psychological Testing to Diagnose Mental Retardation in Children and Adults 10/21/03 00-03-10 Medical Assistance for Workers with Disabilities In the Community Mental Retardation Program 11/25/03 00-03-11 2004 Ch. 6000 Incident Management 02/18/04 6000-04-01 MH/MR Services for Children Placed Out-of-County in Pre-Adoptive or Foster Homes 7/19/04 00-04-02 Positive Approaches 1/9/04 00-04-05 Home and Community Based Waiver Provider's Billing of HIPAA Compliant National Codes Based on Authorized Plans of Care Through the Home and Community Services Information System and PROMISe 3/10/04 99-04-06 Determining Medical Assistance Eligibility for Individuals Age Three and Older Who Apply for Supports and Services Authorized by a County Mental Health/Mental Retardation Program 5/10/04 00-04-08 Certified Investigations 9/16/04 00-04-11 Limited English Proficiency (LEP) 1/20/05 00-04-13 Determining Medical Assistance Eligibility for Families of Infants and Toddlers Who Apply for Supports and Services Authorized by a County Mental Health/Mental Retardation Program 1/28/05 00-04-14 Alternative Sanction Guidelines for ICF/MR Medical Assistance Certification 1/28/05 00-04-15 2005 Cost Settlement Policy and Procedures for Community-Based Medicaid Initiatives 8/15/05 OMHSAS-05-01 Issuance of Audit Guide for Non-State Operated Intermediate Care Facilities for the Mentally Retarded 11/30/04 00-05-01 P/FDS Waiver Amendment to Allow for the Provision of Respite Services in Contiguous States 5/31/05 00-05-02 Services Requiring Third Party Insurance Review Prior To Consideration For Waiver Payment 7/5/05 00-05-03 Lifesharing through Family Living 8/8/05 00-05-04 Office of Mental Retardation Policy on Employment 12/20/05 00-05-07 2006 Home & Community Based Service Eligibility/Ineligibility/Change Form 1/3/06 00-06-01 County to County Relocations 2/24/06 00-06-05 Interim Rate Setting Procedures For FY 2006/2007 3/8/06 00-06-06 Provider Qualification Pilot Program 4/5/06 00-06-07 Employment for Individuals in ICFs/MR 4/5/06 00-06-08 Elimination of Restraints through Positive Practices 5/1/06 00-06-09 Payment for Sign Language Interpreters and/or Transliterators 5/10/06 00-06-10 Provider and County Incident Management Analysis Report 6/23/06 00-06-11 Service Review Protocol for Individuals in the Consolidated and Person Family Directed Support Waivers 9/7/06 00-06-13 Prioritization of Urgency of Need for Services (PUNS) Manual 12/22/06 00-06-15 2007 Provider Billing Documentation Requirements for Waiver Services 4/26/07 00-07-01 Overview of Supports Intensity Scale© (SIS©) and the PA Plus (Attachment) 4/26/07 00-07-02 Microboards© 7/2/07 00-07-04 Ch. 4300 Administrative Entity and Provider Contracts (Statement of Policy) 8/17/07 4300-07-05 2008 Process for Qualification and Disqualification of Waiver Providers 12/27/07 00-08-01 Provider Profiles for Mental Retardation Providers 12/26/07 00-08-02 Implementation of Act 179 of 2006 and Act 73 of 2007 Amending the Child Protective Services Law 06/27/08 3490-08-03 Procedures for Service Delivery Preference 1/30/08 00-08-03 Individual Eligibility for Medicaid Waiver Services 3/5/08 00-08-04 Due Process and Fair Hearing Procedures for Individuals with Mental Retardation 4/10/08 00-08-05 Agency with Choice Financial Management Services (AWC FMS) 4/28/08 00-08-08 Licensing Protocols and Procedures 6/17/08 00-08-10 Supports Intensity Scale (SIS) and PA Plus Manual 7/28/08 00-08-11 Vendor Fiscal/Employer Agent Financial Management Services 8/13/08 00-08-14 Disability Rights Network Access to Records and Joint Investigations 2/13/09 00-08-15 Clarification of Payment Source for Representative Payee Function 1/20/09 00-08-16 Communication Supports and Services 1/20/09 00-08-18 2009 Ch. 3800 Strategies and Practices to Eliminate the Use of Unnecessary Restraints 12/19/09 3800-09-01 Consolidated and Person/Family Directed Support Waivers Provider Appeals Process 4/30/09 00-09-01 Ch. 3800 Prone Restraints in Children's Facilities 12/19/09 3800-09-02 Ch. 6200 Social Security Economic Recovery One-Time Payment 07/10/09 6200-09-05 Vendor Fiscal/Employer Agent Financial Management Services Wage Ranges 11/20/09 00-09-09 2010 Medication Prescribing Practices of CRNPs in Mental Health Programs and Mental Retardation Programs 3/27/10 OMHSAS-10-01 Educational Portions of ''Non-Educational'' Residential Placement 1/4/10 OMHSAS-10-02 Complex Case Planning 12/28/10 00-10-02 Quality Management Strategy of the Office Of Developmental Programs 3/22/10 00-10-02 Planning and Managing Unanticipated Emergencies 7/1/10 00-10-03 Recording Information on the Target of an Individual to Individual Abuse Incident Report In HCSIS 07/01/10 00-10-04 Approved Program Capacity in Residential Service Locations Licensed Under 55 Pa. Code Chapter 6400 6/22/05 00-10-05 Supports Coordination Services 05/26/10 00-10-06 Referral to the Early Intervention Program for Children Under Three Years of Age Placed in ICFs/MR 05/26/10 00-10-08 Prior Authorization for Supplemental Habilitation and Additional Individualized Staffing 05/26/10 00-10-09 Waiver Capacity Commitment for the Consolidated and Person/Family Directed Supports Waivers 06/16/10 00-10-10 Obsolete Licensing Indictor System, Licensing Inspection Instruments and Licensing Weighting Systems Applicable To 55 Pa. Code Chapters 2380, 2390, 6400 and 6500 08/16/10 00-10-11 Supports Coordinator Training Waiver Requirements 12/30/10 00-10-13 Provider Monitoring 12/30/10 00-10-14 2011 Ch. 6000 Procedures for Surrogate Health Care Decision Making 01/27/11 6000-11-01 Cost Centers for County Mental Retardation Programs Effective July 1, 2010 04/01/11 00-11-03 Consolidated Waiver Amendment Effective July 1, 2009 5/9/11 00-11-04 Person/Family Directed Support (P/FDS) Waiver Amendment Effective July 1, 2009 5/9/11 00-11-05 2012 Adult Autism Waiver Services and Procedure Code Changes and Rates 9/7/12 00-12-01 Rate-Setting Methodology and Rates for Department-Established Fees for Ineligible Residential Habilitation Services 9/7/12 00-12-02 Medical Assistance Program Fee Schedule for Consolidated and Person/Family Directed Support Waiver-funded Select Services, Targeted Service Management and Community Mental Retardation Base-Funded Program 10/16/12 00-12-03 Rate-Setting Methodology for Consolidated and Person/Family Directed Support Waiver-and Base-funded Services for Individuals Participating in the Office of Developmental Programs Service System 10/16/12 00-12-04 Individual Support Plans (ISPs) 10/19/12 00-12-05 2013 Ch. 6400 Clarifying the Applicability of Chapter 6400 to Private Homes—Statement of Policy 1/14/13 6400-13-01 Ch. 6400 Participant Rights—Statement of Policy 2/11/13 6400-13-02 Ch. 6000 Rescission of Class 3 Intellectual Disability Bulletins 4/5/13 6000-13-03
GUIDANCE MANUALS:
• Pennsylvania's Guide to Participant-Directed Services
• Individual Support Plan (ISP) Manual
• The Electronic Resource Guide for Supports Coordinators and SC Supervisors
• The Office of Developmental Programs' ID Provider Handbook
• Provider Manual—Bureau of Autism Services
• Practice Guidelines—Bureau of Autism Services
• Supports Coordinator Manual—Bureau of Autism Services
• Behavioral Specialist Manual—Bureau of Autism Services
• Participant Handbook—Bureau of Autism ServicesINFORMATIONAL PACKETS:
• Provision of Vendor Services Informational Packet (#003-09)
• Waiver Service Requests Informational Packet (#004-09)
• SISTM and PA Plus Assessment Informational Packet (#006-09)
• Accessing and Printing ISP for Providers Informational Packet (#013-09)• PROMISe Billing Quick Reference Error Status Codes Informational Packet (#014-09)
• PROMISe Billing Quick Reference for Residential Services Information Packet (#015-09)
• PROMISe Billing Quick Reference for FMS ESC Listing Informational Packet (#016-09)
• Summary of Procedure Codes and Service Descriptions Included and Excluded from Revenue Reconciliation (Info Packet 007-10)
• Annual AE Quality Mgmt. Plan Implementation and Evaluation Process Documents Now Available in AE Information Center (Info Packet 009-10)
• Billing Unanticipated Emergencies Using the ET Modifier (Info Packet 026-10)
• Impact of Provider Qualification in HCSIS on Fiscal year Renewal ISPs
• Supplemental Habilitation and Additional Individualized Staffing Services During the Fiscal Year 2010-2011 Renewal Period (Info Packet 063-10)
• Referral to the Early Intervention Program for Children Under Three of Age Placed in ICFs/MR (Info Packet 069-10)
• Regional ISP Review Process and Form Informational Packet (#074-10) • Prior Authorization for Supplemental Habilitation and Additional Individualized Staffing Serves 2010-2011 (Info Packet 077-10)
• Waiver Provider Monitoring—Interim Process for FY 2010-2011 (Info Packet #093-10)
• Agency with Choice Financial Management Service Provider Listing for FY 2010-2011 (#099-10)
• Protocol for Gross Adjustments for Providers of Waiver Services with Cash Flow Concerns Informational Packet (#102-10)
• Annual Provider Qualification Process Informational Packet(#152-10)
• Two HIPAA Upgrades: Version 5010 and ICD-10 Informational Packet (#170-10)
• Monitoring Frequency Deviation Request Informational Packet (#048-11)
• Fiscal Year 2011-2012 ISP Renewal Guidance and Prior Authorization Process Enhancement for Supplemental Habilitation (SH) and Additional Individualized Staffing (AIS) Service (Info Packet #050-11)
• Preparations for the FY 2011-2012 ISP Renewal Period: Action Required (Info Packet #055-11)
• Vendor Administrative Fee Services Informational Packet (#060-11)
• Prudent Pay of Claims Policy Enforcement Informational Packet (#075-11)
• Commonwealth of PA Shared Living RFI (Info Packet 093-11)
• Medication Administration Brochures (Info packet 098-11)
• Compliance to ISP Regulations and Individuals who Reside in Non-State ICF/MR Informational Packet (#136-11)
• Remaining Final Fiscal Year (FY) 2011-2012 Rate Load Date and Impact Areas (Info Packet 151-11)
• Billing with the Diagnosis Code Informational Packet (#154-11)
• Clarification for the v5010 CMS Mandate (Info Packet 159-11)
• 2012 PA Community on Transition Conference (Info packet 165-11)
• Peer Review Process and Training (Info Packet 176-11)
• ODP PROMISe Provider Enrollment Integrity Process Informational Packet (#009-12)
• Use of SNAP for Individuals Residing in GLAs Informational Packet (#015-12)
• Certified Investigation Summary Informational Packet (#020-12)
• Reprocessing Schedule for SC & TSM Waiver Claims That Were Denied Due to CIS Interface Issues (Info packet 021-12)
• Preparations for FY2012-2013 ISP Renewal Informational Packet (#025-12)
• FY 2012-2013 ISP Renewal Guidelines for SH and AIS Informational Packet (#039-12)
• Right to be Free from Abuse Notification Form Informational Packet (#053-12)
• Approval of Residential Services Locations and Program Capacity Informational Packet (#055-12)
• Request for Exception to Service Limits or Units Informational Packet (#067-12)
• Emergency Respite Procedure Informational Packet (#066-12)
• Residential Vacancy Management Procedure Informational Packet (#098-12)
• ISP Manual Replacement Page Informational Packet (#099-12)
• Clarification and Changes to Provider Qualification Requirements Informational Packet (#104-12)• Request for Waiver of Provision of Chapter 51 Informational Packet (#002-13)
• ISP Review Checklist Informational Packet (#020-13)
• HCSIS Verification Form Informational Packet (#022-13)
• Provider Qualification and Noncompliance Process Informational Packet (#025-13)
• Unlicensed Residential Habilitation Homes Survey Informational Packet (#035-13)
• Preparations for FY 2013-2014 ISP Renewal Period Informational Packet (#041-13)
• Agency With Choice (AWC) Financial Management Services (FMS) Wage and Benefit Ranges and Corresponding Rates for Specific Participant Directed Services (PDS) Effective July 1, 2013
• Vendor Fiscal/Employer Agent Financial Management Services Wage and Benefit Ranges for Specific Participant Directed Services Effective July 1, 2013INFORMATIONAL MEMOS:
• Is a ''New'' Team Meeting Necessary to Prepare FY 2009-2010 Renewal ISP Informational Memo (#003-09)
• Viewing Service Utilization in HCSIS for AEs Informational Memo (#005-09)
• Electronic Funds Transfer Option Informational Memo (#006-09)
• ODP Provider Resources (Billing Guides) Now Available Informational Memo (#010-09)
• Incident Management Clarification of Roles for SCOs Informational Memo (#012-10)
• Place of Service Matrix Informational Memo (#013-09)
• Remittance Advice Quicktip #7 Informational Memo (#015-09)
• Respite Camp Will Remain Vendor Service After June 30, 2010 Informational Memo (#017-09)
• Base Funded Respite Services Informational Memo (#038-10)
• FMS Administrative Fee Services on ISP Informational Memo (#043-10)
• Individual Purchases and Item Storage Informational Memo (#049-10)
• Interim Process for Timely Filing Edits ESC 545 Informational Memo (#064-10)
• IRS Correspondence Regarding Difficulty of Care Payments Informational Memo (#095-10)
• ODP Travel Policy Change Informational Memo (#121-10)
• Requests to Re-open On-line ODP Required SC Curriculum Training Informational Memo (#009-11)
• ISP Signature Page (DP1032) Informational Memo (#022-11)
• Annual Review Update Date for the ISP Informational Memo (#051-11)
• Voter Registration Responsibilities Informational Memo (#063-11)
• FY 2011-2012 Updates to Consolidated and Person Family/Directed Support (P/FDS) Waiver and Base Services (#074-11)
• Changes to the Emergency Management Protocols (#087-11)
• Rate Load Information for the FY 2011-2012 Revised Interim Rates (#088-11)
• Urgent Reminder Certify Now For the V5010, PES Users Upgrade to Version 3.57 (#096-11)
• Responses to Questions and Minor Change to the Checklist for ISP Review and Approval of ISPs (#105-11)
• Incident Management Reporting Informational Memo (#115-11)• How to Request a Reissue or Copy of Cashed Check Informational Memo (#138-11)
• Revised PROMISe Provider Enrollment Application Informational Memo (#149-11)
• Billing Bed Reservation Days Informational Memo (#153-11)
• ODP 5 Year Waiver Renewal (#156-11)
• Requirement for Supplemental Habilitation and Additional Individualized Staffing Appeal Requests (#164-11)
• Claims Processing Issue for SC Waiver Claims Informational Memo (#171-11)
• Billing Adjustments, Voids and Resubmissions Informational Memo (#177-11)
• Uniform Construction Code Clarification for Licensed Providers Informational Memo (#180-11)
• Provider Readiness Activities Checklist to Ensure Transition to Certification and Licensing System (CLS) (011-12)
• Certification and Licensing System Readiness Checklist Informational Memo (#011-12)
• Reprocessing Scheduled for SC Waiver Claims. AE and SCO Action Requested (#016-12)
• DRN Review Informational Memo (#019-12)
• Provider Handbook Updated Informational Memo (#023-12)
• Enhancements to HCSIS Incident Report Screens Informational Memo (#028-12)
• Billing Changes FY 2012-2013 Informational Memo (#034-12)
• FY 2012-2013 Budget Update Informational Memo (#040-12)
• FY 2012-2013 Fee Schedule Services Informational Memo (#041-12)
• FY 2012-2013 Cost-based Services Informational Memo (#042-12)
• Admissions to State Operated ICFs/ID Informational Memo (#045-12)
• Fiscal Year 2012-2013 Updates Informational Memo (#048-12)
• 6.16 HCSIS Enhancements—Incident Management Informational Memo (#050-12)
• Appeal Rights, Rates, and Rate Methodology Informational Memo (#051-12)
• ISP Development Process Informational Memo (#056-12)
• Provider Qualification Revisions Informational Memo (#068-12)
• Geographical Area Development Methodology Informational Memo (#075-12)
• Reporting Unauthorized Restrictive Interventions Informational Memo (#080-12)
• Clarification to ODP Communication #098-12 Residential Vacancy Management Informational Memo (#103-12)
• Qualifications of Vendors Informational Memo (#106-12)
• Implementation Instructions on QM Plans Informational Memo (#107-12)
• Incident Investigation Determination Informational Memo (#110-12)
• VF/EA SSW Qualifications Informational Memo (#111-12)
• NPI Number Required on All Claim Types Informational Memo (#001-13)
• Vacancy Factor and Vacancy Exception Process Informational Memo (#003-13)
• ISP Manual Replacement Page Informational Memo (#005-13)
• Clarifying Applicability of Chapter 6400 to Private Homes Informational Memo (#007-13)
• HCSIS Incident Report Deletion Requests Informational Memo (#024-13)
• FY 2013-2014 Waiver Cost-based Services Informational Memo (#027-13)
• FY 2013-2014 Waiver Established Fees Informational Memo (#028-13)
• Background Check Requirements Informational Memo (#030-13)
• ISP Meeting Attendance Informational Memo (#037-13)
• Lifesharing Directory Added to Website Informational Memo (#038-13)
• FY 2013-2014 Established Fees Informational Memo #043-13OTHER:
• Providing Services to Persons with Autism/Pervasive Developmental Disorder
• Therapeutic Services & the AAW—7/8/12
• Annual Review Plan Process Timelines—8/20/12
• AAW Service Delivery Documentation—9/27/2012
• Additional info about Monthly Progress Notes for SCs— 10/03/2012
• Adult Autism Waiver Provider Information Table— 10/25/2012
• Timelines for Completing ISP Revisions—12/17/2012
• Quarterly Summary Reports: Which months to include—1/18/2013
• New PROMISe Applications—2/20/2013
• Service Utilization Calculator for SCs—4/19/2013
• Provider Reporting: Encounter Forms, Monthly Progress Notes & Quarterly Summary Report—4/23/13
• Excluded Parties List System database migrated to System for Award Management—4/23/2013
• General Updates and BSP/CIP Changes—4/30/2013
• Fiscal Year End Activities—5/30/2013
• Cost Report Instructions for the Consolidated and P/FDS Waiver ProgramsOffice of Administration—Contact: Carole Procope (717) 772-6604
POLICY STATEMENTS:
Year Code
CitationSubject Date Issued Bulletin Number 1998 Ch. 259.1 Statement of Claim, Managed Care Organization— statement of policy 07/11/98 (effective 2/1/97) 2007 Amended 2008 Ch. 259.2 Claims against moneys for which third parties are liable as a result of a tort claim allocation of tort proceeds in actions filed before September 2, 2008—statement of policy 09/07/07
(eff. 09/08/07) Amended 10/31/08
(eff. 11/01/08)2008 Ch. 259.3 Claims against moneys for which third-parties are liable as a result of a tort claim allocation of tort proceeds in actions filed on or after September 2, 2008—statement of policy 10/31/08 (eff. 11/01/08) 2008 Ch. 259.4 Settlements without litigation—statement of policy 10/31/08 (eff. 11/01/08) 2008 Ch. 259.5 Cooperation in obtaining payment from third parties—statement of policy 10/31/08 (eff. 11/01/08) 2008 Ch. 259.6 Civil money penalties—statement of policy 10/31/08 (eff. 11/01/08) 2010 Ch. 2600 Evacuation of Hospice Residents During Fire Drills—statement of policy 03/13/10 40 Pa.B. 1411 GUIDANCE MANUALS:
• Regulatory Compliance Guide for 55 Pa. Code Chapter 2600 (relating to personal care homes) Revised April 2013
• Licensing Indicator System for Personal Care Homes
• Policy for Administrative Fines in Personal Care Homes
• Sale or change of legal entity process for Personal Care Homes
• DPW Single Audit Supplement
• HealthChoices Audit Guide—Physical Health
• HealthChoices Audit Guide—Behavioral Health
• ICF/MR Audit Guide
• CCIS Audit Guide
• Licensing Reference Manual for Personal Care Homes, Assisted Living, Child Residential, Intellectual Disabilities, and Mental health Service ProvidersOffice of Child Development and Early Learning—Contact: Lynne Ackerman (717) 346-4673
Bureau of Certification Services
POLICY STATEMENTS:
Year Code
CitationSubject Date Issued Bulletin Number 2007 Ch. 3270—3280 Certification of Part Day Program for School-Age Children 09/15/07 3001-07-01 2009 Ch. 3270
Ch. 3280
Ch. 3290Reporting Lost Child 02/21/09 3001-08-02 Ch. 3270
Ch. 3280
Ch. 3290Playground Protective Surface Covering 02/21/09 3001-09-01 2011 Ch. 3270-3280 Waiver of Child Care Facility Regulations 03/1/11 00-11-01 2012 Ch. 3270
Ch. 3280
Ch. 3290Tuberculosis Blood Test 02/4/12 3001-12-01 Announcements: 2008 C-08 #01—Capacity on Certificate of Compliance 04/08/08 C-08 #02—Proof of Liability Insurance 04/08/08 C-08 #05—Impact of Change in Equivalencies of CDA and CCP Credentials 08/13/08 C-08 #06—Approved Child Service Report Form 09/02/08 C-08 #07—Compliance with Regulations Relating to Recalled Toys and Equipment 09/15/08 2009 C-09 #04—Use of Hand Sanitizers in Early Childhood Programs 09/25/09 2010 C-10 #01—PEMA Update to Emergency Plan Toolkit for Child Care Facilities 03/23/10 2011 C-11-#01—Emergency Temporary Relocation of a Child Care Facility 05/12/11 C-11 #02—Revised Child Care Staff Health Assessment 07/20/11 C-11 #04—Announcements Deemed Obsolete 9/21/11 2012 Proof of Identification Required for Child Care Center Director and Group Child Care Home Primary Staff Person 9/18/12 2013 C-13 #01—Announced Renewal Inspections Within 30 Day Range 11/15/13 2014 C-14 #01—Water Safety Training for Child Care Providers & Lifeguard Requirements 2/28/14 C-14 #02—Healthy and Green Initiative—Child Care Siting 3/10/14 C-14 #03—Degrees From Business Technical & Trade Schools 4/22/14 Bureau of Early Intervention Services 2006 ELS-EI-06 #04 Natural Environments 07/24/06 ELS-EI-06 #07 Clarification of Waiver of 4300 Fiscal Regulations 08/15/06 ELS-EI-06 #10 Acceptable Signers of the Beneficiary Choice Form for the Infants, Toddlers And Families Medicaid Waiver 09/05/06 2007 EI-07 #04 OCDEL Operating Agreement, ITF Provider Agreement, Provider/County Agreement 04/03/07 EI-07 #12 PA Pre-K Counts and Early Intervention working Together 10/24/07 2008 EI-08 #02 Reportable Incidents 03/07/08 EI-08 #10 Eligibility for Infants Toddlers Families Medicaid Waiver 09/22/08 2009 EI-09 #11 Infant/Toddler Early Intervention Service Coordination 08/14/09 EI-09 #13 Childfind System Including Children Who Are Wards of the State, Children Living in Residential Facilities, Children who were Abused and Children who are Homeless. 09/11/09 EI-09 #14 Contracting with Early Intervention Service Providers and Suspending and Terminating Early Intervention Service Providers 09/16/09 EI-09 #17 Qualifications for Individuals to Provide Speech-Language Pathology Services in Early Intervention and the Requirements for Billing 10/05/09 2010 EI-2010 #01 Revised Early Intervention Audit and Fiscal Reporting Requirements 01/19/10 EI-2010 #02 Release of Information 01/29/10 EI-2010 #04 Operational Guidance for Infant/Toddler Programs Regarding Children Living in Residential Facilities 04/09/10 EI-2010 #08 Amended Behavior Supports for Young Children 10/25/10 EI-2010 #09 State Set Rates for Infant Toddler Early Intervention Services 11/09/10 2011 EI-2010 #01 IDEA Early Intervention Complaint Procedures 06/01/11 EI-11 #02 ACT 24 of 2011 Implementation PELICAN Data Moratorium 8/1/11 EI-11 #03 Early Intervention Annual Data Review 10/27/11 EI-11 #04 Infant/Toddler Early Intervention Cost Centers 11/16/11 2012 EI-12 #01 Screening, Evaluation and Assessment in Early Intervention 4/11/12 EI-12 #02 Updates to Early Intervention Policy Based on requirements in IDEA Part C 4/11/12 EI-12 #03 Confidentiality, Parent Consent and Surrogate Parents 4/11/12 EI-12 #05 Mediation, Due Process, and IFSP Facilitation Procedures for Infant/Toddler Early Intervention 7/1/12 EI-12 #06 Positive Behavior Supports 9/1/12 EI-12 #07 Collecting and Reporting Child Outcome Data in Infant/Toddler and Preschool Early Intervention Programs 10/26/12 EI-12 #08 Local Determination Process 10/26/12 EI-12 #09 Public Participation Requirements under The Individuals with Disabilities Education Act 10/26/12 2013 EI-13 #01 Transition of Toddlers to Preschool or Other Community Services 1/30/13 EI-13 #02 PA System of Payment 3/19/13 EI-13 #03 Session Notes 4/26/13 EI-13 #04 Infants and Toddlers Referred to Pennsylvania's Early Intervention Program from Out of State 4/30/13 EI-13 #05 Third Party Insurance Denials and Public Consulting Group 4/30/13 OCDEL-13 #01 Children Experiencing Homelessness 5/9/13 EI-13 #06 Children who Have a Hearing Loss 08/01/13 EI-13 #07 Positive Behavior Support 08/29/13 EI-13 #08 Eligibility for Infant/Toddlers and Preschool Early Intervention 12/13/13 Bureau of Early Learning Services 2005 ELS-05 #19—Keystone STARS Logo Usage Guidelines 10/24/05 2006 ELS-06 #06—Emergency Management Preparedness Training—Distribution of Training Materials 01/20/06 2007 ELS-07 #15—2007-08 STAR Designation Guidelines 08/17/07 ELS-07 #19—Keystone STARS funding for STARS facilities participating in PA Pre-K Counts 11/21/07 2008 ELS/KS-08 #20 Revised Keystone STARS Exit Survey 08/18/08 ELS/KS-08 #28 Verification of Communication 09/12/08 FAP-08 #1 Out-of-state Travel and Lodging Prohibition Due to Current Economic Situation 12/16/08 FAP-08 #2 Update on Preschool Child Outcome Reporting for OCDEL Programs 12/17/08 2009 ELS/KS-09 #10 Keys to Quality Security Roles 03/30/09 ELS/KS-09 #11 Star Level of Facilities Operated by Regional Key, Technical Assistance and Professional Development Contractors/Subcontractors 04/14/09 ELS/KS-09 #16 Professional Development Fee Procedures for Keys in Quality 06/11/09 ELS/KS-09 #20 Access to the Early Learning Network Secure Web-Based System—PELICAN 07/10/09 ELS-KS-09 #24 Joint Office of Children, Youth and Families & Office of Child Development and Early Learning Bulletin: Implementation of Child Care Funding Policy Beginning State Fiscal Year 2010-2011 07/14/09 ELS-KS-09 #25 Keystone STARS TA Manual and Forms 07/17/09 ELS-KS-09 #37 Accessing Early Learning Network and Work Sampling and Ounce Online 09/18/09 ELS-KS-09 #38 Centers for Disease Control Guidance Regarding Influenza for Early Childhood Programs 09/21/09 ELS-KS-09 #39 Use of Hand Sanitizers in Early Childhood Programs 09/25/09 ELS-KS-0 #40 STARS Designation Renewal Process 09/30/09 ELS-KS-09 #43 STARS Status Review, Suspension & Removal Process 10/19/09 ELS-KS-09 #46 Reporting Child Care Center Closings Due to Influenza 10/23/09 ELS-KS-09 #47 Excluding and Readmitting Children and Staff with Influenza-like Illness 10/26/10 2010 ELS-KS-10 #03 Pennsylvania Quality Assurance System (PAQS) Requirements 03/08/10 ELS-KS-10 #05 Keystone STARS Staff Qualification Waiver with Action Plan 04/16/10 ELS-KS-10 #11 Revised Record Required by Providers for FY 04-05 or FY 05-06 06/18/10 ELS/KS-10 #16 Certification Referral to the Regional Key 07/30/10 ELS/KS-10 #21 STARS Designation Forms And Tools 08/24/10 ELS/KS-10 #27 Financial Guidelines for Regional Keys 10/01/10 ELS/KS-10 #29 Funds Management of Keystone STARS Provider Grant Awards 10/28/10 2011 ELS/KS-11 #10 Keystone STARS Tiered Reimbursement 05/27/11 ELS/KS-11 #09 Collaboration between Child Care Information Services Agencies, the PA Keys and Local Education and Resource networks (LEARN) 05/06/11 ELS/KS-11 #10 Keystone STARS Tiered Reimbursement 05/27/11 ELS/KS-11 #15 Keystone STARS Optional Tools 7/7/2011 2012 ELS-KS-12 #03 STARS Enrollment Calculation Tool: Full-Time Equivalency (FTE) Revision 2/28/2012 ELS-KS-12 #05 Keystone STARS Qualifications Action Plans Revised 3/13/2012 ELS-KS-12 #06 Career Lattice Level for College Students Pursuing a Bachelor's Degree 3/20/2012 ELS/KS-12 #07 Organizational PQAS Requirements 6/22/2012 ELS/KS-12 #12 Use of SMART Database by Designators Specialists and Managers 6/25/2012 ELS/KS-12 #13 Pennsylvania Director Credential for Keystone STARS 6/26/2012 ELS/KS-12 #14 Environment Rating Scale (ERS) Process 6/27/2012 ELS/KS-12 #18 Pennsylvania Early Learning Keys to Quality Career Lattice, Early Childhood Education Teacher Quality: Recognizing High Quality in Pennsylvania and Alternative Pathways 6/27/2012 ELS/KS-12 #19 Online Facility Professional Development Plan Survey Collection 6/27/2012 ELS/KS-12 #25 Good Better Best—Pennsylvania's CQI Guide to Best Practices Version 2.1 for Centers-Groups and version 1.1 for Family 7/25/2012 ELS/KS-12 #26 Keystone STARS Exit Survey 8/06/2012 2013 ELS/KS-13 #03 2013-2014 Keystone STARS Performance Standards and Worksheets 08/30/13 ELS/KS-13 #04 2013-2014 Keystone STARS Grant Agreement 7/18/2013 ELS/KS-13 #05 Keystone STARS Logo Usage Guidelines 7/18/2013 ELS/KS-13 #06 Keystone STARS Media Materials 7/18/2013 ELS/KS-13 #07 2013-2014 MERIT AND EDUCATION & RETENTION AWARD (MERA) REQUESTS 8/26/2013 ELS-KS-13 #08 Receipts Collection Guidelines 8/27/2013 ELS-KS-13 #09 Canceling or Refusing ERS Windows and Visits 8/27/2013 ELS-KS-13 #10 ERS Achievement—Non-Achievement Protocol 8/28/2013 ELS/KS-13 #11 Pennsylvania Program Assessment Communication Tool 8/28/2013 ELS/KS-13 #12 Regional Keys Records Management, Conversions and Transmissions 8/28/2013 ELS/KS-13 #13 STARS Designation Certificates 9/03/2013 ELS/KS-13 #14 STARS TA Accountability Plan and Data Collection 9/03/2013 ELS/KS-13 #15 ERS Triggers Protocol 12/03/2013 ELS/KS-13 #16 2013-2014 Keystone STARS Worksheets for Head Start 12/13/2013 ELS/KS-13 #17 STAR 3—Accreditation Update 12/23/2013 2014 ELS/KS-14 #01 Regional Keys Program Review Instrument (PRI) and Monitoring Documents 3/18/2014 ELS/KS-14 #02 Degrees Earned from Business, Technical and Trade Schools 4/22/2014 Maternal Infant Early Childhood Home Visitation (MIECHV) 2013 ELS/MIECHV-13#01 OCDEL Announcements 9/09/2013 ELS/MIECHV-13#02; ELS/NFP-13#02 OCDEL Fiscal & Program Communication and Reporting Strategy 9/09/2013 ELS/MIECHV-13#02; ELS/NFP-13#02 Maternal, Infant and Early Childhood Home Visiting Grantees (Chief Authorized Office, Fiscal Contact and Program Contact); Pennsylvania Nurse-Family Partnership Grantees (Chief Authorized Office, Fiscal Contact and Program Contact) 9/09/2013 2014 ELS/MIECHV-14#01; ELS/NFP-14#01 Enrollment Policy 1/10/2014 ELS/MIECHV-14#02; ELS/NFP-14#02 Program Review Instrument 1/10/2014 ELS/MIECHV-14#03; ELS/NFP-14#023 On-Site Fiscal Monitoring 1/10/2014 On-Site Fiscal Monitoring Supplement 01/2014 Nurse Family Partnership 2008 ELS/NFP #01 OCDEL Announcements 01/08/08 ELS/NFP #02 County Needs—Based Budget Funding for Nurse-Family Partnership Services 1/08/08 ELS/NFP #03 Documentation for Unserved Clients Requesting Service 01/08/08 2009 ELS/NFP #06 NFP Enrollment Policies and Reporting Procedures 07/20/09 ELS/NFP #07 Centers for Disease Control Guidance Regarding Influenza for Early Childhood Programs 09/21/09 ELS/NFP #08 Use of Hand Sanitizers in Early Childhood Programs 09/25/09 ELS/NFP #09 Reporting Child Care Center Closing Due to Influenza 10/23/09 ELS/NFP #10 Excluding and Readmitting Children and Staff with Influenza-like Illness 10/26/09 ELS-NFP #12 Management of State Funds 11/06/09 2013 ELS/NFP-13#01 OCDEL Announcements 9/09/2013 ELS/MIECHV-13#02; ELS/NFP-13#02 OCDEL Fiscal & Program Communication and Reporting Strategy 9/09/2013 2014 ELS/MIECHV-14#01; ELS/NFP-14#01 Enrollment Policy 1/10/2014 ELS/MIECHV-14#02; ELS/NFP-14#02 Program Review Instrument 1/10/2014 ELS/MIECHV-14#03; ELS/NFP-14#023 On-Site Fiscal Monitoring 1/10/2014 Bureau of Subsidized Child Care Services 2005 S-05 #04—Unemployment Compensation Claims Filed By Relative/Neighbor Providers Announcement 06/28/05 2007 S-07 #08—PA Pre-K Counts and Child Care Works: Enrollment and Release of Information Procedures 09/18/07 S-07 #09—Pelican Announcement 11/07/07 2009 S-09 #05 Care Level for Kindergarten Children Changing from Preschool (PSE) to Young School Age (YSA) 06/17/09 S-09 #13 Centers for Disease Control Guidance Regarding Influenza for Early Childhood Programs 09/21/09 S-09 #14 Use of Hand Sanitizers in the Early Childhood Programs 09/25/09 S-09 #16 Reporting Child Care Center Closings Due to Influenza 10/23/09 S-09 #17 Excluding and Readmitting Children and Staff with Influenza-like Illness 10/26/09 S-09 #18 Linking Pennsylvania Pre-K Counts and Child Care Works Subsidized Child Care 10/28/09 2010 S-10 #04 ELS Keys to Quality Regional Key Grantees Announced 2011 S-11 #03 Local Education and Resource Networks (LEARN) 07/01/11 2012 S-12 #02 Child Care Information Services Grant for Fiscal Year 2012-13 03/21/12 S-12 #05 2012-13 Relative/Neighbor Provider Agreement 6/26/12 S-12 #06 2012-13 In-Home Care Parent/Caretaker Provider Agreement 6/26/12 S-12 #07 2012-13 Regulated Provider Agreement 6/27/12 S-12 #08 Fiscal Year 2011-2012 Recap Submission Deadline 7/13/12 S-12 #09 Child Care Information Services Grant Amendment for Fiscal Year (FY) 2012-13 10/11/12 S-12 #10 Decrease in Regulated Provider Maximum Child Care Allowance & Increase in Keystone STARS Tiered Reimbursement 11/20/12 2013 S-13 #02 Fiscal Year 2013-14 Child Care Information Services Grantees 5/13/13 S-13 #03 Increase in Keystone STARS Tiered Reimbursement 7/15/13 2014 S-14 #01 2014 Market Rate Survey and Completion of Provider Agreement Appendix B, Provider's Closed Days 03/31/14 S-14 #02 2014 Grant Announcement 04/03/14 S-14 #03 2014 Income Limits and Co-payment Guidelines 04/08/14
GUIDANCE MANUALS:
• Licensing Indicator System for Child Day Care Centers
• Licensing Indicator System for Group Day Care HomesINTERNAL GUIDELINES:
• 00-94-10, Application of Child Day Care Service Regulations 10/21/94
• 00-95-03, Procedures for the Regulation of Child Day Care Facilities 02/13/95
• 00-11-01, Waiver of Child Care Facility Regulations 03/01/11
• 07-01-12, Protocol #1, Initial Certificate of Compliance
• 12-10-12, Protocol #3, Complaints-Regulated Facilities
REVENUE
BUREAU OF ADMINISTRATIVE SERVICES, TAX FORMS SERVICE UNIT, 711 GIBSON BLVD., HARRISBURG, PA 17104-3218 OR TELEPHONE:
1-800-362-2050 (Toll-free number), or FAX requests to (717) 985-3234
• DAS-28 Vehicle Rental Tax Annual Reconciliation
• PA-100 PA Enterprise Registration Forms and Instruc-
tions Booklet
• PA-40 IN Personal Income Tax Instruction Book—Resident/Nonresident/Part-Year Resident (order by year needed)
• PA-40 IN Personal Income Tax Instruction Book—Resident/
• PA-40 Personal Income Tax Inst. Book—Resident/Non-
resident/Part-year Res. (order by year needed) (only 2012 and prior books include forms)
• PA-40 Personal Income Tax Return
PA-40 Schedule A/B Interest Income/Dividend Income
PA-40 Schedule C Profit or Loss from Business or Profession (Sole Proprietorship)
PA-40 Schedule C-EZ Short Form Profit from Busi-
ness or Profession
PA-40 Schedule D Sale, Exchange or Disposition of Property
PA-40 Schedule E Rents and Royalty Income (Loss)
PA-40 Schedule J/T Income from Estates or Trusts/
Gambling and Lottery Winnings
PA-40 Schedule O Other Deductions
PA-40 Schedule SP Special Tax Forgiveness
PA-40 Schedule UE Allowable Employee Business Ex-
penses
PA-40 Schedule W-2S Wage Statement Summary
• PA-40 Schedule F Farm Income and Expenses
• PA-40 Schedule G-L Calculation of Credit for Taxes Paid to Other States or Countries (Long Form)
• PA-40 Schedule G-R Reconciliation of Taxes Paid to Other States or Countries
• PA-40 Schedule G-S Calculation of Credit for Taxes Paid to Other States or Countries (Short Form)
• PA-40 Schedule NRH Instructions for Apportioning Income by Nonresident Individuals
• PA-40 Schedule OC Other Credits
• PA-40 Schedule W Employment Incentive Payments Credit
• Schedule PA-40X Amended
• Schedule 19 Sale of a Principal Residence
• PA-40EZ Personal Income Tax Instruction Book (order by year needed-prior to 1998)
• PA-40NR Personal Income Tax Instruction Book/Nonresidents (1995 & prior-order by year needed)
• PA-40T Personal Income Tax TeleFile Book (1998-2000—order by year needed—includes EZ single)
• PA-40 PA-V—Payment Voucher (available via internet only)
• PA-41 PA Fiduciary Income Tax Return
• PA-41 Instructions (detailed instructions available via internet only after 2003)
• PA-41 Schedule OI Other Information
• PA-41 Schedule A Interest Income and Gambling and Lottery Winnings
• PA-41 Schedule B Dividend and Capital Gains Distributions Income
• PA-41 Schedule D Sale, Exchange or Disposition of Property
• PA-41 Schedule DD Distribution Deductions
• PA-41 Schedule J Income from Estates or Trusts
• PA-41 Schedule N PA Source Income and Nonresident Tax Withheld
• PA-41 Schedule RK-1 Resident Schedule of Shareholder/Partner/Beneficiary Pass Through Income, Loss and Credits
• PA-41 Schedule NRK-1 Nonresident Schedule of Shareholder/Partner/Beneficiary Pass Through Income, Loss and Credits
• PA-41 PA-V Payment Voucher (available via internet only)
• Schedule PA-41X Amended
• PA-20S/PA-65 Partnership/PA S Corporation Information Return—(Available only through internet after 2008)
• PA-5R Vehicle Rental Tax Return
• PA-65I Partnership/S Corp Information Book (order by year needed) (Available only through internet after 2008)
• PA971 Innocent Spouse Relief
• PA-1000 Property Tax/Rent Rebate Instruction Book (order by year needed)
• PA8379 Injured Spouse Claim & Allocation
• PA8857 Request for Innocent Spouse Relief
• PA-8453 Pennsylvania Individual Income Tax Declaration for Electronic Filing
• PA-8879 Pennsylvania e-file Signature Authorization
• PA12507 Innocent Spouse Statement
• PA12508 Non-requesting Spouse Information
• PA12510 Innocent Spouse Information Request
• PA20S-I S Corporation Tax Instruction Book (order by year needed-prior to 1997—was part of REV1200 book-beginning year 2002 will be part of PA65I book) (Available only through internet after 2008)
• PA-4R Public Transportation Assistance Fund Taxes/Fees Replacement Coupon/Inst.
• PA-40ESR(I) Declaration of Estimated or Estimated Withholding Income
• PA-40ESR(F/C) Declaration of Estimated or Estimated Withholding Income Tax for Fiduciary & Partnerships
• PA-1 Use Tax Return
• RCT-101D Declaration of de minimis PA Activity
• REV-23 Board of Appeals Practices and Procedures Brochure
• REV-39 Sales and Use Tax Appeal Schedule
• REV-65 Board of Appeals Petition Form
• REV-181 Application for Tax Clearance
• REV-183 Affidavit of Value Realty Transfer Tax
• REV-221 Sales & Use Tax Rate Chart
• REV-238 Out of Existence/Withdrawal Affidavit/Corp Tax
• REV-251 Tax Bulletin 53B and 53F Instructions Foreign Corp Clearance Cert./Withdrawal
• REV-252 Tax Bulletin 53C and 53E Security Clearance Cert./Domestic Out of Existence
• REV-253 Tax Bulletin 53D Instructions for Filing Corp Tax Reports
• REV-260 Petition for Refund Bd. of Finance and Revenue
• REV-276 Application for Extension of Time to File (PIT)
• REV-330 Electronic Funds Transfer (EFT) Program
• REV-331A Authorization for Electronic Funds Transfer Agreement
• REV-346 Estate Information Sheet
• REV-413I Instructions for Estimated Tax/PIT (Individuals)
• REV-413F Instructions for Estimated Tax/PIT (Fiduciaries)
• REV-413P/S Instructions for Estimated Tax/PIT (Partnership/Shareholders) (Available only through internet after 2008)
• REV-414I Worksheet for Estimated Tax/PIT (Individuals)
• REV-414F Worksheet for Estimated Tax/PIT (Fiduciaries)
• REV-414P/S Worksheet for Estimated Tax/PIT (Partnership/Shareholders) (Available only through internet after 2008)
• REV-419 Employee's Nonwithholding Application Certificate
• REV-443 IFTA Compliance Manual (available via internet only)
• REV-459 Individuals, Estates, Trusts, Partnerships, Limited Liability Companies, Associations, S Corporations—Address and SSN or EIN Change or Correction Form
• REV-459B Consent to Transfer, Adjust or Correct PA Estimated Personal Income Tax Account
• REV-467 Authorization for Release of Tax Records
• REV-489 Article XI Safe Deposit Box
• REV-527 Taxpayer Rights Advocate
• REV-554 Disclosure Statement/Taxpayer Rights Advocate
• REV-556 Taxpayer Request for Assistance
• REV-573 Property Tax/Rent Rebate Brochure
• REV-588 Starting a Business in PA (A Beginner's Guide)
• REV-670 Instructions for Completing Liquid Fuels & Fuel Tax Bond
• REV-717 Retailers' Information Guide
• REV-791 Consumer Cigarette Use/Excise Tax Return for Cigarettes purchased after January 7, 2004 through October 31, 2009
• REV-793 Consumer Cigarette Use/Excise Tax Return for Cigarettes and/or Little Cigars purchased on or after November 1, 2009
• REV-819 Sales Tax Due Date Reminder Card
• REV-853R Corp Tax Annual Payment/Extension Replacement Coupon
• REV-854R Corp Tax Filing Period/EIN/Address Change Form Replacement Coupon
• REV-857R Corp Tax Estimated Payment Replacement Coupon
• REV-860 Schedule L, M, N, C-5 and OA
• REV-861 Schedule DA Disposition of Assets
• REV-915 PA Small Games of Chance/Game Approval Form
• REV-934 Schedule of Non-Business Income
• REV-956 Institution of Purely Public Charity Renewal Affidavit
• REV-976 Election by a Federal Sub-Chapter S Corporation to be a PA C Corporation
• REV-1026 Information on Motor Carriers Road Tax and IFTA
• REV-1026A Information on Motor Carriers Road Tax—PA Only
• REV-1076 Tax Bulletin 53A Instructions for Securing Bulk Sales Certificate
• REV-1176 e-TIDES Administrative Access Change Request
• REV-1200 CT-1 Corporation Tax Instruction Book (order by year needed)
• REV-1220 Certificate of Exemption for Sales & Use Tax
• REV-1501 Instruction Book Inheritance Tax Resident
• REV-1601 Tax Credit Certification Request Form (Pennsylvania Employment Incentive Payment Program)
• REV-1611 Notice of Interest Rate and Calculation Changes
• REV-1630 Underpayment of Estimated Tax by Individuals
• REV-1630A Underpayment of Estimated Tax by Individual Farmers
• REV-1630F Underpayment of Estimated Tax by Fiduciaries
• REV-1643 Listing of Tax Exempt PIT Obligations
• REV-1689 Computation of Installment Sale Income
• REV-1705 Tax Account Information Change/Correction Form
• REV-1706 Business/Account Cancellation Form
• REV-1716 Employer Withholding Period Ending Due Dates
• REV-1729 Tax Information for Farmers Booklet
• REV-1730 PA Realty Transfer Tax General Information
• REV-1736 Instruction Book/Inheritance Tax Nonresident
• REV-1737A Nonresident Inheritance Tax Returns/Schedules
• REV-1742 PIT Pamphlet No. 3, Gain or Loss on Property Acquired prior to June 1, 1971/Sch. D-71
• REV-1799A Time Limitations on the Filing of AppealREGULATIONS/PRONOUNCEMENTS
All regulations and revenue pronouncements issued by the Department of Revenue are published in Title 61 of the Pennsylvania Code. The Department does not print these documents. If you need to review a regulation or revenue pronouncement, please consult Title 61 of the Pennsylvania Code (www.pacode.com).
BUREAU OF CRIMINAL TAX INVESTIGATIONS, 5TH FL., STRAWBERRY SQ., HARRISBURG, PA 17128, TELEPHONE (717) 783-9685
• DCI-2 Cigarette Tax for Law Enforcement PamphletBUREAU OF RESEARCH, PO BOX 281100, HARRISBURG, PA 17128-1100, TELEPHONE (717) 787-6300
• DOP3 Tax Compendium
• DOP4 Personal Income Tax Statistics
• DOP7 Statistical Supplemental to Tax Compendium
• DOP9 Statistical Report—Capital Stock/Franchise Tax/CNI Tax
• DOP12 Estimate Documentation
BUREAU OF INDIVIDUAL TAXES, PO BOX 280600, HARRISBURG, PA 17128-0600, TELEPHONE (717) 787-8346
• PA1436 Electronic Filing Test PackageTHE PA LOTTERY, 1200 FULLING MILL ROAD, SUITE ONE, MIDDLETOWN, PA 17057, TELEPHONE (717) 702-8008 (*Or from Lottery Retailer Outlets)
• *All-Game Guide Brochure
• Compulsive Gambling Brochure
• Benefits and Rights for Older Pennsylvanians Booklet
• *RSL-3 Lottery Retailer License Application
• *RSL-209 Standard Claim Form
• *RSL-355 Beneficiary Statement
• *RSL-400 Lottery Fund Benefits Programs Brochure Comparative Statement of Income and Expenditures
STATE
POLICY STATEMENTS:
Secretary of the Commonwealth
• Use of Public Areas Outside the Capitol Complex, 49 Pa. Code §§ 61.1—61.3
• Returned Check Fee, 49 Pa. Code § 63.1
Contact: Kim Mattis (717) 772-5193State Athletic Commission
• Athlete Agents, 58 Pa. Code §§ 41.1—41.3
Contact: Gregory Sirb (717) 787-5720Bureau of Commissions, Elections and Legislation
• Lesser Offenses Incompatible with the Duties of a Notary Public, 4 Pa. Code § 165.1
Contact: Martha Brown (717) 783-0736Bureau of Professional and Occupational Affairs
Commissioner of Professional and Occupational Affairs
• Schedule of Civil Penalties—Certified Real Estate Appraisers, 49 Pa. Code § 43.b.15
• Schedule of Civil Penalties—Nursing Home Administrators, 49 Pa. Code § 43b.17
• Schedule of Civil Penalties—Occupational Therapists and Occupational Therapy Assistants, 49 Pa. Code § 43b.19
• Schedule of Civil Penalties—Physicians and Other Board Regulated Practitioners, 49 Pa. Code § 43b.20
• Schedule of Civil Penalties—Massage Therapists, 49 Pa. Code § 43b.23
Contact: Cynthia Montgomery (717) 783-7200State Board of Chiropractic
• Patient Records, 49 Pa. Code § 5.51a
Contact: Stephen Snyder (717) 787-7155State Board of Dentistry
• Replacement of Dental Amalgams, 49 Pa. Code § 33.213
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 33.214
• Use of Lasers in the Dental Office, 49 Pa. Code § 33.215
• Requirement of Anesthesia Permit for Nonparenteral Premedication of Dental Patients, 49 Pa. Code § 33.344
Contact: Lisa Burns (717) 783-7162State Board of Funeral Directors
• Funeral Supervisors and Funeral Directors on Active Duty, 49 Pa. Code § 13.251
• Profession of Funeral Directing, 49 Pa. Code § 13.252
• Inspections, 49 Pa. Code § 13.253
Contact: Heidy Weirich (717) 783-3397State Board of Medicine
• Expert Witnesses, 49 Pa. Code § 16.52a
• Disciplinary Guidelines for Use of Anabolic Steroids, 49 Pa. Code § 16.97
Contact: Tammy Dougherty (717) 783-1400State Board of Nursing
• Scope of Practice Interpretations, 49 Pa. Code § 21.401
• General Functions of Registered Nurses, 49 Pa. Code § 21.411
• Venipuncture, Intravenous Fluids, Resuscitation and Respiration, 49 Pa. Code § 21.412
• Administration of Drugs, 49 Pa. Code § 21.413
• Functions of Licensed Practical Nurses, 49 Pa. Code § 21.414
Contact: Cindy Miller (717) 783-7142State Board of Examiners of Nursing Home Administrators
• Temporary Permits, 49 Pa. Code § 39.17
• Subordinate Supervision, 49 Pa. Code § 39.18
Contact: Chris Stuckey (717) 783-7155State Board of Optometry
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 23.101
Contact: Stephen Snyder (717) 783-7155State Board of Osteopathic Medicine
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 25.291
Contact: Suzanne Smith (717) 783-4858State Board of Pharmacy
• Radiopharmaceutical Prescriptions, 49 Pa. Code § 27.101
• Return to Stock of Undelivered Medication, 49 Pa. Code § 27.102
• Matters of Conscience, 49 Pa. Code § 27.103
Contact: Melanie Zimmerman (717) 783-7156State Board of Physical Therapy
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 40.54
Contact: Michelle Roberts (717) 783-7134State Board of Psychology
• Qualified Members of Other Recognized Professions, 49 Pa. Code § 41.7
• Department of Health Licensing of Substance Abuse Services Provided by Psychology Practices, 49 Pa. Code § 41.8
Contact: Chris Stuckey (717) 783-7155State Board of Social Workers, Marriage and Family Therapists and Professional Counselors
• Department of Health Licensing of Substance Abuse Services Provided by Professional Counseling Practices, 49 Pa. Code § 49.17
Contact: Sandra Matter (717) 783-1389State Board of Examiners in Speech-Language and Hearing
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 45.3
Contact: Sandra Matter (717) 783-1389
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