[53 Pa.B. 4513]
[Saturday, August 5, 2023]
[Continued from previous Web Page] (Editor's Note: This document continues from Part III which begins at 53 Pa.B. 4655 (August 5, 2023).)
Year Code Citation Subject Date Issued Bulletin Number Ch. 1121 Prior Authorization of Lipotropics, Other—Pharmacy Services 11/13/15 01-15-33 02-15-25 03-15-25 08-15-31 09-15-31
11-15-24
14-15-26
24-15-26
27-15-25
30-15-24
31-15-32
32-15-25
33-15-30
Ch. 1121 Prior Authorization of GI Motility, Chronic Agents—Pharmacy Services 11/13/15 01-15-35 02-15-27 03-15-27 08-15-33 09-15-33
11-15-26
14-15-28
24-15-28
27-15-27
30-15-26
31-15-34
32-15-27
33-15-32Ch. 1121 Prior Authorization of Antibiotics, GI—Pharmacy Services 11/13/15 01-15-36 02-15-28 03-15-28 08-15-34 09-15-34
11-15-27
14-15-29
24-15-29
27-15-28
30-15-27
31-15-35
32-15-28
33-15-33Ch. 1121 Prior Authorization of Angiotensin Modulators—Pharmacy Services 11/18/15 01-15-34 02-15-26 03-15-26 08-15-32 09-15-32
11-15-25
14-15-27
24-15-27
27-15-26
30-15-25
31-15-33
32-15-26
33-15-31Ch. 1163 Revised Procedures for Presumptive Eligibility as Determined by Hospitals 11/30/15 01-15-32 Ch. 1121 Prior Authorization of Corlanor (ivabradine)—Pharmacy Services 11/30/15 01-15-39 09-15-37 27-15-31 02-15-31
11-15-30
30-15-30
03-15-31
14-15-32
31-15-38
08-15-37
24-15-32
32-15-31 33-15-36Ch. 1121 Prior Authorization of Alpha-1 Proteinase Inhibitors—
Pharmacy Services11/30/15 01-15-38 09-15-36 27-15-30 02-15-30
11-15-29
30-15-29
03-15-30
14-15-31
31-15-37
08-15-36
24-15-31
32-15-30
33-15-35Ch. 1127
1141
1221
1225Implementation of ICD-10 Diagnosis Codes for the Family Planning Services Program 11/30/15 01-15-27 08-15-27 09-15-27 24-15-25 25-15-02 28-15-02 31-15-27 33-15-26 Ch. 1121 Prior Authorization of Orkambi (lumacaftor/ivacaftor)—
Pharmacy Services11/30/15 01-15-40 09-15-38 27-15-32 02-15-32
11-15-31
30-15-31
03-15-32
14-15-33
31-15-39
08-15-38
24-15-33
32-15-32
33-15-37Ch. 1101 1150 The Addition of Three-Dimensional (3D) Mammography Procedure Codes to the Medical Assistance Program Fee Schedule 12/09/15 01-15-41 08-15-39 09-15-39 31-15-40 Ch. 1130 1249 Hospice Two-Tiered Routine Home Care and Service Intensity Add-On Payments 12/31/15 06-15-02 09-15-40 31-15-41 Ch. 1121 Preferred Drug List (PDL) Update January 20, 2016— Pharmacy Services 01/08/16 01-16-01 09-16-01 27-16-01 02-16-01
11-16-01
30-16-01
03-16-01
14-16-01
31-16-01
08-16-01
24-16-01
32-16-01 33-16-01Ch. 1121 Prior Authorization of Bile Salts—Pharmacy Services 01/06/16 01-16-02 09-16-02 27-16-02 02-16-02
11-16-02
30-16-02
03-16-02
14-16-02
31-16-02
08-16-02
24-26-02
32-16-02
33-16-02Ch. 1121 Prior Authorization of Methotrexate—Pharmacy Services 01/06/16 01-16-06 09-16-06 27-16-06 02-16-06
11-16-06
30-16-06
03-16-06
14-16-06
31-16-06
08-16-06
24-16-06
32-16-06
33-16-06Ch. 1121 Prior Authorization of Macular Degeneration Agents—Pharmacy Services 01/06/16 01-16-04 09-16-04 27-16-04 02-16-04
11-16-04
30-16-04
03-16-04
14-16-04
31-16-04
08-16-04
24-16-04
32-16-04
33-16-04Ch. 1121 Prior Authorization of COPD Agents—Pharmacy Services 01/06/16 01-16-03 09-16-03 27-16-03 02-16-03
11-16-03
30-16-03
03-16-03
14-16-03
31-16-03
08-16-03
24-16-03
32-16-03
33-16-03Ch. 1121 Prior Authorization of Antipsychotics—Pharmacy Services 01/06/16 01-16-08 09-16-08 27-16-08 02-16-08
11-16-08
30-16-08 03-16-08
14-16-08
31-16-08
08-16-08
24-16-08
32-16-08
33-16-08Ch. 1121 Prior Authorization of Stimulants and Related Agents— Pharmacy Services 01/06/16 01-16-05 09-16-05 27-16-05 02-16-05
11-16-05
30-16-05
03-16-05
14-16-05
31-16-05
08-16-05
24-16-05
32-16-05
33-16-05Ch. 1149 Required Training for the Application of Topical Fluoride Varnish 02/26/16 09-16-10 31-16-10 Ch. 1249 Updates to the Medical Assistance Program Fee Schedule for HHA Nursing Visits 03/10/16 05-06-01 Ch. 1121 Prior Authorization of Anticonvulsants, Oral; Duloxetine Agents; and Neuropathic Pain Agents—Pharmacy Services 03/14/16 01-16-09
09-16-11
27-16-09 02-16-09
11-16-09
30-16-09
03-16-09
14-16-09
31-16-11
08-16-09
24-16-10
32-16-09Ch. 1121 Prior Authorization of Stimulants and Related Agents— Pharmacy Services 03/14/16 01-16-11
09-16-13
27-16-11
02-16-11
11-16-11
30-16-11
03-16-11
14-16-11
31-16-13
08-16-11
24-16-12
32-16-11
33-16-11Ch. 1121 Prior Authorization of Lipotropics, Other—Pharmacy Services 03/14/16 01-16-10 09-16-12 27-16-10 02-16-10
11-16-10
30-16-10
03-16-10
14-16-10
31-16-12 08-16-10
24-16-11
32-16-10
33-16-10Ch. 1140 Updates to the Medical Assistance Program Fee Schedule For Healthy Beginnings Plus 03/18/16 01-16-12 05-16-02 08-16-12 31-16-14 33-16-12 47-16-01 Ch. 1101 Enrollment of Ordering, Referring and Prescribing Providers 04/01/16 99-16-07 Ch. 1150 Procedure for Obtaining an 1150 Administrative Waiver for Durable Medical Equipment, Medical Supplies or Prosthetics and Orthotics 04/19/16 09-16-09 24-16-09 25-16-01 31-16-09 Ch. 1101 Revalidation of Medical Assistance (MA) Providers 05/26/16 99-16-10 Ch. 1101 Enrollment of Co-Located Providers 05/31/16 99-16-04 Ch. 1121 Prior Authorization of Provenge (sipuleucel-T)—Pharmacy Services 06/13/16 01-16-17 09-16-16 27-16-15 02-16-15 11-16-115 30-16-15 03-16-15 14-16-15 31-16-18 08-16-16 24-16-16 32-16-14 33-16-15 Ch. 1121 Prior Authorization of Antihyperuricemics—Pharmacy Services 06/13/16 01-16-15 09-16-14 27-16-13
02-16-13
11-16-13
30-16-13
03-16-13
14-16-13
31-16-16 08-16-14 24-16-14 32-16-12 33-16-13Ch. 1121 Prior Authorization of Xofigo (radium Ra 223 dichloride)—Pharmacy Services 06/13/16 01-16-18 09-16-17 27-16-16 02-16-16
11-16-16
30-16-16
14-16-16 31-16-19 08-16-17 24-16-17 32-16-15 33-16-16Ch. 1123 Ch. 1249 Face-to-Face Encounter Requirements for Prescribing of Home Health Services Including Durable Medical Equipment and Medical Supplies 06/27/16 05-16-04 24-16-18 25-16-03 31-16-21 Ch. 1101 2016 Healthcare Common Procedure Coding System (HCPCS) Updates and Other Procedure Code Changes 06/27/16 99-16-08 Ch. 1150 Observation Services 06/27/16 01-16-19 14-16-17 27-16-17 31-16-20 Ch. 1121 Prior Authorization of Hereditary Angioedema (HAE) Agents—Pharmacy Services 07/05/16 01-16-22 09-16-20 27-16-20 02-16-19
11-16-19
30-16-19
03-16-19
14-16-20
31-16-24
08-16-20
24-16-22
32-16-18
33-16-19Ch. 1121 Prior Authorization of Anticoagulants—Pharmacy Services 07/05/16 01-16-20 09-16-18 27-16-18 02-16-17
11-16-17
30-16-17
03-16-18
14-16-18
31-16-22
08-16-18
24-16-20
32-16-16
33-16-17Ch. 1121 Prior Authorization of Cephalosporins and Related Agents—Pharmacy Services 07/05/16 01-16-28 09-16-26 27-16-26 02-16-25
11-16-25
30-16-25
03-16-25
14-16-26
31-16-30
08-16-26
24-16-28
32-16-24
33-16-25
Ch. 1121 Preferred Drug List (PDL) Update July 18, 2016—Pharmacy Services 07/05/16 01-16-26 09-16-24 27-16-24 02-16-23
11-16-23
30-16-23
03-16-23
14-16-24
31-16-28
08-16-24
24-16-26
32-16-22
33-16-23Ch. 1121 Prior Authorization of Antifungals, Topical—Pharmacy Services 07/05/16 01-16-21 09-16-19 27-16-19 02-16-18
11-16-18
30-16-18
03-16-18
14-16-19
31-16-23
08-16-19
24-16-21
32-16-17
33-16-18Ch. 1121 Prior Authorization of Tetracyclines—Pharmacy Services 07/05/16 01-16-25 09-16-23 27-16-23 02-16-22
11-16-22
30-16-22
03-16-22
14-16-23
31-16-27
08-16-23
24-16-25
32-16-21
33-16-22Ch. 1121 Prior Authorization of Opiate Overdose Agents—Pharmacy Services 07/07/16 01-16-27 09-16-25 27-16-25 02-16-24
11-16-24
30-16-24
03-16-24
14-16-25
31-16-29
08-16-25
24-16-24
32-16-23
33-16-24Ch. 1121 Prior Authorization of Lipotropics, Other—Pharmacy Services 07/08/16 01-16-24 02-16-21 03-16-21 08-16-22 09-16-22
11-16-21
14-16-22
24-16-24
27-16-22
30-16-21
31-16-26
32-16-20
33-16-21
Ch. 1101 Federal Final Rule, ''Nondiscrimination in Health Programs and Activities'' and Implication for Coverage of Services Related Gender Transition 07/18/16 99-16-11 Ch. 1121 Coverage for Mosquito Repellants 07/18/16 99-16-14 Ch. 1101 Enrollment of Physician Assistants Who Order, Refer and Prescribe for Medical Assistance Beneficiaries 08/03/16 10-16-01 Ch. 1101 Assignment of ACA Categorical Risk Levels and Implementation of Site Visits 08/04/16 99-16-13
Ch. 1101 Electronic Provider Enrollment Application 08/08/16 99-16-12 Ch. 1150 Payment of Claims for Services Provided to Children and Adolescents for the Diagnostic Assessment and Treatment of Autism Spectrum Disorder 08/17/16 99-16-15 Ch. 1150 1249 Medical Assistance Program Fee Increases For Private Duty/Shift Nursing Services to MA Beneficiaries Under 21 Years of Age 08/26/16 05-16-05 16-16-01 Ch. 1121 Prior Authorization of Incretin Mimetic/Enhancer Hypoglycemics—Pharmacy Services 09/30/16 01-16-30 09-16-28 27-16-27 02-16-26
11-16-26
30-16-26
03-16-26
14-16-27
31-16-32
08-16-28
24-16-29
32-16-25
33-16-27Ch. 1121 Prior Authorization of Botulinum Toxins—Pharmacy Services 10/20/16 01-16-31 09-16-29 27-16-28 02-16-27
11-16-27
30-16-27
03-16-27
14-16-28
31-16-33
08-16-29
24-16-30
32-16-26
33-16-28Ch. 1101 Services Ordered, Referred, or Prescribed By Graduate Medical or Osteopathic Trainees 11/02/16 01-16-32 31-16-34 Ch. 1101 1225 MA Program Fee Schedule Updates for Certain Family Planning Services 11/26/16 01-16-33 08-16-31 09-16-30 28-16-02 31-16-35 33-16-29 Ch. 1101
1150
1121Federally Qualified Health Center Alternative Payment Methodologies for Delivery Services 11/28/16 08-16-30 Ch. 1121 Addition to the Medical Assistance Program Fee Schedule for Administration of Quadrivalent Flu Vaccine Derived from Cell Cultures 12/23/16 01-17-01 08-17-01 09-17-01 31-17-01 33-17-01 Ch. 1121 Prior Authorization of Opiate Dependence Treatments—Pharmacy Services 01/04/17 01-17-02 02-17-01 03-17-01 08-17-02 09-17-02
11-17-01
14-17-01
24-17-01
27-17-01
30-17-02
31-17-03
32-17-01
33-17-02Ch. 1101 1150 Submission of Claims that Require the National Provider Identifier (NPI) of the Ordering, Referring or Prescribing Provider 01/30/17 99-17-02 Ch. 1121 Prior Authorization of Anitparkinson's Agents—Pharmacy Services 01/30/17 01-17-06 09-17-05 27-17-04 02-17-04
11-17-04
30-17-05
03-17-04
14-17-04
31-17-06
08-17-05
24-17-04
32-17-04
33-17-05Ch. 1121 Prior Authorization of Botulinum Toxins—Pharmacy Services 01/30/17 01-17-09 09-17-08 27-17-07 02-17-07
11-17-07
30-17-08
03-17-07
14-17-07
31-17-09
08-17-08
24-17-07
32-17-07
33-17-08Ch. 1121 Prior Authorization of Bronchodilators, Beta Agonists—Pharmacy Services 01/30/17 01-17-10 09-17-09 27-17-08 02-17-08
11-17-08
30-17-09
03-17-08
14-17-08
31-17-10
08-17-09
24-17-08
32-17-08
33-17-09Ch. 1121 Prior Authorization of Cytokine and CAM Antagonists—Pharmacy Services 01/30/17 01-17-11
02-17-09
03-17-09
08-17-10
09-17-10
11-17-09
14-17-09
24-17-09
27-17-09
30-17-10
31-17-11
32-17-09
33-17-10Ch. 1121 Prior Authorization of Analgesics, Narcotic Long Acting and Analgesics, Narcotic Short Acting—Pharmacy Services 01/31/17 01-17-04 09-17-03 27-17-02 02-17-02
11-17-02
30-17-03
03-17-02
14-17-02
31-17-04
08-17-03
24-17-02
32-17-02
33-17-03Ch. 1121 Prior Authorization of Analgesics, Non-Narcotic Barbiturate Combinations—Pharmacy Services 01/31/17 01-17-05 09-17-04 27-17-03 02-17-03
11-17-03
30-17-04
03-17-03
14-17-03
31-17-05
08-17-04
24-17-03
32-17-03
33-17-04Ch. 1121 Prior Authorization of Anxiolytics—Pharmacy Services 01/31/17 01-17-07 09-17-06 27-17-05 02-17-05
11-17-05
30-17-06
03-17-05
14-17-05
31-17-07
08-17-06
24-17-05
32-17-05
33-17-06Ch. 1121 Prior Authorization of Bile Salts—Pharmacy Services 01/31/17 01-17-08 09-17-07 27-17-06 02-17-06
11-17-06
30-17-07
03-17-06
14-17-06
31-17-08
08-17-07
24-17-06
32-17-06
33-17-07Ch. 1121 Prior Authorization of Nplate (romiplostim)—Pharmacy Services 01/31/17 01-17-12 02-17-10 03-17-10
08-17-11
09-17-11
11-17-10
14-17-10 24-17-10
27-17-10
30-17-11
31-17-12
32-17-10
33-17-11Ch. 1121 Prior Authorization of Pituitary Suppressive Agents, LHRH—Pharmacy Services 01/31/17 01-17-13
02-17-11
03-17-11
08-17-12
09-17-12
11-17-11
14-17-11
24-17-11
27-17-11
30-17-12
31-17-13
32-17-11
33-17-12Ch. 1121 Prior Authorization of Promacta (eltrombopag)—Pharmacy Services 01/31/17 01-17-14 02-17-12 03-17-12 08-17-13 09-17-13
11-17-12
14-17-12
24-17-12
27-17-12
30-17-13
31-17-14
32-17-12
33-17-13Ch. 1121 Prior Authorization of Sedative Hypnotics—Pharmacy Services 01/31/17 01-17-15 02-17-13 03-17-13 08-17-14 09-17-14
11-17-13
14-17-13
24-17-13
27-17-13
30-17-14
31-17-15
32-17-13
33-17-14Ch. 1121 Prior Authorization of Stimulants and Related Agents—Pharmacy Services 01/31/17 01-17-16 02-17-14 03-17-14 08-17-15 09-17-15
11-17-14
14-17-14
24-17-14
27-17-14
30-17-15
31-17-16
32-17-14
33-17-15Ch. 1121 Prior Authorization of Xyrem (sodium oxybate)—Pharmacy Services 01/31/17 01-17-17 02-17-15 03-17-15 08-17-16 09-17-16
11-17-15
14-17-15
24-17-15
27-17-15
30-17-16
31-17-17
32-17-15
33-17-16Ch. 1101 School-Based ACCESS Program Provider Handbook 02/28/17 35-17-01 Ch. 1101 Implementation of Criminal Background Checks for Providers Assigned ACA Categorical Risk Level of High 03/06/17 99-17-03 Ch. 1241 2017 Recommended Childhood and Adolescent Immunization Schedules 04/24/17 99-17-04 Ch. 1121 Prior Authorization of Xolair (omalizumab)—Pharmacy Services 04/27/17 01-17-18 02-17-16 03-17-16 08-17-18 09-17-17
11-17-16
14-17-16
24-17-16
27-17-16
30-17-17
31-17-18
32-17-16
33-17-17Ch. 1121 Prior Authorization of Ophthalmic Immunomodulators—Pharmacy Services 04/27/17 01-17-19 02-17-17 03-17-17 08-17-19 09-17-18
11-17-17
14-17-17
24-17-17
27-17-17
30-17-18
31-17-19
32-17-17
33-17-18Ch. 1121 Prior Authorization of Cytokine and CAM Antagonists—Pharmacy Services 04/27/17 01-17-21 02-17-19 03-17-19 08-17-21 09-17-20
11-17-19
14-17-19
24-17-19
27-17-19
30-17-20
31-17-21
32-17-19
33-17-20Ch. 1129 Opt-In Procedures for Federally Qualified Health Centers and Rural Health Clinics to Receive the Prospective Payment System Rate from Managed Care Organizations 05/30/17 07-17-01 08-17-22 Ch. 1101 Discontinuance of Federally Qualified Health Center Alternative Payment Methodology for Delivery Services in the Federally Qualified Health Center Setting 05/30/17 08/17/17 Ch. 1121 Prior Authorization of Analgesics, Narcotic Long Acting and Analgesics, Narcotic Short Acting—Pharmacy Services 06/07/17 01-17-22 02-17-20 03-17-20 08-17-23 09-17-21
11-17-20
14-17-20
24-17-20
27-17-20
30-17-21
31-17-22
32-17-20
33-17-21Ch. 1121 Prior Authorization of Cinqair (reslizumab)—Pharmacy Services 06/07/17 01-17-23 02-17-21 03-17-21 08-17-24 09-17-22
11-17-21
14-17-21
24-17-21
27-17-21
30-17-22
31-17-23
32-17-21
33-17-22Ch. 1121 Prior Authorization of Exondys 51 (eteplirsen)—Pharmacy Services 06/07/17 01-17-24 02-17-22 03-17-22 08-17-25 09-17-23
11-17-22
14-17-22
24-17-22
27-17-22
30-17-23
31-17-24
32-17-22
33-17-23Ch. 1121 Prior Authorization of Multiple Sclerosis Agents—Pharmacy Services 06/07/17 01-17-25 09-17-24 27-17-23 02-17-23
11-17-23
30-17-24
03-17-23
14-17-23
31-17-25
08-17-26
24-17-23
32-17-23
33-17-24Ch. 1121 Prior Authorization of Oncology Agents, Breast Cancer—Pharmacy Services 06/07/17 01-17-26 02-17-24 03-17-24 08-17-27 09-17-25
11-17-24
14-17-24
24-17-24
27-17-24
30-17-25
31-17-26
32-17-24
33-17-25Ch. 1121 Prior Authorization of Spinraza (nusinersen)—Pharmacy Services 06/07/17 01-17-27 02-17-25 03-17-25 08-17-28 09-17-26
11-17-25
14-17-25
24-17-25
27-17-25
30-17-26
31-17-27
32-17-25
33-17-26Ch. 1101 Updates to the Medical Assistance Copayment Desk Reference 06/26/17 99-17-06 Ch. 1121 Prior Authorization of Hepatitis C Agents—Pharmacy Services 06/28/17 01-17-30 02-17-26 03-17-26 08-17-32 09-17-28
11-17-26
14-17-26
24-17-27
27-17-27
30-17-27
31-17-30
32-17-26
33-17-29Ch. 1121 Payment for Covered Outpatient Drugs—Pharmacy Services 06/28/17 99-17-09 Ch. 1121 Prior Authorization of Angiotensin Modulators—Pharmacy Services 07/13/17 01-17-34 09-17-32 27-17-30 02-17-29
11-17-29
30-17-30
03-17-29
14-17-29
31-17-34
08-17-35
24-17-30
32-17-29
33-17-33Ch. 1121 Preferred Drug List (PDL) Update July 25, 2017—Pharmacy Services 07/21/17 01-17-32 02-17-27 03-17-27 08-17-33 09-17-30
11-17-27
14-17-27
24-17-27
27-17-28
30-17-28
31-17-32
32-17-27
33-17-31Ch. 1149 Public Health Dental Hygiene Practitioner Enrollment in the Medical Assistance Program 08/01/17 08-17-31 10-17-01 27-17-26 Ch. 1241 Revisions to the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 08/07/17 99-17-10 Ch. 1101 1150 2017 Healthcare Common Procedure Coding System (HCPCS) Updates and Other Procedure Code Changes 08/07/17 99-17-08 Ch. 1101 1150 Pasteurized Donor Human Milk 08/07/17 01-17-31 09-17-29 25-17-02 31-17-31 33-17-30 Ch. 1101 1150
1225MA Program Fee Schedule Updates for Certain Family Planning Services 08/07/17 01-17-29 08-17-29 09-17-27 24-17-26 25-17-01 28-17-01 31-17-28 33-17-27 Ch. 1101 1150 Procedure Code Change for Tobacco Cessation Counseling Services 08/07/17 99-17-07 Ch. 1121 Prior Authorization of Intra-Articular Hyaluronates—
Pharmacy Services08/08/17 01-17-33 02-17-28 03-17-28 08-17-34 09-17-31
11-17-28
14-17-28
24-17-29
27-17-29
30-17-29
31-17-33
32-17-28
33-17-32Ch. 1127 1143
1163''Newborn Add'' Feature for COMPASS 08/09/17 01-17-28 33-17-28 47-17-01 Ch. 1101 Limited English Proficiency Requirements 08/11/17 99-17-11 Ch. 1101 School-Based ACCESS Program Provider Handbook 11/22/17 35-17-02 Ch. 1121 Prior Authorization of Antibiotics, GI and Related Agents—Pharmacy Services 12/14/17 01-17-35 02-17-30 03-17-30 08-17-37 09-17-34
11-17-30
14-17-31
24-17-31
27-17-32
30-17-31
31-17-36
32-17-30
33-17-35Ch. 1121 Prior Authorization of Analgesics, Opioid Long Acting-Pharmacy Services 12/27/17 01-17-36 02-17-31 03-17-31 08-17-37 09-17-35
11-17-31
14-17-32
24-17-32
27-17-33
30-17-32
31-17-37
32-17-31
33-17-36Ch. 1121 Prior Authorization of Xermelo (telotristat ethyl)—Pharmacy Services 12/27/17 01-17-44 02-17-39 03-17-39 08-17-46 09-17-43
11-17-39
14-17-40
24-17-40
27-17-41
30-17-40
31-17-45
32-17-39
33-17-44Ch. 1121 Prior Authorization of Austedo (deutetrabenazine)—
Pharmacy Services12/27/17 01-17-40 02-17-35 03-17-35 08-17-42 09-17-39
11-17-35
14-17-36
24-17-36
27-17-37
30-17-36
31-17-41
32-17-35
33-17-40Ch. 1121 Prior Authorization of Multiple Sclerosis Agents—Pharmacy Services 12/27/17 01-17-38 02-17-33 03-17-33 08-17-40 09-17-37
11-17-33
14-17-34
24-17-34
27-17-35
30-17-34
31-17-39
32-17-33
33-17-38Ch. 1121 Prior Authorization of Ingrezza (valbenazine)—Pharmacy Services 12/27/17 01-17-39 02-17-34 03-17-34 08-17-41 09-17-38
11-17-34
14-17-35
24-17-35
27-17-36
30-17-35
31-17-40
32-17-34
33-17-39Ch. 1121 Prior Authorization of Brineura (cerliponase alfa)—
Pharmacy Services12/27/17 01-17-41 02-17-36 03-17-36 08-17-43 09-17-40
11-17-36
14-17-37
24-17-37
27-17-38
30-17-37
31-17-42
32-17-36
33-17-41Ch. 1121 Prior Authorization of Analgesics, Opioid Short Acting—Pharmacy Services 12/14/17 01-17-37 02-17-32 03-17-32 08-17-39 09-17-36
11-17-32
14-17-33
24-17-33
27-17-34
30-17-33
31-17-38
32-17-32
33-17-37Ch. 1163 Hospital Responsibilities Related to the Uncompensated Care Program and Charity Care Plans 12/27/17 01-17-03 Ch. 1121 Prior Authorization of Xenazine (tetrabenazine)—Pharmacy Services 12/27/17 01-17-45 02-17-40 03-17-40 08-17-47 09-17-44
11-17-40
14-17-41
24-17-41
27-17-42
30-17-41
31-17-46
32-17-40
33-17-45Ch. 1121 Prior Authorization of Bone Resorption Suppression and Related Agents—Pharmacy Services 12/27/17 01-17-42 02-17-37 03-17-37 08-17-44 09-17-41
11-17-37
14-17-38
24-17-38
27-17-39
30-17-38
31-17-43
32-17-37
33-17-42Ch. 1121 Prior Authorization of Cytokine and CAM Antagonists—Pharmacy Services 12/27/17 01-17-46 02-17-41 03-17-41 08-17-48 09-17-45
11-17-41
14-17-42
24-17-42
27-17-43
30-17-42
31-17-47
32-17-41
33-17-462018 Ch. 1101 1150 Revised Health Care Benefit Packages Provider Reference Chart (MA 446) 01/02/18 99-18-01 Ch. 1241 Updates to the 2017 Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 01/03/18 99-18-02 Ch. 1121 Preferred Drug List (PDL) Update January 8, 2018—
Pharmacy Services01/08/18 01-18-01 02-18-01 03-18-01 08-18-01 09-18-01
11-18-01
14-18-01
24-18-01
27-18-01
30-18-01
31-18-01
32-18-01
33-18-01Ch. 1121 Corrected-Prior Authorization of Hepatitis C Agents—
Pharmacy Services01/22/18 01-18-04 02-18-02 03-18-02 08-18-04 09-18-04
11-18-02
14-18-02
24-18-02
27-18-03
30-18-02
31-18-04
32-18-02
33-18-04Ch. 1101 1150 Acupuncturist Enrollment in the Medical Assistance Program 02/21/18 08-18-05 09-18-05 10-18-01 14-18-03 27-18-04 31-18-05 33-18-05 Ch. 1141 1142
1149
1221
1243Clinical Laboratory Improvement Amendments Excluded Laboratory Services Update 02/26/18 01-18-03 08-18-03 09-18-03 27-18-02 28-18-01 31-18-03 33-18-03 Ch. 1221 Addition to the Medical Assistance Program Fee Schedule for Administration of Quadrivalent Flu Vaccine Derived from Cell Cultures, Preservative 03/5/18 01-18-02 08-18-02 09-18-02 31-18-02 33-18-02 Ch. 1101 School-Based ACCESS Program Provider Handbook 03/14/18 35-18-01 Ch. 1221 Prior Authorization of Opioid Dependence Treatments—
Pharmacy Services04/10/18 01-18-06 02-18-04 03-18-04 08-18-07 09-18-07
11-18-04
14-18-05
24-18-04
27-18-06
30-18-04
31-18-07
32-18-04
33-18-07Ch. 1101 1121
1150Update to Submission of Claims that Require the National Provider Identifier (NPI) of a Medical Assistance Enrolled Ordering, Referring or Prescribing Provider 04/16/18 99-18-06 Ch. 1121 Prior Authorization of Analgesics, Opioid Long Acting—
Pharmacy Services04/26/18 01-18-07 09-18-08 27-18-07 33-18-08 02-18-05
11-18-05
30-18-05
03-18-05
14-18-06
31-18-08
08-18-08
24-18-05
32-18-05Ch. 1121 Prior Authorization of Analgesics, Opioid Short Acting—
Pharmacy Services04/26/18 01-18-05 09-18-06 27-18-05 33-18-06 02-18-03
11-18-03
30-18-03
03-18-03
14-18-04
31-18-06
08-18-06
24-18-03
32-18-03Ch. 1241 2018 Recommended Childhood and Adolescent Immunization Schedule 04/27/18 99-18-05 Ch. 1101 1150 Update to 180-Day Exception Requests and Invoice Submission Time Frames 05/25/18 99-18-08 Ch. 1101 Reduction of Mailed Paper Remittance Advices 06/15/18 99-18-09 Ch. 1101 1150 Enrollment of Tobacco Cessation Providers 06/18/18 99-18-10 Ch. 1101 1150 2018 Healthcare Common Procedure Coding System (HCPCS) Updates and Other Procedure Code Changes 07/02/18 99-18-07 Ch. 1149 Medical Assistance Program Dental Fee Schedule Update 07/02/18 27-18-08 Ch. 1127 1142
1144
1221
1252Updates to the Family Planning Services Program Fee Schedule 07/02/18 01-18-08 08-18-09 09-18-09 24-18-06 25-18-01 28-18-02 31-18-09 33-18-09 Ch. 1149 1241 Updates to the Pediatric Dental Periodicity Schedule 07/03/18 27-18-09 Ch. 1141 1144
1225
1241Childhood Nutrition and Weight Management Services 07/03/18 01-18-09 08-18-10 09-18-10 16-18-01 23-18-01 31-18-10 Ch. 1121 Preferred Drug List (PDL) Update July 23, 2018—Pharmacy Services 07/18/18 01-18-11
02-18-06
03-18-06
08-18-13
09-18-12
11-18-06
14-18-07
24-18-07
27-18-10
30-18-06
31-18-12
32-18-06
33-18-11Ch. 1121 Prior Authorization of Thalidomide and Derivatives—Pharmacy Services 07/23/18 01-18-23 02-18-18 03-18-18 08-18-25 09-18-24
11-18-18
14-18-19
24-18-19
27-18-22
30-18-18
31-18-24
32-18-18
33-18-23Ch. 1121 Prior Authorization of VMAT2 Inhibitors—Pharmacy Services 07/23/18 01-18-17 02-18-12 03-18-12 08-18-19 09-18-18
11-18-12
14-18-13
24-18-13
27-18-16
30-18-12
31-18-18
32-18-12
33-18-17Ch. 1121 Prior Authorization of Oncology Agents, Oral—Pharmacy Services 07/23/18 01-18-22 02-18-17 03-18-17 08-18-24 09-18-23
11-18-17
14-18-18
24-18-18
27-18-21
30-18-17
31-18-23
32-18-17
33-18-22Ch. 1121 Prior Authorization of Immunomodulators, Atopic Dermatitis—Pharmacy Services 07/23/18 01-18-13 02-18-08 03-18-08 08-18-15 09-18-14
11-18-08
14-18-09
24-18-09
27-18-12
30-18-08
31-18-14
32-18-08
33-18-13Ch. 1121 Prior Authorization of Enzyme Replacements, Gauchers Disease—Pharmacy Services 07/23/18 01-18-20 02-18-15 03-18-15 08-18-22 09-18-21
11-18-15
14-18-16
24-18-16
27-18-19
30-18-15
31-18-21
32-18-15
33-18-20Ch. 1121 Prior Authorization of Neuropathic Pain Agents—Pharmacy Services 07/23/18 01-18-16
02-18-11
03-18-11
08-18-18
09-18-17
11-18-11
14-18-12
24-18-12
27-18-15
30-18-11
31-18-17
32-18-11
33-18-16Ch. 1121 Prior Authorization of Lipotropics, Other—Pharmacy Services 07/23/18 01-18-14 02-18-09 03-18-09 08-18-16 09-18-15
11-18-09
14-18-10
24-18-10
27-18-13
30-18-09
31-18-15
32-18-09
33-18-14Ch. 1121 Prior Authorization of Idiopathic Pulmonary Fibrosis (IPF) Agents—Pharmacy Services 07/23/18 01-18-21 02-18-16 03-18-16 08-18-23 09-18-22
11-18-16
14-18-17
24-18-17
27-18-20
30-18-16
31-18-22
32-18-16
33-18-21Ch. 1121 Prior Authorization of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)—Pharmacy Services 07/23/18 01-18-18 02-18-13 03-18-13 08-18-20 09-18-19
11-18-13
14-18-14
24-18-14
27-18-17
30-18-13
31-18-19
32-18-13
33-18-18
Ch. 1121 Prior Authorization of Monoclonal Antibodies—Anti-IL, Anti-IgE (MABs-Anti-IL, Anti-IgE)—Pharmacy Services 07/23/18 01-18-15 02-18-10 03-18-10 08-18-17 09-18-16
11-18-10
14-18-11
24-18-11
27-18-14
30-18-13
31-18-19
32-18-13
33-18-18Ch. 1121 Prior Authorization of Analgesics, Non-Opioid Barbiturate Combinations—Pharmacy Services 07/23/18 01-18-12 02-18-07 03-18-07 08-18-14 09-18-13
11-18-07
14-18-08
24-18-08
27-18-11
30-18-07
31-18-13
32-18-07
33-18-12Ch. 1121 Prior Authorization of Bone Resorption Suppression and Related Agents—Pharmacy Services 07/23/18 01-18-19 02-18-14 03-18-14 08-18-21 09-18-13
11-18-07
14-18-08
24-18-08
27-18-11
30-18-07
31-18-13
32-18-07
33-18-12Ch. 1241 Updates to Pennsylvania's Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 08/01/18 99-18-13 Ch. 1121 Prior Authorization of Multiple Sclerosis Agents—Pharmacy Services 08/13/18 01-18-24 Ch. 1241 Environmental Lead Investigations 08/22/18 01-18-10
08-18-11
09-18-11
31-18-11
33-18-10
55-18-01Ch. 1101 School-Based ACCESS Program Provider Handbook 09/19/18 35-18-02 Ch. 1121 Professional Dispensing Fee-Pharmacy Services 10/04/18 35-18-02 Ch. 1187 1189 Changes to Managed Care Coverage of Nursing Facility Services 11/21/18 03-18-20 Ch. 1121 Prior Authorization of Antimigraine Agents—Pharmacy Services 12/12/18 01-18-27 02-18-22 03-18-23 08-18-30 09-18-28
11-18-22
14-18-23
24-18-24
27-18-27
30-18-22
31-18-28
32-18-22
33-18-27Ch. 1121 Prior Authorization of Angiotensin Modulators—Pharmacy Services 12/12/18 01-18-26 02-18-21 03-18-22 08-18-29 09-18-27
11-18-21
14-18-22
24-18-23
27-18-26
30-18-21
31-18-27
32-18-21
33-18-26Ch. 1121 Prior Authorization of Angiotensin Modulator Combinations—Pharmacy Services 12/12/18 01-18-25 02-18-20 03-18-24 08-18-28 09-18-26
11-18-20
14-18-21
24-18-22
27-18-25
30-18-20
31-18-26
32-18-20
33-18-25Ch. 1121 Prior Authorization of Hepatitis C Agents—Pharmacy Services 12/12/18 01-18-28 02-18-23 03-18-24 08-18-31 09-18-29
11-18-23
14-18-24
24-18-25
27-18-28
30-18-23
31-18-29
32-18-23
33-18-28Ch. 1121 Prior Authorization of Antibiotics, GI and Related Agents—Pharmacy Services 12/12/18 01-18-36 02-18-31 03-18-32 08-18-39 09-18-37
11-18-31
14-18-32
24-18-33
27-18-36
30-18-31
31-18-37
32-18-31
33-18-36Ch. 1121 Prior Authorization of Hypoglycemics, Insulin and Related Agents—Pharmacy Services 12/13/18 01-18-30 02-18-25 03-18-26 08-18-33 09-18-31
11-18-25
14-18-26
24-18-27
27-18-30
30-18-25
31-18-31
32-18-25
33-18-30Ch. 1121 Prior Authorization of Hypoglycemics, TZDs—Pharmacy Services 12/13/18 01-18-33 02-18-28 03-18-29 08-18-36 09-18-34
11-18-28
14-18-29
24-18-30
27-18-33
30-18-28
31-18-34
32-18-28
33-18-33Ch. 1121 Prior Authorization of Hypoglycemics, SGLT2 Inhibitors—Pharmacy Services 12/13/18 01-18-31 02-18-26 03-18-27 08-18-34 09-18-32
11-18-26
14-18-27
24-18-28
27-18-31
30-18-26
31-18-32
32-18-26
33-18-31Ch. 1121 Prior Authorization of Hypoglycemics, Incretin Mimetics/Enhancers—Pharmacy Services 12/13/2018 01-18-29 02-18-24 03-18-25 08-18-32 09-18-30
11-18-24
14-18-25
24-18-26
27-18-29
30-18-24
31-18-30
32-18-24
33-18-29Ch. 1121 Prior Authorization of Oncology Agents, Oral—Pharmacy Services 12/13/18 01-18-34 02-18-29 03-18-30 08-18-37 09-18-35
11-18-29
14-18-30
24-18-31
27-18-34
30-18-29
31-18-35
32-18-29
33-18-34Ch. 1121 Prior Authorization of Kalydeco (ivacaftor)—Pharmacy Services 12/13/18 01-18-32 02-18-27 03-18-28 08-18-35 09-18-33
11-18-27
14-18-28
24-18-29
27-18-32
30-18-27
31-18-33
32-18-27
33-18-32Ch. 1121 Prior Authorization of Orkambi (lumacaftor/ivacaftor)—Pharmacy Services 12/13/18 01-18-35 02-18-30 03-18-31 08-18-38 09-18-36
11-18-30
14-18-31
24-18-32
27-18-35
30-18-30
31-18-36
32-18-30
33-18-35Ch. 1101 Service Location Enrollment Deadline 12/19/18 99-18-11 Ch. 1245 Fee Increases for Certain Ambulance Transportation Services 12/24/18 26-18-01 2019 Ch. 1243 Updates to Laboratory Services on the Medical Assistance Program Fee Schedule; Prior Authorization for Noninvasive Prenatal Screening (NiPS) 01/02/19 01-19-01 08-19-01 09-19-01 28-19-01 31-19-01 33-19-01 Ch. 1121 Prior Authorization of Anticonvulsants—Pharmacy Services 01/18/19 01-19-06 02-19-05 03-19-05 08-19-08 09-19-06
11-19-05
14-19-05
24-19-05
27-19-06
30-19-05
31-19-06
32-19-05
33-19-06
Ch. 1121 Preferred Drug List (PDL) Update January 28, 2019—
Pharmacy Services01/18/19 01-19-04 02-19-03 03-19-03 08-19-06 09-19-04
11-19-03
14-19-03
24-19-03
27-19-04
30-19-03
31-19-04
32-19-03
33-19-04Ch. 1121 Prior Authorization of Multiple Sclerosis Agents—Pharmacy Services 01/18/19 01-19-10 02-19-09 03-19-09 08-19-12 09-19-10
11-19-09
14-19-09
24-19-09
27-19-10
30-19-09
31-19-10
32-19-09
33-19-10Ch. 1121 Prior Authorization of Antiparkinson's Agents—Pharmacy Services 01/18/19 01-19-09 02-19-08 03-19-08
08-19-11
09-19-09
11-19-08
14-19-08
24-19-08
27-19-09
30-19-08
31-19-09
32-19-08
33-19-09Ch. 1121 Prior Authorization of Pulmonary Arterial Hypertension (PAH) Agents, Oral and Inhaled—Pharmacy Services 01/18/19 01-19-07 02-19-06 03-19-06 08-19-09 09-19-07
11-19-06
14-19-06
24-19-06
27-19-07
30-19-06
31-19-07
32-19-06
33-19-07Ch. 1121 Prior Authorization of Alpha-1 Proteinase Inhibitors—Pharmacy Services 01/18/19 01-19-08 02-19-07 03-19-07 08-19-10 09-19-08
11-19-07
14-19-07
24-19-07
27-19-08
30-19-07
31-19-08
32-19-07
33-19-08
Ch. 1121 Prior Authorization of Antihyperuricemics—Pharmacy Services 01/18/19 01-19-05 02-19-04 03-19-04 08-19-07 09-19-05
11-19-04
14-19-04
24-19-04
27-19-05
30-19-04
31-19-05
32-19-04
33-19-05Ch. 1121 Prior Authorization of Radicava (edaravone)—Pharmacy Services 01/21/19 01-19-03 02-19-02 03-19-02 08-19-04 09-19-03
11-19-02
14-19-02
24-19-02
27-19-02
30-19-02
31-19-03 32-19-02
33-19-03Ch. 1121 Prior Authorization of Symdeko (tezacaftor/ivacaftor)—Pharmacy Services 01/21/19 01-19-02
02-19-01 03-19-01 08-19-03 09-19-02
11-19-01
14-19-01
24-19-01
27-19-01
30-19-01
31-19-02
32-19-01
33-19-02
Ch. 1101 1150 Changes to Third-Party Liability Requirements for Claims for Prenatal Services 03/01/19 01-19-12 05-19-01
08-19-14 09-19-12 31-19-12 33-19-12 47-19-01Ch. 1101 1150 Update to the Administration of the Human Papillomavirus (HPV) Vaccine 04/05/19 01-19-11
08-19-13
09-19-11
31-19-11
33-19-11Ch. 1241 2019 Recommended Childhood and Adolescent Immunization Schedule 04/22/19 99-19-01 Ch. 1121 Prior Authorization of Dupixent (dupilumab)—Pharmacy Services 6/27/19 01-19-16
02-19-11
03-19-11
08-19-17
09-19-15
11-19-11
14-19-11
24-19-13
27-19-12
30-19-11
31-19-16
32-19-11
33-19-15Ch. 1121 Prior Authorization of Immunomodulators, Atopic Dermatitis—Pharmacy Services 6/27/19 01-19-17 02-19-12 03-19-12 08-19-18 09-19-16
11-19-12
14-19-12
24-19-14
27-19-13
30-19-12
31-19-17
32-19-12
33-19-16Ch. 1121 Prior Authorization of Antibiotics, Inhaled—Pharmacy Services 6/27/19 01-19-15 02-19-10 03-19-10 08-19-16 09-19-14
11-19-10
14-19-10
24-19-12
27-19-11
30-19-10
31-19-15
32-19-10
33-19-14Ch. 1121 Prior Authorization of Complement Inhibitors—Pharmacy Services 6/27/19 01-19-19 02-19-14 03-19-14 08-19-20 09-19-18
11-19-14
14-19-14
24-19-16
27-19-15
30-19-14
31-19-19
32-19-14
33-19-18Ch. 1121 Prior Authorization of Calcium Channel Blockers—
Pharmacy Services6/27/19 01-19-20 02-19-15 03-19-15 08-19-21 09-19-19
11-19-15
14-19-15
24-19-17
27-19-16
30-19-15
31-19-20
32-19-15
33-19-19Ch. 1121 Prior Authorization of Xyrem (sodium oxybate)—Pharmacy Services 6/27/19 01-19-18 02-19-13 03-19-13 08-19-19 09-19-17
11-19-13
14-19-13
24-19-15
27-19-14
30-19-13
31-19-18
32-19-13
33-19-17Ch. Certified Recovery Specialists in Centers of Excellence 7/17/19 01-19-46 08-19-48
11-19-39
19-19-01
21-19-01
31-19-45Ch. 1121 Prior Authorization of Antimigraine Agents, Other—Pharmacy Services 7/30/19 01-19-37 02-19-32 03-19-31 08-19-40 09-19-35
11-19-31
14-19-31
24-19-33
27-19-33
30-19-31
31-19-37
32-19-31
33-19-35Ch. 1121 Prior Authorization of Acne Agents, Oral—Pharmacy Services 7/30/19 01-19-34 02-19-29 03-19-28 08-19-37 09-19-32
11-19-28
14-19-28
24-19-30
27-19-30
30-19-28
31-19-34
32-19-28
33-19-32Ch. 1121 Prior Authorization of Antimalarials—Pharmacy Services 7/31/19 01-19-38 02-19-33 03-19-32 08-19-41 09-19-36
11-19-32
14-19-32
24-19-34
27-19-34
30-19-32
31-19-38
32-19-32
33-19-36Ch. 1121 Prior Authorization of Antianginal Agents—Pharmacy Services 7/31/19 01-19-39 02-19-34 03-19-33 08-19-42 09-19-37
11-19-33
14-19-33
24-19-35
27-19-35
30-19-33
31-19-39
32-19-33
33-19-37
Ch. 1121 Prior Authorization of Angiotensin Modulators—Pharmacy Services 7/31/19 01-19-40 02-19-35 03-19-34 08-19-43 09-19-38
11-19-34
14-19-34
24-19-36
27-19-36
30-19-34
31-19-40
32-19-34
33-19-38Ch. 1121 Prior Authorization of Local Anesthetics, Topical—Pharmacy Services 8/8/19 01-19-25 02-19-20 03-19-19 08-19-28 09-19-23
11-19-19
14-19-19
24-19-21
27-19-21
30-19-19
31-19-25
32-19-19
33-19-23Ch. 1121 Prior Authorization of Thalidomide and Derivatives—Pharmacy Services 8/8/19 01-19-22 02-19-17 03-19-16 08-19-25 09-19-20
11-19-16
14-19-16
24-19-18
27-19-18
30-19-16
31-19-22
32-19-16
33-19-20Ch. 1121 Prior Authorization of HIV/AIDS Antiretrovirals—Pharmacy Services 8/8/19 01-19-26 02-19-21 03-19-20 08-19-29 09-19-24
11-19-20
14-19-20
24-19-22
27-19-22
30-19-20
31-19-26
32-19-20
33-19-24
Ch. 1121 Prior Authorization of Colony Stimulating Factors—Pharmacy Services 8/8/19 01-19-27 02-19-22 03-19-21 08-19-30 09-19-25
11-19-21
14-19-21
24-19-23
27-19-23
30-19-21
31-19-27
32-19-21
33-19-25Ch. 1121 Prior Authorization of Monoclonal Antibodies—Anti-IL, Anti-IgE (MABs—Anti-IL, Anti-IgE)—Pharmacy Services 8/8/19 01-19-24 02-19-19 03-19-18 08-19-27 09-19-22
11-19-18
14-19-18
24-19-20
27-19-20
30-19-18
31-19-24
32-19-18
33-19-22Ch. 1121 Prior Authorization of Cephalosporins—Pharmacy Services 8/8/19 01-19-28 02-19-23 03-19-22 08-19-31 09-19-26
11-19-22
14-19-22
24-19-24
27-19-24
30-19-22
31-19-28
32-19-22
33-19-26Ch. 1121 Prior Authorization of Penicillins—Pharmacy Services 8/8/19 01-19-23 02-19-18 03-19-17 08-19-26 09-19-21
11-19-17
14-19-17
24-19-19
27-19-19
30-19-17
31-19-23
32-19-17
33-19-21Ch. 1101 1150 2019 Healthcare Common Procedure Code System (HCPCS) Updates, Fee Adjustments and Other Procedure Code Changes 8/19/19 99-19-04 Ch. 1241 Pennsylvania's Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 8/19/19 99-19-02
Ch. 1121 Prior Authorization of Bone Density Regulators—Pharmacy Services 8/20/19 01-19-32 02-19-27 03-19-26 08-19-35 09-19-30
11-19-26
14-19-26
24-19-28
27-19-28
30-19-26
31-19-32
32-19-26
33-19-30Ch. 1121 Prior Authorization of H. Pylori Treatments—Pharmacy Services 8/20/19 01-19-44 02-19-39 03-19-38 08-19-47 09-19-42
11-19-38
14-19-38
24-19-40
27-19-40
30-19-38
31-19-44
32-19-38
33-19-42Ch. 1121 Prior Authorization of Antivirals, Herpes—Pharmacy Services 8/20/19 01-19-35 02-19-30 03-19-29 08-19-38 09-19-33
11-19-29
14-19-29
24-19-31
27-19-31
30-19-29
31-19-35
32-19-29
33-19-33Ch. 1121 Prior Authorization of Antivirals, Influenza—Pharmacy Services 8/20/19 01-19-33 02-19-28 03-19-27 08-19-36 09-19-31
11-19-27
14-19-27
24-19-29
27-19-29
30-19-27
31-19-33
32-19-27
33-19-31Ch. 1121 Prior Authorization of Antivirals, CMV—Pharmacy Services 8/20/19 01-19-36 02-19-31 03-19-30 08-19-39 09-19-34
11-19-30
14-19-30
24-19-32
27-19-32
30-19-30
31-19-36
32-19-30
33-19-34Ch. 1121 Prior Authorization of Vaginal Anti-Infectives—Pharmacy Services 8/21/19 01-19-30 02-19-25 03-19-24 08-19-33 09-19-28
11-19-24
14-19-24
24-19-26
27-19-26
30-19-24
31-19-30
32-19-24
33-19-28Ch. 1121 Prior Authorization of Thrombopoietics—Pharmacy Services 8/21/19 01-19-41 02-19-36 03-19-35 08-19-44 09-19-39
11-19-35
14-19-35
24-19-37
27-19-37
30-19-35
31-19-41
32-19-35
33-19-39Ch. 1121 Prior Authorization of Antipsychotics—Pharmacy Services 8/21/19 01-19-43 02-19-38 03-19-37 08-19-46 09-19-41
11-19-37
14-19-37
24-19-39
27-19-39
30-19-37
31-19-43
32-19-37
33-19-41Ch. 1121 Prior Authorization of COPD Agents—Pharmacy Services 8/21/19 01-19-42 02-19-37 03-19-36 08-19-45 09-19-40
11-19-36
14-19-36
24-19-38
27-19-38
30-19-36
31-19-19
32-19-36
33-19-40Ch. 1121 Prior Authorization of Vitamin D Analogs—Pharmacy Services 8/21/19 01-19-29 02-19-24 03-19-23 08-19-32 09-19-27
11-19-23
14-19-23
24-19-25
27-19-25
30-19-23
31-19-29
32-19-23
33-19-27Ch. 1121 Prior Authorization of Urinary Anti-Infectives—Pharmacy Services 8/21/19 01-19-31 02-19-26 03-19-25 08-19-34 09-19-29
11-19-25
14-19-25
24-19-27
27-19-27
30-19-25
31-19-31
32-19-25
33-19-29Ch. 1101 Corrected—Diabetes Prevention Program Enrollment in the Medical Assistance Program 8/22/19 99-19-06 Ch. 1225 Family Planning Services Program 8/23/19 01-19-13 08-19-15 09-19-13 24-19-10 25-19-01 28-19-02 31-19-13 33-19-13 Ch. 1121 Prior Authorization of Antihyperuricemics—Pharmacy Services 9/3/19 01-19-50 02-19-44 03-19-43 08-19-52 09-19-46
11-19-43
14-19-42
24-19-44
27-19-44
30-19-42
31-19-49
32-19-42
33-19-46Ch. 1121 Prior Authorization of Intranasal Rhinitis Agents—Pharmacy Services 9/3/19 01-19-62 02-19-56 03-19-55 08-19-64 09-19-58
11-19-55
14-19-54
24-19-56
27-19-56
30-19-54
31-19-61
32-19-54
33-19-58Ch. 1121 Prior Authorization of Antihistamines, Minimally Sedating—Pharmacy Services 9/3/19 01-19-51 02-19-45 03-19-44 08-19-53 09-19-47
11-19-44
14-19-43
24-19-45
27-19-45
30-19-43
31-19-50
32-19-43
33-19-47Ch. 1121 Prior Authorization of Antihemophilia Agents—Pharmacy Services 9/3/19 01-19-52 02-19-46 03-19-45 08-19-54 09-19-48
11-19-45
14-19-44
24-19-46
27-19-46
30-19-44
31-19-51
32-19-44
33-19-48Ch. 1121 Prior Authorization of Estrogens—Pharmacy Services 9/4/19 01-19-54 02-19-48 03-19-47 08-19-56 09-19-50
11-19-47
14-19-46
24-19-48
27-19-48
30-19-46
31-19-53
32-19-46
33-19-50Ch. 1121 Prior Authorization of Anticoagulants—Pharmacy Services 9/4/19 01-19-53 02-19-47 03-19-46 08-19-55 09-19-49
11-19-46
14-19-45
24-19-47
27-19-47
30-19-45
31-19-52
32-19-45
33-19-49Ch. 1121 Prior Authorization of GI Motility, Chronic Agents—
Pharmacy Services9/4/19 01-19-58 02-19-52 03-19-51 08-19-60 09-19-54
11-19-51
14-19-50
24-19-52
27-19-52
30-19-50
31-19-57
32-19-50
33-19-54Ch. 1121 Prior Authorization of Bronchodilators, Beta Agonists—
Pharmacy Services9/4/19 01-19-49 02-19-43 03-19-42 08-19-51 09-19-45
11-19-42
14-19-41
24-19-43
27-19-43
30-19-41
31-19-48
32-19-41
33-19-45Ch. 1121 Prior Authorization of Iron Chelating Agents—Pharmacy Services 9/5/19 01-19-61 02-19-55 03-19-54 08-19-63 09-19-57
11-19-54
14-19-53
24-19-55
27-19-55
30-19-53
31-19-60
32-19-53
33-19-57Ch. 1121 Prior Authorization of Oncology Agents, Breast Cancer—Pharmacy Services 9/5/19 01-19-59 02-19-53 03-19-52 08-19-61 09-19-55
11-19-52
14-19-51
24-19-53
27-19-53
30-19-51
31-19-58
32-19-51
33-19-55Ch. 1121 Prior Authorization of Multiple Sclerosis Agents—Pharmacy Services 9/5/19 01-19-60 02-19-54 03-19-53 08-19-62 09-19-56
11-19-53
14-19-52
24-19-54
27-19-54
30-19-52
31-19-59
32-19-52
33-19-56Ch. 1121 Prior Authorization of Ophthalmics, Anti-Inflammatories—Pharmacy Services 9/10/19 01-19-56 02-19-50 03-19-49 08-19-58 09-19-52
11-19-49
14-19-48
24-19-50
27-19-50
30-19-48
31-19-55
32-19-48
33-19-52Ch. 1121 Prior Authorization of Urea Cycle Disorder Agents—Pharmacy Services 9/10/19 01-19-57 02-19-51 03-19-50 08-19-59 09-19-53
11-19-50
14-19-49
24-19-51
27-19-51
30-19-49
31-19-56
32-19-49
33-19-53Ch. 1121 Prior Authorization of Sedative Hypnotics—Pharmacy Services 9/10/19 01-19-55 02-19-49 03-19-48 08-19-57 09-19-51 11-19-48 14-19-47 24-19-49 27-19-49 30-19-47 31-19-54 32-19-47 33-19-51 Ch. 1121 Prior Authorization of Ulcerative Colitis Agents—Pharmacy Services 9/10/19 01-19-48 02-19-42 03-19-41 08-19-50 09-19-44 11-19-41 14-19-40 24-19-42 27-19-42 30-19-40 31-19-47 32-19-40 33-19-44 Ch. 1121 Prior Authorization of Stimulants and Related Agents—Pharmacy Services 9/11/19 01-19-64 02-19-58 03-19-57 08-19-66 09-19-60 11-19-57 14-19-56 24-19-58 27-19-58 30-19-56 31-19-63 32-19-56 33-19-60 Ch. 1121 Prior Authorization of Potassium Removing Agents—Pharmacy Services 9/11/19 01-19-47 02-19-41 03-19-40 08-19-49 09-19-43 11-19-40 14-19-39 24-19-41 27-19-41 30-19-39 31-19-46 32-19-39 33-19-43 Ch. 1121 Prior Authorization of Hypoglycemics, Meglitinides—Pharmacy Services 9/16/19 01-19-63 02-19-57 03-19-56 08-19-65 09-19-59 11-19-56 14-19-55 24-19-57 27-19-57 30-19-55 31-19-62 32-19-55 33-19-59 Ch. 1101 School-Based ACCESS Program Provider Handbook 9/19/19 35-19-01 Ch. 1225 Updates to Sterilization Consent Form (MA 31) 9/27/19 01-19-21 02-19-16 08-19-22 31-19-21 Ch. 1121 Statewide Preferred Drug List (PDL) Implementation—Pharmacy Services 10/10/19 01-19-65 02-19-59 03-19-58 08-19-67 09-19-61 11-19-58 14-19-57 24-19-59 27-19-59 30-19-57 31-19-64 32-19-57 33-19-61 Ch. 1121 Prior Authorization of Antimigraine Agents, Triptans—Pharmacy Services 10/16/19 01-19-94 02-19-88 03-19-87 08-19-96 09-19-90 11-19-87 14-19-86 24-19-88 27-19-88 30-19-86 31-19-93 32-19-86 33-19-90 Ch. 1121 Prior Authorization of Fluoroquinolones, Oral—Pharmacy Services 10/16/19 01-19-83 02-19-77 03-19-76
08-19-85 09-19-79 11-19-76 14-19-75 24-19-77 27-19-77 30-19-75 31-19-82 32-19-75 33-19-79Ch. 1121 Prior Authorization of Anticonvulsants—Pharmacy Services 10/16/19 01-19-86 02-19-80 03-19-79 08-19-88 09-19-82 11-19-79 14-19-78 24-19-80 27-19-80 30-19-78 31-19-85 32-19-78 33-19-82 Ch. 1121 Prior Authorization of Glucocorticoids, Inhaled—Pharmacy Services 10/16/19 01-19-79 02-19-73 03-19-72 08-19-81 09-19-75 11-19-72 14-19-71 24-19-73 27-19-73 30-19-71 31-19-78 32-19-71 33-19-75 Ch. 1121 Prior Authorization of Blood Glucose Meters and Test Strips (Formerly Diabetic Meters and Diabetic Strips)—Pharmacy Services 10/16/19 01-19-84 02-19-78 03-19-77 08-19-86 09-19-80 11-19-77 14-19-76 24-19-78 27-19-78 30-19-76 31-19-83 32-19-76 33-19-80 Ch. 1121 Prior Authorization of BPH Treatments—Pharmacy Services 10/17/19 01-19-97 02-19-91 03-19-90 08-19-99 09-19-93 11-19-90 14-19-89 24-19-91 27-19-91 30-19-89 31-19-96 32-19-89 33-19-93 Ch. 1121 Prior Authorization of Antifungals, Oral—Pharmacy Services 10/17/19 01-19-82 02-19-76 03-19-75 08-19-84 09-19-78 11-19-75 14-19-74 24-19-76 27-19-76 30-19-74 31-19-81 32-19-74 33-19-78 Ch. 1121 Prior Authorization of Antidepressants, SSRIs—Pharmacy Services 10/17/19 01-19-85 02-19-79 03-19-78 08-19-87 09-19-81 11-19-78 14-19-77 24-19-79 27-19-79 30-19-77 31-19-84 32-19-77 33-19-81 Ch. 1121 Prior Authorization of Antiemetic/Antivertigo Agents—Pharmacy Services 10/17/19 01-19-88 02-19-82 03-19-81 08-19-90 09-19-84 11-19-81 14-19-80 24-19-82 27-19-82 30-19-80 31-19-87 32-19-80 33-19-84 Ch. 1121 Prior Authorization of Acne Agents, Topical—Pharmacy Services 10/17/19 01-19-87 02-19-81 03-19-80 08-19-89 09-19-83 11-19-80 14-19-79 24-19-81 27-19-81 30-19-79 31-19-86 32-19-79 33-19-83 Ch. 1121 Prior Authorization of Histamine 2 (H2) Receptor Blockers—Pharmacy Services 10/18/19 01-19-96 02-19-90 03-19-89 08-19-98 09-19-92 11-19-89 14-19-88 24-19-90 27-19-90 30-19-88 31-19-95 32-19-88 33-19-92 Ch. 1121 Prior Authorization of Growth Factors—Pharmacy Services 10/18/19 01-19-78 02-19-72 03-19-71 08-19-80 09-19-74 11-19-71 14-19-70 24-19-72 27-19-72 30-19-70 31-19-77 32-19-70 33-19-74 Ch. 1121 Prior Authorization of Intra-Articular Hyaluronates—Pharmacy Services 10/21/19 01-19-81 02-19-75 03-19-74 08-19-83 09-19-77 11-19-74 14-19-73 24-19-75 27-19-75 30-19-73 31-19-80 32-19-73 33-19-77 Ch. 1121 Prior Authorization of Immunosuppressives, Oral—Pharmacy Services 10/21/19 01-19-76 02-19-70 03-19-69 08-19-78 09-19-72 11-19-69 14-19-68 24-19-70 27-19-70 30-19-68 31-19-75 32-19-68 33-19-72 Ch. 1121 Prior Authorization of Idiopathic Pulmonary Fibrosis (IPF) Agents-Pharmacy Services 10/21/19 01-19-77 02-19-71 03-19-70 08-19-79 09-19-73 11-19-70 14-19-69 24-19-71 27-19-71 30-19-69 31-19-76 32-19-69 33-19-73 Ch. 1121 Prior Authorization of Ophthalmics, Allergic Conjunctivitis (Formerly Ophthalmic Agents for Allergic Conjunctivitis)—Pharmacy Services 10/25/19 01-19-72 02-19-66 03-19-65 08-19-74 09-19-68 11-19-64 14-19-64 24-19-66 27-19-66 30-19-64 31-19-71 32-19-64 33-19-68 Ch. 1121 Prior Authorization of Ophthalmics, Immunomodulators (Formerly Ophthalmic Immunomodulators)—Pharmacy Services 10/25/19 01-19-68 02-19-62 03-19-61 08-19-70 09-19-64 11-19-61 14-19-60 24-19-62 27-19-62 30-19-60 31-19-67 32-19-60 33-19-64 Ch. 1121 Prior Authorization of Macrolides (Formerly Macrolides/Ketolides)—Pharmacy Services 10/25/19 01-19-74 02-19-68 03-19-67 08-19-76 09-19-70 11-19-67 14-19-66 24-19-68 27-19-68 30-19-66 31-19-73 32-19-66 33-19-70 Ch. 1121 Prior Authorization of Opioid Overdose Agents (Formerly Opiate Overdose Agents)—Pharmacy Services 10/25/19 01-19-67 02-19-61 03-19-60 08-19-69 09-19-63 11-19-60 14-19-59 24-19-61 27-19-61 30-19-59 31-19-66 32-19-59 33-19-63 Ch. 1121 Prior Authorization of Ophthalmics, Glaucoma (Formerly Ophthalmic Agents for Glaucoma)—Pharmacy Services 10/25/19 01-19-75 02-19-69 03-19-68 08-19-77 09-19-71 11-19-68 14-19-67 24-19-69 27-19-69 30-19-67 31-19-74 32-19-67 33-19-71 Ch. 1121 Prior Authorization of Iron, Oral—Pharmacy Services 10/28/19 01-19-95 02-19-89 03-19-88 08-19-97 09-19-91 11-19-88 14-19-87 24-19-89 27-19-89 30-19-87 31-19-94 32-19-87 33-19-91 Ch. 1121 Prior Authorization of Neuropathic Pain Agents—Pharmacy Services 10/28/19 01-19-73 02-19-67 03-19-66 08-19-75 09-19-69 11-19-66 14-19-65 24-19-67 27-19-67 30-19-65 31-19-72 32-19-65 33-19-69 Ch. 1121 Prior Authorization of Iron, Parenteral—Pharmacy Services 10/28/19 01-19-80 02-19-74 03-19-73 08-19-82 09-19-76 11-19-73 14-19-72 24-19-74 27-19-74 30-19-72 31-19-79 32-19-72 33-19-76 Ch. 1121 Prior Authorization of Ophthalmics, Antibiotics (Formerly Ophthalmic Antibiotics)—Pharmacy Services 10/28/19 01-19-71 02-19-65 03-19-64 08-19-73 09-19-67 11-19-64 14-19-63 24-19-65 27-19-65 30-19-63 31-19-70 32-19-63 33-19-67 Ch. 1121 Prior Authorization of Ophthalmics, Antibiotic-Steroid Combinations (Formerly Ophthalmic Antibiotic-Steroid Combinations)—Pharmacy Services 10/28/19 01-19-70 02-19-64 03-19-63 08-19-72 09-19-66 11-19-63 14-19-62 24-19-64 27-19-64 30-19-62 31-19-69 32-19-62 33-19-66 Ch. 1121 Prior Authorization of Otic Antibiotics (Formerly Otic Antibiotic Preparations)—Pharmacy Services 10/30/19 01-19-66 02-19-60 03-19-59 08-19-68 09-19-62 11-19-59 14-19-58 24-19-60 27-19-60 30-19-58 31-19-65 32-19-58 33-19-62 Ch. 1121 Prior Authorization of Proton Pump Inhibitors (PPIs)—Pharmacy Services 10/30/19 01-19-93 02-19-87 03-19-86 08-19-95 09-19-89 11-19-86 14-19-85 24-19-87 27-19-87 30-19-85 31-19-92 32-19-85 33-19-89 Ch. 1149 Medical Assistance Program Dental Fee Schedule and Dental Provider Handbook Update 10/30/19 27-19-17 Ch. 1121 Prior Authorization of Prenatal Vitamins—Pharmacy Services 10/30/19 01-19-92 02-19-86 03-19-85 08-19-94 09-19-88 11-19-85 14-19-84 24-19-86 27-19-86 30-19-84 31-19-91 32-19-84 33-19-88 Ch. 1121 Prior Authorization of Steroids, Topical (Formerly Steroids, Topical Low; Steroids, Topical Medium; Steroids, Topical High; and Steroids, Topical Very High)—Pharmacy Services 10/30/19 01-19-90 02-19-84 03-19-83 08-19-92 09-19-86 11-19-83 14-19-82 24-19-84 27-19-84 30-19-82 31-19-89 32-19-82 33-19-86 Ch. 1121 Prior Authorization of Skeletal Muscle Relaxants—Pharmacy Services 10/31/19 01-19-89 02-19-83 03-19-82 08-19-91 09-19-85 11-19-82 14-19-81 24-19-83 27-19-83 30-19-81 31-19-88 32-19-81 33-19-85 Ch. 1121 Prior Authorization of Pancreatic Enzymes—Pharmacy Services 10/31/19 01-19-69 02-19-63 03-19-62 08-19-71 09-19-65 11-19-62 14-19-61 24-19-63 27-19-63 30-19-61 31-19-68 32-19-61 33-19-65 Ch. 1121 Prior Authorization of Tetracyclines—Pharmacy Services 10/31/19 01-19-91 02-19-85 03-19-84 08-19-93 09-19-87 11-19-84 14-19-83 24-19-85 27-19-85 30-19-83 31-19-90 32-19-83 33-19-87 Ch. 1149 Electronic Submission of Dental Prior Authorization, Dental Program Exception and Dental Benefit Limitation Requests 12/5/19 08-19-100 27-19-92 Ch. 1121 Prior Authorization of Antidepressants, Other—Pharmacy Services 12/5/19 01-19-98 02-19-92 03-19-91 08-19-101 09-19-94 11-19-91 14-19-90 24-19-93 27-19-93 30-19-90 31-19-98 32-19-90 33-19-95 Ch. 1121 Prior Authorization of Opioid Dependence Treatments—Pharmacy Services 12/5/19 01-19-114 02-19-108 03-19-107 08-19-117 09-19-110 11-19-107 14-19-106 24-19-109 27-19-109 30-19-106 31-19-114 32-19-106 33-19-111 Ch. 1121 Prior Authorization of Antipsoriatics, Topical—Pharmacy Services 12/5/19 01-19-105 02-19-99 03-19-98 08-19-108 09-19-101 11-19-98 14-19-97 24-19-100 27-19-100 30-19-97 31-19-105 32-19-97 33-19-102 Ch. 1121 Prior Authorization of Pituitary Suppressive Agents, LHRH—Pharmacy Services 12/5/19 01-19-112 02-19-106 03-19-105 08-19-115 09-19-108 11-19-105 14-19-104 24-19-107 27-19-107 30-19-104 31-19-112 32-19-104 33-19-109 Ch. 1121 Prior Authorization of Oncology Agents, Oral—Pharmacy Services 12/5/19 01-19-115 02-19-109 03-19-108 08-19-118 09-19-111 11-19-108 14-19-107 24-19-110 27-19-110 30-19-107 31-19-115 32-19-107 33-19-112 Ch. 1121 Prior Authorization of Cytokine and CAM Antagonists—
Pharmacy Services12/5/19 01-19-103 02-19-97 03-19-96 08-19-106 09-19-99 11-19-96 14-19-95 24-19-98 27-19-98 30-19-95 31-19-103 32-19-95 33-19-100 Ch. 1121 Prior Authorization of Dupixent (dupilumab)—Pharmacy Services 12/5/19 01-19-102 02-19-96 03-19-95 08-19-105 09-19-98 11-19-95 14-19-94 24-19-97 27-19-97 30-19-94 31-19-102 32-19-94 33-19-99 Ch. 1121 Prior Authorization of Enzyme Replacements, Gaucher Disease—Pharmacy Services 12/5/19 01-19-111 02-19-105 03-19-104 08-19-114 09-19-107 11-19-104 14-19-103 24-19-106 27-19-106 30-19-103 31-19-111 32-19-103 33-19-108 Ch. 1121 Prior Authorization of Beta Blockers—Pharmacy Services 12/4/19 01-19-104 02-19-98 03-19-97 08-19-107 09-19-100 11-19-97 14-19-96 24-19-99 27-19-99 30-19-96 31-19-104 32-19-96 33-19-101 Ch. 1121 Prior Authorization of Monocional Antibodies—Anti-IL, Anti-IgE (MABs—Anti-IL, Anti-IgE)—Pharmacy Services 12/5/19 01-19-107 02-19-101 03-19-100 08-19-110 09-19-103 11-19-100 14-19-99 24-19-102 27-19-102 30-19-99 31-19-107 32-19-99 33-19-104 Ch. 1121 Prior Authorization of Glucocorticoids, Oral—Pharmacy Services 12/5/19 01-19-110 02-19-104 03-19-103 08-19-113 09-19-106 11-19-103 14-19-102 24-19-105 27-19-105 30-19-102 31-19-110 32-19-102 33-19-107 Ch. 1121 Prior Authorization of Lipotropics, Other—Pharmacy Services 12/5/19 01-19-108 02-19-102 03-19-101 08-19-111 09-19-104 11-19-101 14-19-100 24-19-103 27-19-103 30-19-100 31-19-108 32-19-100 33-19-105 Ch. 1121 Prior Authorization of Antibiotics, GI and Related Agents—Pharmacy Services 12/6/19 01-19-99 02-19-93 03-19-92 08-19-102 09-19-95 11-19-92 14-19-91 24-19-94 27-19-94 30-19-91 31-19-99 32-19-91 33-19-96 Ch. 1121 Prior Authorization of Growth Hormones—Pharmacy Services 12/6/19 01-19-109 02-19-103 03-19-102 08-19-112 09-19-105 11-19-102 14-19-101 24-19-104 27-19-104 30-19-101 31-19-109 32-19-101 33-19-106 Ch. 1121 Prior Authorization of Analgesics, Opioid Short-Acting—Pharmacy Services 12/6/19 01-19-101 02-19-95 03-19-94 08-19-104 09-19-97 11-19-94 14-19-93 24-19-96 27-19-96 30-19-93 31-19-101 32-19-93 33-19-98 Ch. 1121 Prior Authorization of Pulmonary Arterial Hypertension (PAH) Agents, Oral and Inhaled—Pharmacy Services 12/6/19 01-19-113 02-19-107 03-19-106 08-19-116 09-19-109 11-19-106 14-19-105 24-19-108 27-19-108 30-19-105 31-19-113 32-19-105 33-19-110 Ch. 1121 Prior Authorization of Macular Degeneration Agents—Pharmacy Services 12/6/19 01-19-116 02-19-110 03-19-109 08-19-119 09-19-112 11-19-109 14-19-108 24-19-111 27-19-111 30-19-108 31-19-116 32-19-108 33-19-113 Ch. 1121 Prior Authorization of Antimigraine Agents, Other—Pharmacy Services 12/6/19 01-19-106 02-19-100 03-19-99 08-19-109 09-19-102 11-19-99 14-19-98 24-19-101 27-19-101 30-19-98 31-19-106 32-19-98 33-19-103 Ch. 1121 Prior Authorization of Anti-Allergens, Oral—Pharmacy Services 12/6/19 01-19-100 02-19-94 03-19-93 08-19-103 09-19-96 11-19-93 14-19-92 24-19-95 27-19-95 30-19-92 31-19-100 32-19-92 33-19-97 Ch. 1126 1163 Billing for Inpatient Hospital and Short Procedure Unit Services When a MA Beneficiary is Directly Admitted from Observation 12/10/19 01-19-14 Ch. 1126
1150
1163Place of Service Review and Updates to Surgical Services 12/31/19 99-19-07 2020 Ch. 2600 2800
3270
3280
3290
3800
5310
6400
6600Medical Marijuana and State Licensure of Facilities and Agencies 1/2/20 01-20-03 02-20-01 03-20-01 05-20-01 06-20-01 34-20-01 47-20-01 56-20-01 Ch. 1150 1163
1243Addition of Coronavirus Laboratory Test Codes to the MA Program Fee Schedule 5/1/20 01-20-05 08-20-09 09-20-04 28-20-01 31-20-04 33-20-02 Ch. 1150 1123 Addition of the Multi-Function Ventilator to the Medical Assistance Program Fee Schedule 5/1/20 09-20-06 10-20-03 14-20-02 24-20-01 25-20-01 31-20-06 Ch. 1101 1150 COVID-19 Testing and Related Treatment Exempt from MA Copayment Requirements 5/1/20 99-20-05 Ch. 1123 1249 Home Health Services, Medical Supplies, Equipment and Appliances Prescribed by Non-physician Practitioners 5/1/20 09-20-05 10-20-02 14-20-01 31-20-05 33-20-03 Ch. 1101 1150
1163
1243ICD-10-CM Official Coding Guidelines Related to COVID-19 5/20/20 99-20-06 Ch. 1101 1150 2020 Healthcare Common Procedure Coding System Updates 5/26/20 99-20-02 Ch. 1241 Pennsylvania's Early and Periodic Screening Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 5/26/20 99-20-04 Ch. 1241 Childhood Nutrition and Weight Management Services 5/26/20 01-20-06 08-20-08 09-20-03 23-20-01 31-20-03 Ch. 1101 1121 Pharmacy Services for Medical Assistance Beneficiaries Related to the COVID-19 Public Health Emergency 5/27/20 01-20-07 02-20-02 03-20-02 08-20-10 09-20-07 11-20-01 14-20-03 24-20-03 27-20-04 30-20-01 31-20-07 32-20-01 33-20-04 Ch. 1101 1150
1249Implementation of Electronic Visit Verification in the FFS and Physical Health Managed Care Delivery Systems 6/11/20 05-20-02 07-20-02 Ch. 1101 1150 ''Payment in Full'' and Personal Protective Equipment 6/12/20 99-20-07 Ch. 1151 1163 Updates to the Procedures for Presumptive Eligibility as Determined by Hospitals 6/18/20 01-20-04 Ch. 1126 1129
1144
1221Addition of Opioid Use Disorder Centers of Excellence Provider Specialty 7/1/20 01-20-08 08-20-11 11-20-02 19-20-01 21-20-01 31-20-08 Ch. 1101 1150
1249Electronic Visit Verification for Personal Care Services Provided in the Fee-for-Service Delivery System 8/26/20 05-20-03 Ch. 1121 Specialty Pharmacy Drug Program Preferred Specialty Pharmacy Providers—Pharmacy Services 9/9/20 01-20-09 02-20-03 03-20-03 08-20-12 09-20-08 11-20-03 14-20-04 24-20-04 27-20-05 30-20-02 31-20-09 32-20-02 33-20-05 Ch. 1153 1129 Behavioral Health Group Therapy Provided in the Federally Qualified Health Center and Rural Health Clinic Settings 9/15/20 08-20-03 Ch. 1147 1129 Vision Services Provided in the Federally Qualified Health Center and Rural Health Clinic Settings 9/15/20 08-20-04 Ch. 1101 1150 School-Based ACCESS Program Provider Handbook 9/22/20 35-20-01 Ch. 1101 1121
1150
1243COVID-19 Specimen Collection and Testing at Pharmacies 10/1/20 24-20-02 Ch. 1121 Prior Authorization of Analgesics, Non-Opioid Barbiturate Combinations—Pharmacy Services 11/6/20 01-20-11 02-20-04 03-20-04 08-20-14 09-20-10 11-20-04 14-20-05 24-20-05 27-20-06 30-20-03 31-20-11 32-20-03 33-20-07 Ch. 1121 Prior Authorization of Analgesics, Opioid Long-Acting—Pharmacy Services 11/6/20 01-20-12 02-20-05 03-20-05 08-20-15 09-20-11 11-20-05 14-20-06 24-20-06 27-20-07 30-20-04 31-20-12 32-20-04 33-20-08 Ch. 1121 Prior Authorization of Analgesics, Opioid Short-Acting—Pharmacy Services 11/6/20 01-20-13 02-20-06 03-20-06 08-20-16 09-20-12 11-20-06 14-20-07 24-20-07 27-20-08 30-20-05 31-20-13 32-20-05 33-20-09 Ch. 1121 Prior Authorization of Bone Density Regulators—Pharmacy Services 11/6/20 01-20-14 02-20-07 03-20-07 08-20-17 09-20-13 11-20-07 14-20-08 24-20-08 27-20-09 30-20-06 31-20-14 32-20-06 33-20-10 Ch. 1121 Prior Authorization of COPD Agents—Pharmacy Services 11/6/20 01-20-15 02-20-08 03-20-08 08-20-18 09-20-14 11-20-08 14-20-09 24-20-09 27-20-10 30-20-07 31-20-15 32-20-07 33-20-11 Ch. 1121 Prior Authorization of Estrogens—Pharmacy Services 11/6/20 01-20-16 02-20-09 03-20-09 08-20-19 09-20-15 11-20-09 14-20-10 24-20-10 27-20-11 30-20-08 31-20-16 32-20-08 33-20-12 Ch. 1121 Prior Authorization of H. Pylori Treatments—Pharmacy Services
BY Sally11/6/20 01-20-22 02-20-15 03-20-15 08-20-25 09-20-21 11-20-15 14-20-16 24-20-16 27-20-17 30-20-14 31-20-22 32-20-14 33-20-18 Ch. 1121 Prior Authorization of Androgenic Agents—Pharmacy Services 11/9/20 01-20-17 02-20-10 03-20-10 08-20-20 09-20-16 11-20-10 14-20-11 24-20-11 27-20-12 30-20-09 31-20-17 32-20-09 33-20-13 Ch. 1121 Prior Authorization of Anticonvulsants—Pharmacy Services 11/9/20 01-20-18 02-20-11 03-20-11 08-20-21 09-20-17 11-20-11 14-20-12 24-20-12 27-20-13 30-20-10 31-20-18 32-20-10 33-20-14 Ch. 1121 Prior Authorization of Antidepressants, Other—Pharmacy Services 11/9/20 01-20-19 02-20-12 03-20-12 08-20-22 09-20-18 11-20-12 14-20-13 24-20-13 27-20-14 30-20-11 31-20-19 32-20-11 33-20-15 Ch. 1121 Prior Authorization of Anxiolytics—Pharmacy Services 11/9/20 01-20-20 02-20-13 03-20-13 08-20-23 09-20-19 11-20-13 14-20-14 24-20-14 27-20-15 30-20-12 31-20-20 32-20-12 33-20-16 Ch. 1121 Prior Authorization of Hematopoietic Mixtures (Formerly Iron, Oral)—Pharmacy Services 11/9/20 01-20-23 02-20-16 03-20-16 08-20-26 09-20-22 11-20-16 14-20-17 24-20-17 27-20-18 30-20-15 31-20-23 32-20-15 33-20-19 Ch. 1121 Prior Authorization of Hepatitis C Agents—Pharmacy Services 11/9/20 01-20-24 02-20-17 03-20-17 08-20-27 09-20-23 11-20-17 14-20-18 24-20-18 27-20-19 30-20-16 31-20-24 32-20-16 33-20-20 Ch. 1121 Prior Authorization of Hereditary Angioedema (HAE) Agents—Pharmacy Services 11/9/20 01-20-25 02-20-18 03-20-18 08-20-28 09-20-24 11-20-18 14-20-19 24-20-40 27-20-20 30-20-17 31-20-25 32-20-17 33-20-21 Ch. 1121 Prior Authorization of HIV/AIDS Antiretrovirals—Pharmacy Services 11/10/20 01-20-26 02-20-19 03-20-19 08-20-29 09-20-25 11-20-19 14-20-20 24-20-19 27-20-21 30-20-18 31-20-26 32-20-18 33-20-22 Ch. 1121 Prior Authorization of Hypoglycemia Treatments—Pharmacy Services 11/10/20 01-20-27 02-20-20 03-20-20 08-20-30 09-20-26 11-20-20 14-20-21 24-20-20 27-20-22 30-20-19 31-20-27 32-20-19 33-20-23 Ch. 1121 Prior Authorization of Hypoglycemics, SGLT2 Inhibitors—Pharmacy Services 11/10/20 01-20-28 02-20-21 03-20-21 08-20-31 09-20-27 11-20-21 14-20-22 24-20-21 27-20-23 30-20-20 31-20-28 32-20-20 33-20-24 Ch. 1121 Prior Authorization of Hypoglycemics, Incretin Mimetics/Enhancers—Pharmacy Services 11/10/20 01-20-29 02-20-22 03-20-22 08-20-32 09-20-28 11-20-22 14-20-23 24-20-22 27-20-24 30-20-21 31-20-29 32-20-21 33-20-25 Ch. 1121 Prior Authorization of Hypoglycemics, TZDs—Pharmacy Services 11/10/20 01-20-30 02-20-23 03-20-23 08-20-33 09-20-29 11-20-23 14-20-24 24-20-23 27-20-25 30-20-22 31-20-30 32-20-22 33-20-26 Ch. 1121 Prior Authorization of Idiopathic Pulmonary Fibrosis (IPF) Agents—Pharmacy Services 11/10/20 01-20-31 02-20-24 03-20-24 08-20-34 09-20-30 11-20-24 14-20-25 24-20-24 27-20-26 30-20-23 31-20-31 32-20-23 33-20-27 Ch. 1121 Prior Authorization of Intra-Articular Hyaluronates—Pharmacy Services 11/10/20 01-20-32 02-20-25 03-20-25 08-20-35 09-20-31 11-20-25 14-20-26 24-20-25 27-20-27 30-20-24 31-20-32 32-20-24 33-20-28 Ch. 1101 1241 2020 Recommended Child and Adolescent Immunization Schedule 11/12/20 99-20-03 Ch. 1121 Prior Authorization of Lipotropics, Other—Pharmacy Services 11/12/20 01-20-33 02-20-26 03-20-26 08-20-36 09-20-32 11-20-26 14-20-27 24-20-26 27-20-28 30-20-25 31-20-33 32-20-25 33-20-29 Ch. 1121 Prior Authorization of Migraine Acute Treatment Agents (formerly Antimigraine Agents, Triptans)—Pharmacy Services 11/12/20 01-20-34 02-20-27 03-20-27 08-20-37 09-20-33 11-20-27 14-20-28 24-20-27 27-20-29 30-20-26 31-20-34 32-20-26 33-20-30 Ch. 1121 Prior Authorization of Migraine Prevention Agents (formerly Antimigraine Agents, Other)—Pharmacy Services 11/12/20 01-20-35 02-20-28 03-20-28 08-20-38 09-20-34 11-20-28 14-20-29 24-20-28 27-20-30 30-20-27 31-20-35 32-20-27 33-20-31 Ch. 1121 Prior Authorization of Multiple Sclerosis Agents—Pharmacy Services 11/12/20 01-20-36 02-20-29 03-20-29 08-20-39 09-20-35 11-20-29 14-20-30 24-20-29 27-20-31 30-20-28 31-20-36 32-20-28 33-20-32 Ch. 1121 Prior Authorization of NSAIDs—Pharmacy Services 11/12/20 01-20-37 02-20-30 03-20-30 08-20-40 09-20-36 11-20-30 14-20-31 24-20-30 27-20-32 30-20-29 31-20-37 32-20-29 33-20-33 Ch. 1121 Prior Authorization of Opioid Dependence Treatments—Pharmacy Services 11/13/20 01-20-38 02-20-31 03-20-31 08-20-41 09-20-37 11-20-31 14-20-32 24-20-31 27-20-33 30-20-30 31-20-38 32-20-30 33-20-34 Ch. 1121 Prior Authorization of Pituitary Suppressive Agents, LHRH—Pharmacy Services 11/13/20 01-20-39 02-20-32 03-20-32 08-20-42 09-20-38 11-20-32 14-20-33 24-20-32 27-20-34 30-20-31 31-20-39 32-20-31 33-20-35 Ch. 1121 Prior Authorization of Progestational Agents—Pharmacy Services 11/13/20 01-20-40 02-20-33 03-20-33 08-20-43 09-20-39 11-20-33 14-20-34 24-20-33 27-20-35 30-20-32 31-20-40 32-20-32 33-20-36 Ch. 1121 Prior Authorization of Sedative Hypnotics—Pharmacy Services 11/13/20 01-20-41 02-20-34 03-20-34 08-20-44 09-20-40 11-20-34 14-20-35 24-20-34 27-20-36 30-20-33 31-20-41 32-20-33 33-20-37 Ch. 1121 Prior Authorization of Sickle Cell Agents—Pharmacy Services 11/16/20 01-20-42 02-20-35 03-20-35 08-20-45 09-20-41 11-20-35 14-20-36 24-20-35 27-20-37 30-20-34 31-20-42 32-20-34 33-20-38 Ch. 1121 Statewide Preferred Drug List (PDL) Implementation—Pharmacy Services 11/16/20 01-20-43 02-20-36 03-20-36 08-20-46 09-20-42 11-20-36 14-20-37 24-20-36 27-20-38 30-20-35 31-20-43 32-20-35 33-20-39 Ch. 1121 Prior Authorization of Stimulants and Related Agents—Pharmacy Services 11/16/20 01-20-44 02-20-37 03-20-37 08-20-47 09-20-43 11-20-37 14-20-38 24-20-37 27-20-39 30-20-36 31-20-44 32-20-36 33-20-40 Ch. 1121 Prior Authorization of Synagis (palivizumab)—Pharmacy Services 11/16/20 01-20-45 02-20-38 03-20-38 08-20-48 09-20-44 11-20-38 14-20-39 24-20-38 27-20-40 30-20-37 31-20-45 32-20-37 33-20-41 Ch. 1121 Prior Authorization of Cytokine and CAM Antagonists—Pharmacy Services 11/24/20 01-20-47 02-20-40 03-20-40 08-20-50 09-20-46 11-20-40 14-20-41 24-20-41 27-20-42 30-20-39 31-20-47 32-20-39 33-20-43 Ch. 1121 Prior Authorization of Tysabri (natalizumab)—Pharmacy Services 11/24/20 01-20-48 02-20-41 03-20-41 08-20-51 09-20-47 11-20-41 14-20-42 24-20-42 27-20-43 30-20-40 31-20-48 32-20-40 33-20-44 Ch. 1150 1149 Medical Assistance Program Dental Fee Schedule Update 12/2/20 27-20-01 Ch. 1121 Prior Authorization of Cystic Fibrosis Transmembrane Regulator (CFTR) Modulators—Pharmacy Services 12/14/20 01-20-49 02-20-42 03-20-42 08-20-52 09-20-48 11-20-42 14-20-43 24-20-43 27-20-44 30-20-41 31-20-49 32-20-41 33-20-45 Ch. 1121 Prior Authorization of Duchenne Muscular Dystrophy (DMD) Antisense Oligonucleotides—Pharmacy Services 12/14/20 01-20-55 02-20-48 03-20-48 08-20-58 09-20-54 11-20-48 14-20-49 24-20-49 27-20-50 30-20-47 31-20-55 32-20-47 33-20-51 Ch. 1121 Prior Authorization of Evrysdi (risdiplam)—Pharmacy Services 12/14/20 01-20-56 02-20-49 03-20-49 08-20-59 09-20-55 11-20-49 14-20-50 24-20-50 27-20-51 30-20-48 31-20-56 32-20-48 33-20-52 Ch. 1121 Prior Authorization of Palforzia [peanut (Arachis hypogaea) allergen powder]—Pharmacy Services 12/14/20 01-20-57 02-20-50 03-20-50 08-20-60 09-20-56 11-20-50 14-20-51 24-20-51 27-20-52 30-20-49 31-20-57 32-20-49 33-20-53 Ch. 1121 Prior Authorization of Xyrem (sodium oxybate)/Xywav (calcium, magnesium, potassium, and sodium oxybates)—Pharmacy Services 12/14/20 01-20-58 02-20-51 03-20-51 08-20-61 09-20-57 11-20-51 14-20-52 24-20-52 27-20-53 30-20-50 31-20-58 32-20-50 33-20-54 Ch. 1121 Prior Authorization of Crysvita (burosumab)—Pharmacy Services 12/15/20 01-20-50 02-20-43 03-20-43 08-20-53 09-20-49 11-20-43 14-20-44 24-20-44 27-20-45 30-20-42 31-20-50 32-20-42 33-20-46 Ch. 1121 Prior Authorization of Complement Inhibitors—Pharmacy Services 12/15/20 01-20-51 02-20-44 03-20-44 08-20-54 09-20-50 11-20-44 14-20-45 24-20-45 27-20-46 30-20-43 31-20-51 32-20-43 33-20-47 Ch. 1121 Prior Authorization of Corlanor (ivabradine)—Pharmacy Services 12/15/20 01-20-52 02-20-45 03-20-45 08-20-55 09-20-51 11-20-45 14-20-46 24-20-46 27-20-47 30-20-44 31-20-52 32-20-44 33-20-48 Ch. 1121 Prior Authorization of Spinraza (nusinersen)—Pharmacy Services 12/15/20 01-20-53 02-20-49 03-20-46 08-20-56 09-20-52 11-20-46 14-20-47 24-20-47 27-20-48 30-20-45 31-20-53 32-20-45 33-20-49 Ch. 1121 Prior Authorization of Tepezza (teprotumumab)—Pharmacy Services 12/15/20 01-20-54 02-20-47 03-20-47 08-20-57 09-20-53 11-20-47 14-20-48 24-20-48 27-20-49 30-20-46 31-20-54 32-20-46 33-20-50 Ch. 1101 1150
1121Addition to the Medical Assistance Program Fee Schedule for Administration of SARS-CoV-2 Vaccines 12/24/20 01-20-59 08-20-62 09-20-58 31-20-59 33-20-55 Ch. 1101 1150
1121SARS-CoV-2 Vaccine Administration by Pharmacists 12/30/20 01-20-60 02-20-52 03-20-52 08-20-63 09-20-59 11-20-52 14-20-53 24-20-53 27-20-54 30-20-51 31-20-60 32-20-51 33-20-56 2021 Ch. 1101 1150
1121SARS-CoV-2 Vaccine Updates 1/26/21 01-20-62 08-20-65 09-20-60 24-20-54 31-20-62 33-20-57 Ch. 1101 1150
1121Administration of SARS-CoV-2 Vaccine Manufactured by Janssen Biotech, Inc. 3/12/21 01-21-01 08-21-02 09-21-01 24-21-01 31-21-01 33-21-01 Ch. 1150 1121 Updates to the Medical Assistance Program Fee Schedule for Administration of SARS-CoV-2 Monoclonal Antibody Therapy 3/22/21 01-21-02 08-21-03 31-21-02 Ch. 1101 1150 Restoration of Provider Revalidation Requirements 3/23/21 99-21-01 Ch. 1101 1150
1121Addition to the Medical Assistance Program Fee Schedule for Administration of SARS-CoV-2 Monoclonal Antibody Therapy 3/25/21 01-20-61 08-20-64 31-20-61 Ch. 1149 Dental Benefit Limit Exception Process Update 4/15/21 08-21-01 27-21-01 Ch. 1150 1121 Fee Increase for the Administration of SARS-CoV-2 Vaccines 4/19/21 01-21-03 08-21-04 09-21-02 24-21-02 30-21-01 31-21-03 33-21-02 Ch. 1101 1150 Reinstatement of Prior Authorization Requirements for Certain Services 4/30/21 99-21-03 Ch. 1101 1150
1243Addition of COVID-19 Antigen Laboratory Test Codes to the MA Program Fee Schedule 5/18/21 01-20-10 08-20-13 09-20-09 28-20-02 31-20-10 33-20-06 Ch. 1101 1241 Pennsylvania's Early and Periodic Screening Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 6/24/21 99-21-02 Ch. 1241 2021 Recommended Child and Adolescent Immunization Schedule 6/28/21 99-21-05 Ch. 1101 1150 Medical Assistance (MA) Program Fee Schedule Revisions 6/30/21 99-20-09 Ch. 1150 1121
1123Medical Assistance Program Fee Increase for Disposable Gloves 7/6/21 24-21-05 25-21-02 Ch. 1150 1121 SARS-CoV-2 Vaccine Administration for Beneficiaries who are Homebound 7/29/21 01-21-04 05-21-01 08-21-05 09-21-03 24-21-03 26-21-01 30-21-02 31-21-04 33-21-03 Ch. 1101 1150
1121Expansion of Providers for the Administration of SARS-CoV-2 Vaccines and Monoclonal Antibody Therapy 7/29/21 01-21-08 05-21-03 08-21-09 09-21-07 24-21-07 26-21-02 30-21-04 31-21-09 33-21-08 Ch. 1101 1150
1121Corrected—Expansion of Providers for the Administration of SARS-CoV-2 Vaccines and Monoclonal Antibody Therapy 7/30/21 01-21-11 05-21-05 08-21-12 09-21-09 11-21-01 24-21-08 26-21-03 30-21-06 31-21-12 33-21-09 Ch. 1101 1150 2021 Healthcare Common Procedure Coding System (HCPCS) Updates, Fee Adjustments and Other Procedure Code Changes 8/20/21 99-21-04 Ch. 1101 1150
1121Administration of a Third Dose of SARS-CoV-2 Vaccines Manufactured by Pfizer, Inc. and Moderna, Inc. 9/1/21 01-21-12 05-21-06 08-21-13 09-21-10 11-21-02 24-21-09 26-21-04 30-21-07 31-21-13 33-21-10 Ch. 1123 1150 Coverage of Home Accessibility Durable Medical Equipment and Procedure for Obtaining an 1150 Administrative Waiver in the Fee-for-Service Delivery System 9/21/21 09-21-04 10-21-01 14-21-01 24-21-04 25-21-01 31-21-05 33-21-04 Ch. 1150 1225 Updates to the Family Planning Services Program Fee Schedule 9/24/21 01-21-06 08-21-06 09-21-05 24-21-06 25-21-03 28-21-01 31-21-07 33-21-06 Ch. 1101 1150 Guidelines for the Delivery of Physical Health Services via Telemedicine 9/30/21 99-21-06 Ch. 1150 1129 Naloxone Distribution by Federally Qualified Health Centers and Rural Health Clinics 10/21/21 08-21-07 Ch. 1249 Updated Error Status Code Descriptions for Personal Care Services Subject to Electronic Visit Verification 10/22/21 05-21-04 07-21-01 54-21-02 59-21-02 00-21-03 Ch. 1121 Prior Authorization of Alzheimer's Agents—Pharmacy Services 11/2/21 01-21-14 02-21-01 03-21-01 08-21-15 09-21-13 11-21-03 14-21-04 24-21-11 27-21-04 30-21-08 31-21-16 32-21-01 33-21-13 Ch. 1121 Prior Authorization of Antibiotics, GI and Related Agents—Pharmacy Services 11/2/21 01-21-15 02-21-02 03-21-02 08-21-16 09-21-14 11-21-04 14-21-05 24-21-12 27-21-05 30-21-09 31-21-17 32-21-02 33-21-14 Ch. 1121 Prior Authorization of Antifungals, Topical—Pharmacy Services 11/2/21 01-21-16 02-21-03 03-21-03 08-21-17 09-21-15 11-21-05 14-21-06 24-21-13 27-21-06 30-21-10 31-21-18 32-21-03 33-21-15 Ch. 1121 Prior Authorization of Antihemophilia Agents—Pharmacy Services 11/2/21 01-21-17 02-21-04 03-21-04 08-21-18 09-21-16 11-21-06 14-21-07 24-21-14 27-21-07 30-21-11 31-21-19 32-21-04 33-21-16 Ch. 1121 Prior Authorization of Antihyperuricemics—Pharmacy Services 11/2/21 01-21-18 02-21-05 03-21-05 08-21-19 09-21-17 11-21-07 14-21-08 24-21-15 27-21-08 30-21-12 31-21-20 32-21-05 33-21-17 Ch. 1121 Prior Authorization of Antiparasitics, Topical—Pharmacy Services 11/4/21 01-21-20 02-21-07 03-21-07 08-21-21 09-21-19 11-21-09 14-21-10 24-21-17 27-21-10 30-21-14 31-21-22 32-21-07 33-21-19 Ch. 1121 Prior Authorization of Antipsychotics—Pharmacy Services 11/4/21 01-21-21 02-21-08 03-21-08 08-21-22 09-21-20 11-21-10 14-21-11 24-21-18 27-21-11 30-21-15 31-21-23 32-21-08 33-21-20 Ch. 1121 Prior Authorization of Anxiolytics—Pharmacy Services 11/4/21 01-21-22 02-21-09 03-21-09 08-21-23 09-21-21 11-21-11 14-21-12 24-21-19 27-21-12 30-21-16 31-21-24 32-21-09 33-21-21 Ch. 1121 Prior Authorization of Bladder Relaxant Preparations—Pharmacy Services 11/5/21 01-21-23 02-21-10 03-21-10 08-21-24 09-21-22 11-21-12 14-21-13 24-21-20 27-21-13 30-21-17 31-21-25 32-21-10 33-21-22 Ch. 1121 Prior Authorization of Bone Density Regulators—Pharmacy Services 11/5/21 01-21-24 02-21-11 03-21-11 08-21-25 09-21-23 11-21-13 14-21-14 24-21-21 27-21-14 30-21-18 31-21-26 32-21-11 33-21-23 Ch. 1121 Prior Authorization of Bronchodilators, Beta Agonists—Pharmacy Services 11/5/21 01-21-26 02-21-13 03-21-13 08-21-28 09-21-25 11-21-15 14-21-16 24-21-23 27-21-17 30-21-20 31-21-28 32-21-13 33-21-25 Ch. 1121 Prior Authorization of Cytokine and CAM Antagonists—Pharmacy Services 11/5/21 01-21-28 02-21-15 03-21-15 08-21-30 09-21-27 11-21-17 14-21-18 24-21-25 27-21-19 30-21-22 31-21-30 32-21-25 33-21-27 Ch. 1121 Prior Authorization of Dupixent (dupilumab)—Pharmacy Services 11/5/21 01-21-29 02-21-16 03-21-16 08-21-31 09-21-28 11-21-18 14-21-19 24-21-26 27-21-20 30-21-23 31-21-31 32-21-16 33-21-28 Ch. 1121 Prior Authorization of Botulinum Toxins (Type A and Type B)—Pharmacy Services 11/8/21 01-21-25 02-21-12 03-21-12 08-21-27 09-21-24 11-21-14 14-21-15 24-21-22 27-21-16 30-21-19 31-21-27 32-21-12 33-21-24 Ch. 1121 Prior Authorization of Chronic Obstructive Pulmonary Disease (COPD) Agents—Pharmacy Services 11/8/21 01-21-27 02-21-14 03-21-14 08-21-29 09-21-26 11-21-16 14-21-17 24-21-24 27-21-18 30-21-21 31-21-29 32-21-14 33-21-26 Ch. 1121 Prior Authorization of Erythropoiesis Stimulating Agents (ESAs)—Pharmacy Services 11/8/21 01-21-45 02-21-32 03-21-32 08-21-47 09-21-44 11-21-34 14-21-35 24-21-42 27-21-36 30-21-39 31-21-47 32-21-32 33-21-44 Ch. 1121 Prior Authorization of GI Motility, Chronic Agents—Pharmacy Services 11/8/21 01-21-46 02-21-33 03-21-33 08-21-48 09-21-45 11-21-35 14-21-36 24-21-43 27-21-37 30-21-40 31-21-48 32-21-33 33-21-45 Ch. 1121 Prior Authorization of HIV/AIDS Antiretrovirals—Pharmacy Services 11/8/21 01-21-49 02-21-36 03-21-36 08-21-51 09-21-48 11-21-38 14-21-39 24-21-46 27-21-40 30-21-43 31-21-51 32-21-36 33-21-48 Ch. 1121 Prior Authorization of Immunomodulators, Atopic Dermatitis—Pharmacy Services 11/10/21 01-21-30 02-21-17 03-21-17 08-21-32 09-21-29 11-21-19 14-21-20 24-21-27 27-21-21 30-21-24 31-21-32 32-21-17 33-21-29 Ch. 1121 Prior Authorization of Migraine Acute Treatment Agents—Pharmacy Services 11/10/21 01-21-33 02-21-20 03-21-20 08-21-35 09-21-32 11-21-22 14-21-23 24-21-30 27-21-24 30-21-27 31-21-35 32-21-20 33-21-32 Ch. 1121 Prior Authorization of Migraine Prevention Agents—Pharmacy Services 11/10/21 01-21-34 02-21-21 03-21-21 08-21-36 09-21-33 11-21-23 14-21-24 24-21-31 27-21-25 30-21-28 31-21-36 32-21-21 33-21-33 Ch. 1121 Prior Authorization of Glucocorticoids, Inhaled—Pharmacy Services 11/10/21 01-21-47 02-21-34 03-21-34 08-21-49 09-21-46 11-21-36 14-21-37 24-21-44 27-21-38 30-21-41 31-21-49 32-21-34 33-21-46 Ch. 1121 Prior Authorization of Hepatitis C Agents—Pharmacy Services 11/10/21 01-21-48 02-21-35 03-21-35 08-21-50 09-21-47 11-21-37 14-21-38 24-21-45 27-21-39 30-21-42 31-21-50 32-21-35 33-21-47 Ch. 1121 Prior Authorization of Lipotropics, Other—Pharmacy Services 11/12/21 01-21-31 02-21-18 03-21-18 08-21-33 09-21-30 11-21-20 14-21-21 24-21-28 27-21-22 30-21-25 31-21-33 32-21-18 33-21-30 Ch. 1121 Prior Authorization of Monoclonal Antibodies (MABs)—Anti-IL Anti-IgE—Pharmacy Services 11/12/21 01-21-32 02-21-19 03-21-19 08-21-34 09-21-31 11-21-21 14-21-22 24-21-29 27-21-23 30-21-26 31-21-34 32-21-19 33-21-31 Ch. 1121 Prior Authorization of Multiple Sclerosis Agents—Pharmacy Services 11/12/21 01-21-35 02-21-22 03-21-22 08-21-37 09-21-34 11-21-24 14-21-25 24-21-32 27-21-26 30-21-29 31-21-37 32-21-22 33-21-34 Ch. 1121 Prior Authorization of Opioid Dependence Treatments—Pharmacy Services 11/12/21 01-21-36 02-21-23 03-21-23 08-21-38 09-21-35 11-21-25 14-21-26 24-21-33 27-21-27 30-21-30 31-21-38 32-21-23 33-21-35 Ch. 1121 Prior Authorization of Pituitary Suppressive Agents, LHRH—Pharmacy Services 11/12/21 01-21-37 02-21-24 03-21-24 08-21-39 09-21-36 11-21-26 14-21-27 24-21-34 27-21-28 30-21-31 31-21-39 32-21-24 33-21-36 Ch. 1121 Prior Authorization of Pulmonary Hypertension Agents, Oral and Inhaled—Pharmacy Services 11/15/21 01-21-38 02-21-25 03-21-25 08-21-40 09-21-37 11-21-27 14-21-28 24-21-35 27-21-29 30-21-32 31-21-40 32-21-25 33-21-37 Ch. 1121 Obsolete—Prior Authorization of Rilutek (riluzole)—
Pharmacy Services11/15/21 01-21-39 02-21-26 03-21-26 08-21-41 09-21-38 11-21-28 14-21-29 24-21-36 27-21-30 30-21-33 31-21-41 32-21-26 33-21-38 Ch. 1121 Statewide Preferred Drug List (PDL) Implementation—
Pharmacy Services11/15/21 01-21-40 02-21-27 03-21-27 08-21-42 09-21-39 11-21-29 14-21-30 24-21-37 27-21-31 30-21-34 31-21-42 32-21-27 33-21-39 Ch. 1121 Prior Authorization of Tysabri (natalizumab)—Pharmacy Services 11/15/21 01-21-41 02-21-28 03-21-28 08-21-43 09-21-40 11-21-30 14-21-31 24-21-38 27-21-32 30-21-35 31-21-43 32-21-28 33-21-40 Ch. 1121 Prior Authorization of Ulcerative Colitis Agents—Pharmacy Services 11/15/21 01-21-42 02-21-29 03-21-29 08-21-44 09-21-41 11-21-31 14-21-32 24-21-39 27-21-33 30-21-36 31-21-44 32-21-29 33-21-41 Ch. 1121 Prior Authorization of VMAT2 Inhibitors—Pharmacy Services 11/16/21 01-21-43 02-21-30 03-21-30 08-21-45 09-21-42 11-21-32 14-21-33 24-21-40 27-21-34 30-21-37 31-21-45 32-21-30 33-21-42 Ch. 1121 Prior Authorization of Zeposia (ozanimod)—Pharmacy Services 11/16/21 01-21-44 02-21-31 03-21-31 08-21-46 09-21-43 11-21-33 14-21-34 24-21-41 27-21-35 30-21-38 31-21-46 32-21-31 33-21-43 Ch. 1121 Prior Authorization of Growth Hormones—Pharmacy Services 11/17/21 01-21-52 02-21-37 03-21-37 08-21-54 09-21-51 11-21-40 14-21-40 24-21-48 27-21-41 30-21-45 31-21-54 32-21-37 33-21-51 Ch. 1121 Prior Authorization of Immunosuppressives, Oral—Pharmacy Services 11/17/21 01-21-53 02-21-38 03-21-38 08-21-55 09-21-52 11-21-41 14-21-41 24-21-49 27-21-42 30-21-46 31-21-55 32-21-38 33-21-52 Ch. 1121 Prior Authorization of Skeletal Muscle Relaxants—Pharmacy Services 11/17/21 01-21-54 02-21-39 03-21-39 08-21-56 09-21-53 11-21-42 14-21-42 24-21-50 27-21-43 30-21-47 31-21-56 32-21-39 33-21-53 Ch. 1150 1149 2021 Medical Assistance Program Dental Fee Schedule Update 11/30/21 27-21-02 Ch. 1121 Prior Authorization of Anticonvulsants—Pharmacy Services 12/16/21 01-21-56 02-21-40 03-21-40 08-21-58 09-21-55 11-21-44 14-21-43 24-21-52 27-21-44 30-21-49 31-21-58 32-21-41 33-21-54 Ch. 1121 Prior Authorization of Sedative Hypnotics—Pharmacy Services 12/16/21 01-21-57 02-21-41 03-21-41 08-21-59 09-21-56 11-21-45 14-21-44 24-21-53 27-21-45 30-21-50 31-21-59 32-21-42 33-21-55 Ch. 1101 1150
1121Pediatric SARS-CoV-2 Vaccine Manufactured by Pfizer, Inc. 12/27/21 01-21-51 05-21-09 08-21-53 09-21-50 11-21-39 24-21-47 26-21-05 30-21-44 31-21-53 33-21-50 Ch. 1101 1150
1187
1249Medical Assistance Program Fee Increases for Private Duty/Shift Nursing Services to MA Beneficiaries Under 21 Years of Age 12/27/21 05-21-10 16-21-02 Ch. 1101 1150
1121Administration of a Booster Dose of the SARS-CoV-2 Vaccines 12/28/21 01-21-55 05-21-11 08-21-57 09-21-54 11-21-43 24-21-51 26-21-06 30-21-48 31-21-57 33-21-40 Ch. 1121 Prior Authorization of HIV/AIDS Antiretrovirals—Pharmacy Services 12/28/21 01-21-58 02-21-42 03-21-42 08-21-60 09-21-57 11-21-46 14-21-47 24-21-54 27-21-46 30-21-51 31-21-60 32-21-43 33-21-56 Ch. 1121 Vaccine Administration by Pharmacists—Pharmacy Services 12/30/21 01-21-19 02-21-06 03-21-06 08-21-20 09-21-18 11-21-08 14-21-09 24-21-16 27-21-09 30-21-13 31-21-21 32-21-06 33-21-18 2022 Ch. 1150 1144 Billing Procedure Update for Certified Registered Nurse Practitioners and Physician Assistants 1/7/22 01-22-05 08-22-05 09-22-04 10-22-01 31-22-05 Ch. 1121 Prior Authorization of Xyrem (sodium oxybate)/Xywav (calcium, magnesium, potassium, and sodium oxybates)—Pharmacy Services 1/11/22 01-22-04 02-22-02 03-22-02 08-22-04 09-22-03 11-22-03 14-22-02 24-22-02 27-22-02 30-22-02 31-22-04 32-22-02 33-22-03 Ch. 1121 Prior Authorization of Aduhelm (aducanumab)—Pharmacy Services 1/12/22 01-22-03 02-22-01 03-22-01 08-22-03 09-22-02 11-22-02 14-22-01 24-22-01 27-22-01 30-22-01 31-22-03 32-22-01 33-22-02 Ch. 1101 1150
1121SARS-CoV-2 (COVID-19) Oral Antiviral Treatments with emergency use authorization (EUA) from the U.S. Food and Drug Administration (FDA) 1/25/22 01-22-06 02-22-03 03-22-03 08-22-06 09-22-05 11-22-04 14-22-03 24-22-03 27-22-03 30-22-03 31-22-06 32-22-03 33-22-04 Ch. 1101 1123 At-Home Over-The-Counter COVID-19 Tests 2/1/22 24-21-55 Ch. 1121 Preferred Specialty Pharmacy Drug Program Provider—Pharmacy Services 2/9/22 01-22-08 02-22-04 03-22-04 08-22-08 09-22-07 11-22-05 14-22-04 24-22-04 27-22-04 30-22-04 31-22-08 32-22-04 33-22-06 Ch. 1101 1223 Community-Based Care Management Services Provided by Centers of Excellence for Opioid Use Disorders (COEs) 2/14/22 01-22-02 08-22-02 11-22-01 19-22-01 21-22-01 31-22-02 Ch. 1150 1121
1129Federally Qualified Health Center and Rural Health Clinic Payment for SARS-CoV-2 Vaccine Administration 2/24/22 08-20-66 Ch. 1101 1150
1121SARS-CoV-2 Monoclonal Antibody Product Updates 2/24/22 01-21-59 05-21-12 08-21-61 09-21-58 30-21-52 31-21-61 33-21-57 Ch. 1150 1121 Update to Age Limits for Payment for Administration of the Flucelvax® Quadrivalent Vaccine 3/7/22 01-21-60 08-21-62 09-21-59 31-21-62 33-21-58 Ch. 1121 MenQuadfi® and Vaxelis® Vaccines 3/21/22 01-21-13 08-21-14 09-21-11 31-21-14 33-21-11 Ch. 1121 Prior Authorization of Anticonvulsants—Pharmacy Services 3/22/22 01-22-09 02-22-05 03-22-05 08-22-09 09-22-08 11-22-06 14-22-05 24-22-05 27-22-05 30-22-05 31-22-09 32-22-05 33-22-07 Ch. 1121 Prior Authorization of Sedative Hypnotics—Pharmacy Services 3/22/22 01-22-10 02-22-06 03-22-06 08-22-10 09-22-09 11-22-07 14-22-06 24-22-06 27-22-06 30-22-06 31-22-10 32-22-06 33-22-08 Ch. 1150 1243 Additions to the Medical Assistance Program Fee Schedule for Multiple Respiratory Pathogens Laboratory Tests 3/25/22 01-22-07 08-22-07 09-22-06 10-22-02 28-22-01 31-22-07 33-22-05 Ch. 1101 1140 Extension of Postpartum Coverage from 60 days to 12 Months 3/31/22 99-22-01 Ch. 1150 Additions to the Medical Assistance Fee Schedule for Personal Care Services Provided to Beneficiaries Under the Age of 21 4/18/22 05-22-01 07-22-01 Ch. 1101 1150 School-Based ACCESS Program Provider Handbook Mid-Year Update 5/2/22 35-22-01 Ch. 1101 Updates to Guidelines for the Delivery of Physical Health Services via Telemedicine 5/6/22 99-22-02 Ch. 1101 1150
1121Addition of Monoclonal Antibody Product Bebtelovimab to the MA Program Fee Schedule 5/9/22 01-22-11 05-22-03 08-22-11 09-22-10 10-22-03 30-22-07 31-22-11 33-22-09 Ch. 1101 1241 2022 Recommended Child and Adolescent Immunization Schedule 5/12/22 99-22-03 Ch. 1101 1150
1121Third Dose of Pediatric SARS-CoV-2 Vaccine Manufactured by Pfizer, Inc. 6/3/22 01-22-16 05-22-05 08-22-17 09-22-15 10-22-07 24-22-10 26-22-02 30-22-09 31-22-16 33-22-14 Ch. 1101 1150
1121Addition to Medical Assistance Program Fee Schedule for Administration of Ready-to-Use SARS-CoV-2 Vaccine Manufactured by Pfizer, Inc. 6/3/22 01-22-17 05-22-06 08-22-18 09-22-16 10-22-08 24-22-11 26-22-03 30-22-10 31-22-17 33-22-15 Ch. 1241 Updates to Blood Lead Reference Value and Environmental Lead Investigation (ELI) Provider Qualifications Requirements 6/6/22 01-22-13 08-22-14 09-22-12 31-22-13 33-22-11 55-22-01 Ch. 1121 1101
1150Federally Qualified Health Center and Rural Health Clinic Payment for SARS-CoV-2 Vaccine Administration 6/10/22 08-20-68 Ch. 1221 1149
1129Teledentistry Guidelines and Dental Fee Schedule Updates 6/13/22 08-22-13 27-22-07 Ch. 1187 Reinstatement of Prior Authorization Requirements for Shift Care Services for Beneficiaries Under 21 Years of Age 7/1/22 05-22-02 16-22-01 Ch. 1121 Prior Authorization of Smoking Cessation Products— Pharmacy Services 7/5/22 01-22-36 02-22-24 03-22-24 08-22-42 09-22-35 11-22-25 14-22-24 24-22-30 27-22-25 30-22-29 31-22-36 32-22-24 33-22-34 Ch. 1121 Prior Authorization of Thyroid Hormones—Pharmacy Services 7/5/22 01-22-37 02-22-25 03-22-25 08-22-43 09-22-36 11-22-26 14-22-25 24-22-31 27-22-26 30-22-30 31-22-37 32-22-25 33-22-35 Ch. 1123 Disposable Surgical Masks 7/6/22 09-22-37 10-22-10 14-22-26 25-22-01 31-22-38 Ch. 1121 Prior Authorization of Methotrexate—Pharmacy Services 7/6/22 01-22-34 02-22-22 03-22-22 08-22-40 09-22-33 11-22-23 14-22-22 24-22-28 27-22-23 30-22-27 31-22-34 32-22-22 33-22-32 Ch. 1121 Prior Authorization of Phosphate Binders—Pharmacy Services 7/6/22 01-22-35 02-22-23 03-22-23 08-22-41 09-22-34 11-22-24 14-22-23 24-22-29 27-22-24 30-22-28 31-22-25 32-22-23 33-22-33 Ch. 1121 Prior Authorization of Leukotriene Modifiers—Pharmacy Services 7/7/22 01-22-32 02-22-20 03-22-20 08-22-38 09-22-31 11-22-21 14-22-20 24-22-26 27-22-21 30-22-25 31-22-32 32-22-20 33-22-30 Ch. 1121 Prior Authorization of Lipotropics, Statins—Pharmacy Services 7/7/22 01-22-33 02-22-21 03-22-21 08-22-39 09-22-32 11-22-22 14-22-21 24-22-27 27-22-22 30-22-26 31-22-33 32-22-21 33-22-31 Ch. 1121 Prior Authorization of Immunomodulators, Topical—
Pharmacy Services7/8/22 01-22-31 02-22-19 03-22-19 08-22-37 09-22-30 11-22-20 14-22-19 24-22-25 27-22-20 30-22-24 31-22-31 32-22-19 33-22-29 Ch. 1121 Prior Authorization of Hypoglycemics, Sulfonylureas—
Pharmacy Services7/8/22 01-22-30 02-22-18 03-22-18 08-22-36 09-22-29 11-22-19 14-22-18 24-22-24 27-22-19 30-22-23 31-22-30 32-22-18 33-22-28 Ch. 1121 Prior Authorization of Antibiotics, Topical—Pharmacy Services 7/11/22 01-22-20 02-22-08 03-22-08 08-22-25 09-22-19 11-22-09 14-22-08 24-22-14 27-22-09 30-22-13 31-22-20 32-22-08 33-22-18 Ch. 1121 Prior Authorization of Antihypertensives, Sympatholytic—
Pharmacy Services7/11/22 01-22-21 02-22-09 03-22-09 08-22-27 09-22-20 11-22-10 14-22-09 24-22-15 27-22-10 30-22-14 31-22-21 32-22-09 33-22-19 Ch. 1121 Prior Authorization of Antiparkinson's Agents—Pharmacy Services 7/11/22 01-22-22 02-22-10 03-22-10 08-22-28 09-22-21 11-22-11 14-22-10 24-22-16 27-22-11 30-22-15 31-22-22 32-22-10 33-22-20 Ch. 1121 Prior Authorization of Antipsoriatics, Oral—Pharmacy Services 7/11/22 01-22-23 02-22-11 03-22-11 08-22-29 09-22-22 11-22-12 14-22-11 24-22-17 27-22-12 30-22-16 31-22-23 32-22-11 33-22-21 Ch. 1121 Prior Authorization of Acne Agents, Topical—Pharmacy Services 7/13/22 01-22-19 02-22-07 03-22-07 08-22-24 09-22-18 11-22-08 14-22-07 24-22-13 27-22-08 30-22-12 31-22-19 32-22-07 33-22-17 Ch. 1121 Prior Authorization of Contraceptives, Oral—Pharmacy Services 7/13/22 01-22-24 02-22-12 03-22-12 08-22-30 09-22-23 11-22-13 14-22-12 24-22-18 27-22-13 30-22-17 31-22-24 32-22-12 33-22-22 Ch. 1121 Prior Authorization of Contraceptives, Other—Pharmacy Services 7/13/22 01-22-25 02-22-13 03-22-13 08-22-31 09-22-24 11-22-14 14-22-13 24-22-19 27-22-14 30-22-18 31-22-25 32-22-13 33-22-23 Ch. 1121 Prior Authorization of Hepatitis B Agents—Pharmacy Services 7/13/22 01-22-27 02-22-15 03-22-15 08-22-33 09-22-26 11-22-16 14-22-15 24-22-21 27-22-16 30-22-20 31-22-27 32-22-15 33-22-25 Ch. 1121 Prior Authorization of Epinephrine, Self-Injected—Pharmacy Services 7/14/22 01-22-26 02-22-14 03-22-14 08-22-32 09-22-25 11-22-15 14-22-14 24-22-20 27-22-15 30-22-19 31-22-26 32-22-14 33-22-24 Ch. 1121 Prior Authorization of Hypoglycemics, Alpha-Glucosidase Inhibitors—Pharmacy Services 7/14/22 01-22-28 02-22-16 03-22-16 08-22-34 09-22-27 11-22-17 14-22-16 24-22-22 27-22-17 30-22-21 31-22-28 32-22-16 33-22-26 Ch. 1121 Prior Authorization of Hypoglycemics, Metformins—Pharmacy Services 7/14/22 01-22-29 02-22-17 03-22-17 08-22-35 09-22-28 11-22-18 14-22-17 24-22-23 27-22-18 30-22-22 31-22-29 32-22-17 33-22-27 Ch. 1101 1150
1249Electronic Visit Verification Requirements for Home Health Care Services in the Fee-for-Service Delivery and Managed Care Delivery Systems 8/10/22 05-22-09 07-22-03 54-22-01 59-22-01 00-22-06 Ch. 1101 1150
1121Adult Vaccine Procedure Code Updates and Additions 8/26/22 01-22-15 08-22-16 09-22-14 10-22-06 31-22-15 33-22-13 Ch. 1101 1150 2022 Healthcare Common Procedure Coding System (HCPCS) Updates and Other Procedure Code Changes 8/26/22 99-22-05 Ch. 1101 1150 Addition of Behavioral Health Providers to Certain Procedure Codes and other Procedure Code Changes 8/26/22 08-22-44 31-22-39 Ch. 1101 1150
1121Additions to the Medical Assistance Fee Schedule for Monkeypox Laboratory Testing and Vaccines 8/29/22 01-22-41 08-22-49 09-22-40 10-22-14 28-22-02 31-22-44 33-22-38 Ch. 1129 Naloxone Distribution by Federally Qualified Health Centers and Rural Health Clinics 8/29/22 08-22-19 Ch. 1149 1150 2022 Medical Assistance Program Dental Fee Schedule Update 9/7/22 27-22-27 Ch. 1101 1150
1121Adult Vaccine Procedure Code Updates and Additions 9/14/22 01-22-42 08-22-50 09-22-41 10-22-15 31-22-45 33-22-39 Ch. 1101 1150 School-Based ACCESS Program Provider Handbook 9/15/22 35-22-02 Ch. 1101 1150
1241Pennsylvania's Early and Periodic Screening Diagnosis and Treatment (EPSDT) Program Periodicity Schedule 9/19/22 99-22-07 Ch. 1101 1121
1150Administration of SARS-CoV-2 Vaccine Manufactured by Novavax 9/19/22 01-22-38 05-22-10 08-22-45 09-22-38 10-22-11 24-22-33 26-22-05 30-22-31 31-22-40 33-22-36 Ch. 1101 1150
1241Vaccine Counseling Only Visits for Beneficiaries Under 21 9/20/22 01-22-14 08-22-15 09-22-13 10-22-05 31-22-14 33-22-12 Ch. 1101 1150
1241COVID-19 Vaccine Counseling Only Visits for Beneficiaries Under 21 9/23/22 01-22-12 05-22-04 08-22-12 09-22-11 10-22-04 24-22-07 26-22-01 30-22-08 31-22-12 33-22-10 Ch. 1249 Additions to the Medical Assistance Fee Schedule for Private Duty Nursing Services Provided to Beneficiaries Under the Age of 21 9/26/22 05-22-08 07-22-02 Ch. 1101 1150
1121Updates to Pediatric SARS-CoV-2 Vaccines Manufactured by Pfizer, Inc. and Moderna, Inc. 9/28/22 01-22-39 05-22-11 08-22-46 09-22-39 10-22-12 24-22-34 26-22-06 30-22-32 31-22-41 33-22-37 Ch. 1101 1150
1121SARS-CoV-2 Vaccine Booster Manufactured by Moderna, Inc. 10/17/22 01-22-18 05-22-07 08-22-20 09-22-17 10-22-09 24-22-12 26-22-04 30-22-11 31-22-18 33-22-16 Ch. 1101 1150 Enrollment of Providers for Medicare Cost-Sharing Only 11/4/22 99-22-10 Ch. 1121 Prior Authorization of Acne Agents, Oral—Pharmacy Services 11/4/22 01-22-43 02-22-27 03-22-26 08-22-51 09-22-42 11-22-27 14-22-27 24-22-35 27-22-30 30-22-33 31-22-46 32-22-27 33-22-40 Ch. 1121 Prior Authorization of Alcohol Use Disorder Agents—
Pharmacy Services11/4/22 01-22-44 02-22-28 03-22-28 08-22-52 09-22-43 11-22-28 14-22-28 24-22-36 27-22-31 30-22-34 31-22-47 32-22-28 33-22-41 Ch. 1121 Prior Authorization of Antianginal Agents—Pharmacy Services 11/4/22 01-22-46 02-22-30 03-22-29 08-22-54 09-22-45 11-22-30 14-22-30 24-22-38 27-22-33 30-22-36 31-22-49 32-22-30 33-22-43 Ch. 1121 Prior Authorization of Antipsoriatics, Topical—Pharmacy Services 11/4/22 01-22-51 02-22-35 03-22-34 08-22-59 09-22-50 11-22-35 14-22-35 24-22-43 27-22-38 30-22-41 31-22-54 32-22-35 33-22-48 Ch. 1121 Prior Authorization of Antibiotics, GI and Related Agents—Pharmacy Services 11/8/22 01-22-47 02-22-31 03-22-30 08-22-55 09-22-46 11-22-31 14-22-31 24-22-39 27-22-34 30-22-37 31-22-50 32-22-31 33-22-44 Ch. 1121 Prior Authorization of Antifibrotic Respiratory Agents (Formerly Idiopathic Pulmonary Fibrosis (IPF) Agents)—Pharmacy Services 11/8/22 01-22-48 02-22-32 03-22-31 08-22-56 09-22-47 11-22-32 14-22-32 24-22-40 27-22-35 30-22-38 31-22-51 32-22-32 33-22-45 Ch. 1121 Prior Authorization of Antipsychotics—Pharmacy Services 11/8/22 01-22-52 02-22-36 03-22-35 08-22-60 09-22-51 11-22-36 14-22-36 24-22-44 27-22-39 30-22-42 31-22-55 32-22-36 33-22-49 Ch. 1121 Prior Authorization of Antivirals, CMV—Pharmacy Services 11/8/22 01-22-53 02-22-37 03-22-36 08-22-61 09-22-52 11-22-37 14-22-37 24-22-45 27-22-40 30-22-43 31-22-56 32-22-37 33-22-50 Ch. 1121 Prior Authorization of Corticotropin (formerly H.P. Acthar Gel)—Pharmacy Services 11/8/22 01-22-55 02-22-39 03-22-38 08-22-63 09-22-54 11-22-39 14-22-39 24-22-47 27-22-42 30-22-45 31-22-58 32-22-39 33-22-52 Ch. 1121 Prior Authorization of Dupixent (dupilumab)—Pharmacy Services 11/8/22 01-22-58 02-22-42 03-22-41 08-22-66 09-22-57 11-22-42 14-22-42 24-22-50 27-22-45 30-22-48 31-22-61 32-22-42 33-22-55 Ch. 1121 Prior Authorization of GI Motility, Chronic Agents—Pharmacy Services 11/8/22 01-22-59 02-22-43 03-22-42 08-22-67 09-22-58 11-22-43 14-22-43 24-22-51 27-22-46 30-22-49 31-22-62 32-22-43 33-22-56 Ch. 1121 Prior Authorization of Angiotensin Modulator Combinations—Pharmacy Services 11/9/22 01-22-45 02-22-29 03-22-28 08-22-53 09-22-44 11-22-29 14-22-29 24-22-37 27-22-32 30-22-35 31-22-48 32-22-29 33-22-42 Ch. 1121 Prior Authorization of Antihemophilia Agents—Pharmacy Services 11/9/22 01-22-49 02-22-33 03-22-32 08-22-57 09-22-48 11-22-33 14-22-33 24-22-41 27-22-36 30-22-39 31-22-52 32-22-33 33-22-46 Ch. 1121 Prior Authorization of Bile Salts—Pharmacy Services 11/9/22 01-22-54 02-22-38 03-22-37 08-22-62 09-22-53 11-22-38 14-22-38 24-22-46 27-22-41 30-22-44 31-22-57 32-22-38 33-22-51 Ch. 1121 Prior Authorization of Cytokine and CAM Antagonists—Pharmacy Services 11/9/22 01-22-56 02-22-40 03-22-39 08-22-64 09-22-55 11-22-40 14-22-40 24-22-48 27-22-43 30-22-46 31-22-59 32-22-40 33-22-53 Ch. 1121 Prior Authorization of Glucocorticoids, Inhaled—Pharmacy Services 11/9/22 01-22-60 02-22-44 03-22-43 08-22-68 09-22-59 11-22-44 14-22-44 24-22-52 27-22-47 30-22-50 31-22-63 32-22-44 33-22-57 Ch. 1121 Prior Authorization of Glucocorticoids, Oral—Pharmacy Services 11/9/22 01-22-61 02-22-45 03-22-44 08-22-69 09-22-60 11-22-45 14-22-45 24-22-53 27-22-48 30-22-51 31-22-64 32-22-45 33-22-58 Ch. 1121 Prior Authorization of Hepatitis C Agents—Pharmacy Services 11/9/22 01-22-62 02-22-46 03-22-45 08-22-70 09-22-61 11-22-46 14-22-46 24-22-54 27-22-49 30-22-52 31-22-65 32-22-46 33-22-59 Ch. 1123 1150 At-Home Over-The-Counter COVID-19 Tests 11/10/22 24-22-32 Ch. 1245 2023 Ambulance Fee Increases 11/10/22 26-22-07 Ch. 1121 Prior Authorization of Dry Eye Treatments (Formerly Ophthalmics, Immunomodulators)—Pharmacy Services 11/10/22 01-22-57 02-22-41 03-22-40 08-22-65 09-22-56 11-22-41 14-22-41 24-22-49 27-22-44 30-22-47 31-22-60 32-22-41 33-22-54 Ch. 1121 Prior Authorization of Hypoglycemics, Insulin and Related Agents—Pharmacy Services 11/10/22 01-22-64 02-22-48 03-22-47 08-22-72 09-22-63 11-22-48 14-22-48 24-22-56 27-22-51 30-22-54 31-22-67 32-22-48 33-22-61 Ch. 1121 Prior Authorization of Hypoglycemics, TZDs—Pharmacy Services 11/10/22 01-22-66 02-22-50 03-22-49 08-22-74 09-22-65 11-22-50 14-22-50 24-22-58 27-22-53 30-22-56 31-22-69 32-22-50 33-22-63 Ch. 1121 Prior Authorization of Immunomodulators, Atopic Dermatitis—Pharmacy Services 11/10/22 01-22-67 02-22-51 03-22-50 08-22-75 09-22-66 11-22-51 14-22-51 24-22-59 27-22-54 30-22-57 31-22-70 32-22-51 33-22-64 Ch. 1121 Prior Authorization of NSAIDs—Pharmacy Services 11/10/22 01-22-69 02-22-53 03-22-52 08-22-77 09-22-68 11-22-53 14-22-53 24-22-61 27-22-56 30-22-59 31-22-72 32-22-53 33-22-66 Ch. 1121 Prior Authorization of Lipotropics, Other—Pharmacy Services 12/7/22 01-22-68 02-22-52 03-22-51 08-22-76 09-22-67 11-22-52 14-22-52 24-22-60 27-22-55 30-22-58 31-22-71 32-22-52 33-22-65 Ch. 1121 Prior Authorization of Stimulants and Related Agents— Pharmacy Services 12/7/22 01-22-74 02-22-58 03-22-57 08-22-82 09-22-73 11-22-58 14-22-58 24-22-65 27-22-61 30-22-64 31-22-77 32-22-58 33-22-71 Ch. 1121 Prior Authorization of Platelet Aggregation Inhibitors—
Pharmacy Services12/8/22 01-22-73 02-22-57 03-22-56 08-22-81 09-22-72 11-22-57 14-22-57 24-22-64 27-22-60 30-22-63 31-22-76 32-22-57 33-22-70 Ch. 1121 Prior Authorization of Hypoglycemics, SGLT2 Inhibitors—Pharmacy Services 12/8/22 01-22-65 02-22-49 03-22-48 08-22-73 09-22-64 11-22-49 14-22-49 24-22-57 27-22-52 30-22-55 31-22-68 32-22-49 33-22-62 Ch. 1121 Prior Authorization of Pituitary Suppressive Agents, LHRH—Pharmacy Services 12/8/22 01-22-72 02-22-56 03-22-55 08-22-80 09-22-71 11-22-56 14-22-56 24-22-63 27-22-59 30-22-62 31-22-75 32-22-56 33-22-69 Ch. 1121 Authorization of Ophthalmics, AntiInflammatories—
Pharmacy Services12/8/22 01-22-71 02-22-55 03-22-54 08-22-79 09-22-70 11-22-55 14-22-55 24-22-62 27-22-58 30-22-61 31-22-74 32-22-55 33-22-68 Ch. 1121 Prior Authorization of Monoclonal Antibodies—AntiIL, Anti-IgE, Anti-TSLP (Formerly Monoclonal Antibodies—Anti-IL, Anti-IgE)—Pharmacy Services 12/9/22 01-22-50 02-22-34 03-22-33 08-22-58 09-22-49 11-22-34 14-22-34 24-22-42 27-22-37 30-22-40 31-22-53 32-22-34 33-22-47 Ch. 1121 Statewide Preferred Drug List (PDL) Updates—Pharmacy Services 12/9/22 01-22-75 02-22-59 03-22-58 08-22-83 09-22-74 11-22-59 14-22-59 24-22-66 27-22-62 30-22-65 31-22-78 32-22-59 33-22-72 Ch. 1121 Coverage and Prior Authorization of Obesity Treatment Agents—Pharmacy Services 12/9/22 01-22-70 02-22-54 03-22-53 08-22-78 09-22-69 11-22-54 14-22-54 24-22-61 27-22-57 30-22-60 31-22-73 32-22-54 33-22-67 Ch. 1121 Prior Authorization of Hypoglycemics, Incretin Mimetics/Enhancers—Pharmacy Services 12/13/22 01-22-63 02-22-47 03-22-46 08-22-71 09-22-62 11-22-47 14-22-47 24-22-55 27-22-50 30-22-53 31-22-66 32-22-47 33-22-60 Ch. 1101 1123
1150Disposable Breast Milk Collection and Storage Bags and Breast Pump 12/13/22 05-22-14 09-22-78 10-22-18 24-22-70 25-22-02 31-22-82 33-22-76 Ch. 1121 340B Drug Pricing Program—Dispensing 340B Purchased Drugs 12/22/22 01-22-78 02-22-60 03-22-59 08-22-87 09-22-77 11-22-60 14-22-60 24-22-69 27-22-63 30-22-68 31-22-81 32-22-60 33-22-75 Ch. 1101 1150 Reinstatement of Provider Enrollment Requirements 12/29/22 99-22-11 Ch. 1121 Rescind 340B Drug Pricing Program—Dispensing 340B Purchased Drugs 1/19/23 01-23-02 02-23-01 03-23-01 08-23-03 09-23-02 11-23-01 14-23-01 24-23-02 27-23-01 30-23-02 31-23-02 32-23-01 33-23-02 Ch. 1101 1150
1121Addition of Bivalent Booster Dose of the SARS-CoV-2 Vaccines Manufactured by Pfizer, Inc. and Moderna, Inc. 1/20/23 01-23-01 05-23-01 08-23-02 09-23-01 10-23-01 24-23-01 26-23-01 30-23-01 31-23-01 33-23-01 Ch. 1245 1150 2023 Ambulance Fee Increases 1/26/23 26-23-02 Ch. 1101 1249 Coverage of Case Specific Training/Shadow Nursing for Private Duty/Shift Nursing Services for MA Beneficiaries Under 21 Years of Age 2/17/23 05-23-02 16-23-01 Ch. 1121 1101
1150Administration of Booster Dose of SARS-CoV-2 Vaccine Manufactured by Novavax 3/24/23 01-23-03 05-23-03 08-23-04 09-23-03 10-23-02 24-23-03 26-23-03 30-23-03 31-23-04 33-23-03 Ch. 1101 1150 Medical Assistance Program Fee Schedule Revisions 3/28/23 99-23-01 Ch. 1101 1150
1149Implementation of ADA Claim Form—Version 2019 4/4/23 17-23-01 19-23-01 20-23-01 27-23-02 31-23-03 Ch. 1101 1241 2023 Recommended Child and Adolescent Immunization Schedule 4/12/23 99-23-03 Ch. 1101 1150 Updates to the Emergency Medical Condition Information Eligibility Form (PA 1917) 4/13/23 99-23-02 Ch. 1121 1101
1150Additional Bivalent SARS-CoV-2 Vaccine Doses Manufactured by Moderna, Inc. and Pfizer, Inc. 4/13/23 01-23-04 05-23-04 08-23-05 09-23-04 10-23-03 24-23-04 26-23-04 30-23-04 31-23-05 33-23-04 Ch. 1163 1121
1243End-Dating COVID-19 Pharmacy Specimen Collection and Laboratory Testing Procedure Codes 5/30/23 01-23-05 24-23-05 28-23-01 Ch. 1101 1150
1221Billing updates for Vaccine Counseling Only Visits for Beneficiaries Under the Age of 21 5/30/23 01-23-06 08-23-07 09-23-05 10-23-04 31-23-06 33-23-05 Ch. 1101 1150
1241Billing updates for COVID-19 Vaccine Counseling Only Visits for Beneficiaries Under the Age of 21 5/30/23 01-23-07 05-23-05 08-23-08 09-23-06 10-23-05 24-23-06 26-23-05 30-23-04 31-23-07 33-23-06 Ch, 1101 1150 2023 Evaluation and Management Fee Adjustments and Code Updates 6/01/23 99-23-06 GUIDANCE MANUALS:
• Provider Handbook—Physician—updated 03/2023
• Provider Handbook—Dentist—updated 04/2023
• Provider Handbook—Podiatrist—updated 09/2021
• Provider Handbook—Medical Supplier—updated 03/2023
• Provider Handbook—Short Procedure Unit/Ambulatory Surgical Center—updated 04/2023
• Provider Handbook—Chiropractor—updated 03/2023
• Provider Handbook—Birth Centers—updated 03/2023
• Provider Handbook—Independent Medical/Surgical Clinic—updated 03/2023
• Provider Handbook—Inpatient Hospital (Encompasses provider types General Hospital, Rehabilitation Hospital, Private Mental Hospital, State Mental Hospital and Extended Acute Psychiatric Care—updated 04/2023
• Provider Handbook—Outpatient Hospital (Encompasses provider types General Hospital, and Rehabilitation Hospital)—updated 10/2017
• Provider Handbook—Optometrist—updated 03/2023
• Provider Handbook—Independent Laboratory—updated 03/2023
• Provider Handbook—Ambulance Company—updated 03/2023
• Provider Handbook—Pharmacy—updated 03/2023
• Provider Handbook—Renal Dialysis Center—updated 09/2021
• Provider Handbook—Funeral Director—updated 03/2023
• Provider Handbook—Home Health Agency—updated 03/2023
• Provider Handbook—Rural Health Clinic—Federally Qualified Health Center—updated 03/2023
• Provider Handbook—Drug and Alcohol Clinic—updated 03/2023
• Provider Handbook—Outpatient Psychiatric Clinic—updated 03/2023
• Provider Handbook—Family Planning Clinic—updated 03/2023
• Provider Handbook—Midwives—updated 03/2023
• Provider Handbook—Psychiatric Partial Hospitalization Facility—updated 03/2023
• Provider Handbook—Hospice—updated 03/2023
• Provider Handbook—Psychologist—updated 03/2023
• Provider Handbook—Comprehensive Outpatient Rehabilitation Facility—updated 03/2023
• Provider Handbook—Physical Therapist—updated 03/2023
• Provider Handbook—Certified RN Anesthetist—updated 03/2023
• Provider Handbook—Certified RN Practitioner—updated 03/2023
• Provider Handbook—Early Periodic Screening, Diagnosis and Treatment (EPSDT) Provider—updated 03/2023
• Provider Handbook—Nutritionist—updated 03/2023
• Provider Handbook—PA Department of Aging (PDA) Waiver—updated 03/2023
• Provider Handbook—COMMCARE Waiver—updated 03/2023
• Medical Assistance Transportation Program—Standards and Guidelines—updated 11/2016PROVIDER QUICK TIPS
• # 11: The Eligibility Verification System (EVS) (Updated November 7, 2019)
• # 85: Department of Human Services (DHS) Breast and Cervical Cancer Prevention and Treatment Program (updated July 2022)
• # 121: Certificate Renewal Required for Medical Assistance (MA) Providers Dispensing Hearing Aid Supplies (Updated February 2023)
• # 176: Presumptive Eligibility for Pregnant Women—Income Limits (Updated January 2023)
• # 207: MA Program Fee Schedule Updates for Act 62 Procedure Codes (Updated October 2021)
• # 223: Availability of the Provider Directory on the Department of Human Services Website—June 20, 2019
• # 225: The Auditor General is conducting performance audits—March 2020
• # 226: Version 37 of all Patient Refined-Diagnosis Related Group (APR DRG) Implementation—March 2020
• # 227: Provider Enrollment Updating Documentation Requirements—March 2020
• # 228: ICD-10-CM Official Coding Guidelines Related to COVID-19—March 2020
• # 229: Telemedicine Guidelines Related to COVID-19—March 2020
• # 230: COVID-19 Response: Pharmacies May Override Early Refill Alerts for Medications—May 2023
• # 231: Directions to bypass the prior authorization requirements for CT Scans of the Chest for COVID-19 patients— March 2020
• # 232: Billing Guidance for Alternative Screening Sites Related to COVID-19—Updated June 23, 2021
• # 233: Waiver of Prudent Pay during COVID-19 emergency—May 2023
• # 234: New ICD-10-CM code for the 2019 Novel Coronavirus (COVID-19) Effective April 1, 2020—March 2020
• # 235: Elective Services should not be provided during the COVID-19 emergency disaster—March 2020
• # 236: Hydroxychloroquine Quantity Limits—April 1, 2020
• # 237: Teledentistry Guidelines Related to COVID-19 for Dentists, Federally Qualified Health Centers and Rural Health Clinics—Updated June 23, 2021
• # 238: 90-Day Supplies of Medications—COVID-19—April 7,2020
• # 239: Short-Acting beta agonist metered dose inhalers temporarily added to Statewide Preferred Drug List—April 7, 2020
• # 240: Provider enrollment and revalidation changes during the COVID-19 emergency—October 2021
• # 241: Prior Authorization Changes in the Medical Assistance Program for Certain Services during COVID-19 Emergency Disaster—May 7, 2020
• # 242: Telemedicine Guidelines Related to COVID-19—June 2021
• # 243: Use of the CR Modifier and DR Condition Code for COVID-19 Disaster/Emergency Related Claims—April 16, 2020
• # 244: MA Eligibility During COVID-19 Emergency Disaster Declaration—Updated June 23, 2021
• # 245: All Patient Refined-Diagnosis Related Group (APR-DRG) to be Updated with COVID-19 Billing Codes—April 30, 2020
• # 246: Rescinding Prior Guidance on Elective Services—May 7, 2020
• # 247: Nonemergency Ambulance Transportation Related to COVID-19—Updated June 23, 2021
• # 248: DexCom Continuous Glucose Monitoring Products Coverage—May 19, 2020
• # 249: New MA ACCESS Card—June 24, 2020
• # 250: Version 37.1 of All Patient Refined-Diagnosis Related Group (APR-DRG) Implementation (Updated August 14, 2020)
• # 251: Medical Assistance Beneficiaries Turning 21 during the COVID-19 Emergency—July 29, 2020
• # 252: Medical Assistance Beneficiaries Turning 21 during the COVID-19 Emergency—January 25, 2021
• # 255: Provider Revalidation Requirements—September 21, 2021
• # 256: Procedure Code/Modifier Combinations to be Utilized when Requesting Home Accessibility Durable Medical Equipment (DME) in the Fee-for-Service Delivery System—September 28, 2021 and revised December 8, 2022
• # 257: Medicare Sequestration Payment Reductions on All Claims Media Fee-for-Service (FFS) Claims Reinstated—March 30, 2022
• # 259: Documentation for Shift Nursing (SN) and Home Health Aide (HHA) Prior Authorization and Program Exception Requests in the Fee-for-Service (FFS) Delivery System—April 15, 2022OTHER:
• PA 67 Section 1915(b) Waiver
OTHER COVID-19 GUIDANCE:
• Medical Assistance (MA) Program Coverage of 2019-Novel Coronavirus Testing and Related Services Frequently Asked Questions (FAQs)—March 24, 2020
Children's Health Insurance Program
Contact: Angela Episale (717) 772-1080
POLICY TRANSMITTALS:
Year Subject Effective Date Transmittal Number 2012 Release of CHIP Policy and Procedures Manual 10/20/2012 2012-06 2012 Discontinuance of Act 68 Quarterly Complaints and Grievances Reports (Medical and Behavioral Health/Substance Abuse); Options for Review Process 12/31/2012 2012-07 2013 Revised CHIP Policy and Procedures Manual—Chapter 37.2: Benefits Package 02/05/2013 2013-01 2013 HIPAA Breach Reports 01/17/2013 2013-02 2013 Aetna Discontinuance in 18 Counties 01/17/2013 2013-04 2013 Exhausted Dental and Orthodontia Benefits Reporting CY2013 01/01/2013 2013-05 2013 834 Monthly Audit/Compare File 03/01/2013 2013-06 2013 Internal Cross Match 03/01/2013 2013-07 2013 Revised Letter to Physician (Appendix 19E) 02/27/2013 2013-09 2013 CHIP and Adult Basic Notice of Privacy Practices 09/16/2013 2013-11 2013 Elimination of the Uninsured Period 10/23/2013 2013-13 2014 Incomplete Applications for Children's Tax Filing Status 02/18/2014 2014-01 2014 Instructions for Processing Federally-Facilitated Marketplace (FFM) Referrals 02/21/2014 2014-03 2014 CHIP Policy & Procedure Manual Updates 04/08/2014 2014-05 2014 Changes to the Prospective Payment System (PPS) 05/12/2014 2014-07 2014 Revised CHIP Policy and Procedures Manual—Chapters 39 and 40 Contact Information 05/30/2014 2014-08 2014 HIPAA Breach Reports 06/12/2014 2014-09 2014 Discontinuance of Submission of Quarterly Pharmacy Data 06/12/2014 2014-10 2014 Discontinuance of 834 Monthly Audit/Compare File 11/17/2014 2014-12 2014 Discontinuance of the Monthly Internal Cross Match Report 11/17/2014 2014-13 2015 HIPAA Breach Reports 02/02/2015 2015-02 2015 Changes to CHIP Application and Renewal Notices 02/26/2015 2015-04 2015 Compliance with Utilization Review Methodology of Act 106 of 1989 07/01/2015 2015-05 2015 Handling Service Limits on Children Moving To/From At-Cost CHIP 07/01/2015 2015-06 2015 Contractor Compliance 08/04/2015 2015-07 2015 Revised Letter to Physician (Appendix 19E) 02/27/2015 2015-08 2015 Including Minimal Essential Coverage Benefits to Free and Low-Cost CHIP 08/28/2015 2015-09 2015 Transformed Medicaid Statistical Information System (TMSIS) 10/13/2015 2015-10 2015 Extended Dental Benefits and Orthodontia Reporting Stated in CY 2012 11/01/2015 2015-12 2016 CHIP PPS Monthly Reporting Requirements 03/15/2016 2016-01 2016 2016 CHIP Routine Reporting Requirements 03/18/2016 2016-02 2016 Changes to COMPASS and HealthCare Handshake Routing Rules 06/27/2016 2016-03 2016 Monthly HEDIS Measures 06/20/2016 2016-04 2016 Federal Final Rule Nondiscriminatory 07/18/2016 2016-05 2016 Application Form Revisions (English and Spanish Versions) 09/08/2016 2016-06 2016 Federal Final Rule ''Notice of Nondiscrimination and Taglines'' 11/08/2016 2016-07 2016 Salzmann Index 11/23/2016 2016-08 2016 Healthcare Effectiveness Data and Information Set (HEDIS®) 2017 and the Consumer Assessment of Health Plans Survey (CAHPS)® 2017 Survey 01/12/2017 2016-09
(Revised)2017 Federal Poverty Income Guidelines for 2017 02/23/2017 2017-01 2017 2017 CHIP Routine Reporting Requirements 04/26/2017 2017-02 2017 Maternal Depression Screening 04/10/2017 2017-03 2017 Release of CHIP Eligibility and Benefits Handbook 04/17/2017 2017-04 2017 CHIP Federally Qualified Health Center (FQHC)/Rural Health Clinic (RHC) Cost Settlement Report Template and Reporting Requirements 05/23/2017 2017-05 2017 CHIP MCO Enrollment 06/06/2017 2017-06 2017 Changes to CHIP Renewal Notices 06/20/2017 2017-07 2017 CHIP Provider Enrollment 08/04/2017 2017-08 2017 Updated CHIP Paper Applications 09/11/2017 2017-09 2017 Healthcare Effectiveness Data and Information Set (HEDIS®) 2018 and the Consumer Assessment of Health Plans Survey (CAHPS)® 2018 Survey 11/13/2017 2017-10 2017 CHIP Returned Mail Procedures 04/1/2018 2017-11 2017 CHIP's HIPPA Privacy Coordinator 01/26/2018 2017-12 2017 Contractor Service Area Change Requests 01/22/2018 2017-13 2018 Mental Health Parity and Addiction Equity Act (MHPAEA) Compliance Requirement 01/26/2018 2018-01 2018 CHIP Performance Improvement Projects 01/22/2018 2018-02 2018 Federal Poverty Income Guidelines for 2018 02/28/2018 2018-03 2018 2018 CHIP Routine Reporting Requirements 03/08/2018 2018-04 2018 2017 Annual Report to the General Assembly 2018-05 2018 Children's Health Insurance Program (CHIP) Federally Qualified Health Center (FQHC)/Rural Health Clinic (RHC) Cost Settlement Report Template 06/28/2018 2018-06 2018 CHIP Provider Network Identification 08/14/2018 2018-07 2018 Children's Health Insurance Program (CHIP) Dental Periodicity Schedule 08/03/2018 2018-08 2018 CAPS IRS Tax Filing Threshold 10/22/2018 2018-09 2018 Healthcare Effectiveness Data and Information Set (HEDIS®) 2019 and the Consumer Assessment of Health Plans Survey (CAHPS)® 2019 Survey 12/21/2018 2018-10 2018 CHIP Provider Service Location Enrollment Deadline 02/04/2019 2018-11 2019 Transformed Medicaid Statistical Information System (T-MSIS) Data Quality 01/07/2019 2019-01 2019 2019 CHIP Routine Reporting Requirements 02/01/2019 2019-02 2019 Federal Poverty income Guidelines for 2019 03/01/2019 2019-03 2019 Provider Enrollment Communications to Members and Providers 04/29/2019 2019-04 2019 Retro-Activity Requests 06/03/2019 2019-06 2020 Routine Reporting Requirements 2/10/2020 2020-01 2020 CHIP Federal Poverty Income Guidelines 3/10/2020 2020-03 2020 CHIP COVID-19 FAQ 1 3/11/2020 NA 2020 CHIP COVID-19 FAQ 2 3/26/2020 NA 2020 CHIP COVID-19 FAQ 3 5/5/2020 NA 2020 CHIP COVID-19 FAQ 4 5/19/2020 NA 2021 Routine Reporting Guidelines 01/21/2021 2021-02 2021 HEDIS/CAHPS 02/08/2021 2021-03 2021 CHIP MCO Provider Agreement Checklist 02/18/2021 2021-04 2021 Federal Poverty Income Guidelines for 2021 02/17/2021 2021-05 2022 HEDIS/CAHPS 01/21/2022 2022-01 2022 Routine Reporting Requirements 01/25/2022 2022-02 2022 Federal Poverty Income Guidelines 03/01/2022 2022-03 2022 Postpartum Expansion 05/25/2022 2022-05 2022 Entering Applications as a COMPASS Community Partner 12/12/2022 2022-11 2022 MCO Communication to Children's Health Insurance Program (CHIP) Enrollees on CHIP Transition to Department of Human Services (DHS) Systems 12/30/2022 2022-14 2023 Fraud, Waste or Abuse Reporting 01/03/2023 2023-01 2023 Healthcare Effectiveness Data and Information Set (HEDIS®)1 MY2022 and the Consumer Assessment of Health Providers and Systems (CAHPS®)2 MY 2022 Survey 02/03/2023 2023-02 2023 2023 FPIG chart 3/1/2023 2023-03 2023 Issuance of the first CHIP PROMISeTM Managed Care Payment System Table 4/1/2023 2023-06 2023 IT Transitions Transmittal—REVISED 2/28/2023 2022-014 POLICY CLARIFICATIONS:
Year Subject Date Issued Clarification Number 2012 Change to Household Composition Computation 05/25/2012 2012-01 2012 Processing CAO Referrals with Zero Income 06/29/2012 2012-02 2012 Delay in Health Choices Expansion 09/04/2012 2012-03 2014 Outreach and Enrollment to Children Denied for Incomplete Applications Due to Tax Filing Status 03/28/2014 2014-01 2014 Implementation of Transmittal 2014-5 04/30/2014 2014-02 2014 Acceptable Income Verification Documentation within 60 Days 05/08/2014 2014-03 2014 Processing Applications and Renewals Without Verified Income Deductions 06/04/2014 2014-04 2014 CHIP Application Revision 07/03/2014 2014-05 2014 Vision Benefits—Eyeglass Replacement 07/28/2014 2014-06 2014 Issues Related to CAPS Release 21 08/13/2014 2014-07 2015 FFM Application Received within 90 Days of Renewal Due Date 01/30/2015 2015-01 2016 Lead Screening Requirements 06/14/2016 2016-01 2016 Federal Final Rule ''Nondiscrimination in Health Programs and Activities'' 09/22/2016 2016-02 2017 Eligibility and Benefits Handbook 2017 04/05/2017 2017-01 2017 Ordering, Referring, and Prescribing Providers 09/13/2017 2017-02 2017 Provider Enrollment Claims Processing 12/22/2017 2017-03 2018 Claims Denial for Non-Enrolled Network Providers and Impacts on the CHIP Enrollee Coverage 2018-01 2018 2018 CHIP Routine Reporting Requirements 09/05/2018 2018-02 2019 American Indian and Alaskan Native Cost Sharing 12/9/2019 2019-03 2019 Reassessment 12/10/2019 2019-02 2020 Billing Guidance for alternative Screening Sties Related to COVID-19 3/24/2020 2020-02 2020 Directions to ByPass the Prior Authorization Requirements for CT Scans of the Chest for COVID-19 Patients 3/24/2020 2020-03 2020 COVID-19 Response: Pharmacies may Override Early Refill Alerts for Medications 3/27/2020 2020-04 2020 Self-Attestation; Enrolling children prior to first premium payments; continuation of coverage 4/1/2020 2020-05 2020 Provider Revalidation Verification File 720 4/8/2020 2020-06 2020 Provider Enrollment 4/13/2020 2020-07 2020 COVID-19 Unemployment Compensation Calculation 5/7/2020 2020-08 2021 Support Act 05/11/2021 2021-01 2021 Provider Enrollment & Revalidation 05/20/2021 2021-02 2021 Out of State Insurance 05/25/21 2021-03 2022 COVID-19 Cost Sharing in CHIP 3/1/2022 2022-09 2023 End of Self-attestation flexibility for applications and renewals 4/12/2023 2023-04 2023 State-Based Exchange (SBE) Referral 30-Day Follow-Up 5/12/2023 2023-05 OTHER:
• Children's Health Insurance Program (CHIP) State Plan approved 4-25-2019
• December 2018 Children's Health Insurance Program Procedures Handbook
• CHIP Eligibility and Benefits Handbook 4/5/2017
• Children's Health Insurance Program (CHIP) State Plan Amendment effective 3/1/2020.
• Children's Health Insurance Program (CHIP) letter insert describing changes to programs for families, posted on web and included with CHIP letters from MCOs starting 4/10/2020.
• 1135 Waiver Request Checklist—March 25, 2020
• Approval of Federal Section 1135 Wavier Request—March 27, 2020
• Providing Direct Services via Telemedicine in the School-Based ACCESS Program (SBAP) During the COVID-19 Emergency—April 3, 2020
• OMAP Announcement 04-07-2020-02: MATP Mileage Reimbursement Notice—April 7, 2020
• Request for State Plan Amendments Related to Novel Coronavirus Disease (COVID-19) National Emergency/Public Health Emergency—April 22, 2020
• OMAP Announcement 05-08-2020-01: MATP Guidance during the COVID-19 Pandemic—May 8, 2020
• OMAP Announcement 05-08-2020-02: MATP Consumer Notice—May 8, 2020
• Providing Direct Services in the School-Based ACCESS Program (SBAP) During the COVID-19 Emergency—May 28, 2020
• CHIP State Plan Amendment 2022-0001 Postpartum expansion
• CHIP State Plan Amendment 2022-0002, compliance with the American Rescue Plan Act of 2021 (ARP)
• CHIP State Plan Amendment 2022-0003, CHIP Vision to Learn HIS
• CHIP State Plan Amendment 2022-0004 Disaster SPA for Premium ArrearagesOffice of Mental Health and Substance Abuse Services—Contact: Barry Decker (717) 772-7640
POLICY STATEMENTS:
Year Code
CitationSubject Date Issued Bulletin Number 1980 1981 Ch. 5310 Ch. 4210 Ch. 4226 Ch. 4220 Ch. 4226 Ch. 4000 Fee for Service Funding of Mental Health Community Residential Rehabilitation (CRR) Programs
Office of Mental Health County Program Record Retention Policy
Interpretation of Section 6404.3.2 of the 6400 MH/MR Regulations Search of Visitors and Residents/Patients at State-Operated Mental Hospitals, Long-Term Care Units and Restoration Centers
Responsibility for Collection of Tuition Exp. Under Act 199 of 1980 for Out-of-State Residents12/05/80
02/17/81
02/20/81
12/07/81
03/17/826100-80-02
5000-81-01
6000-81-02
99-81-59
199-82-011982 Ch. 4210 Ch. 11
Ch. 5310
Ch. 5310
Ch. 11
Ch. 5100
Ch. 11
Ch. 5310
Ch. 11Procedures for Discharge of Mentally Retarded Patients at State Mental Hospitals
Financial Competency Statements
8600 Letters of Agreement Between CRR Service Providers and County Administrative Programs
Building Occupancy Requirement for CRR Service Providers
Vecchione Competency Determinations, Procedures, and Alternatives
Voting Rights and Procedures
New Vecchione Petition Forms
Community Residential Rehabilitation Services for Young Adult Clients
Monitoring the Guardianship Petitioning Process at State Centers and State Mental Hospitals
04/02/82
04/16/82
05/10/82
06/25/82
07/16/82
08/17/82
08/20/82
09/15/81
09/24/8299-82-14
99-82-14 8000-82-04
8000-82-06
99-82-33
99-82-36 99-82-39 99-82-50
99-82-471983 Ch. 1101 1150
Ch. 11
Ch. 5100
Ch. 5100
Ch. 5100
Ch. 5310
Ch. 5210
Ch. 5100
Ch. 20Payment of Residential Placement Costs for Mentally Retarded or Severely Emotionally Disturbed Children in Residential Facility
Guardianship Petitioning Process—Redeterminations Informed Consent to Non-Psychiatric Health Care at State Mental Hospitals.
Referral Procedures for ''Guilty but Mentally Ill'' Individuals
Notification of State Mental Hospital 302 Commitments
Guidelines for the Development of Children's Community Residential Rehabilitation Services (CRRS) Programs Patient Care Review Committee
Child and Adolescent Partial Hospitalization Programs Associated with School Programs
Guidelines for Voluntary and Involuntary Patients Refusing Physical Examination on Admission
Expiration of 4th Provisional Cert. of Compliance03/08/83
07/18/83
08/02/83
08/08/83
08/08/83
09/15/83
09/21/83
11/14/83
11/22/83
12/15/8399-83-10
99-82-47
9-83-26
99-83-23
99-83-29 99-83-35
99-83-38 99-83-41
99-83-42
99-83-491984 Ch. 13
Ch. 4300
Ch. 4210
Ch. 5100
Ch. 4310Charges for Evaluation and Reports Requested by OVR
Guidelines for the Physical Structure of Seclusion Rooms
County Indirect Cost Allocation Plan Guidelines
Treatment Team Management
Guidelines for Delivery of MH Forensic Svs. To Persons in Co. Jails & Persons on Prob. Or Parole
Use of Authorized Absence at Discharge
Care and Maintenance Policy
Standards for Psychological Services in State Mental Hospitals and South Mountain Restoration Center04/13/84
05/01/84
06/13/84
08/01/84
08/27/84
08/23/84
08/29/84
10/12/8499-84-11 99-84-19 99-84-22
99-84-30
99-84-38
99-84-39 99-84-42 99-84-491985 Ch. 4300 County Indirect Cost Allocation Plan Guideline Update—Maintenance In Lieu of Rent as a Direct Cost (Joint MH/MR Bulletin) 08/22/85 99-85-17 Ch. 1153 Requirements for Treatment Plans & Documentation of Treatment 10/31/85 29-85-02
33-85-02Ch. 4210 Readmission from Community Placement Within 30 Days of Discharge 05/03/85 99-85-21 Ch. 5100 Ch. 5100 Ch. 11
Ch. 4310
Ch. 5100Administration of Psychotropic Medication to Protesting Patients
Treatment of Persons During Pendency of a 304 or 305 Commitment Petition
Predischarge Money Management Planning
Care and Maintenance Policy Guidelines for Indigent Certification
Guidelines for Use of Electroconvulsive Therapy (ECT)03/11/85
07/22/85
10/28/85
12/10/85
03/05/8599-85-10
99-85-19
99-85-38 99-85-44
99-86-061986 Ch. 4000 Procedures for Review of Service Eligibility and Termination Decisions 01/17/86 99-86-01 Ch. 3490 Implementation of Act 33 of 1985 03/19/86 99-86-11 Ch. 5100 Involuntary Outpatient Commitment
Community Support Programs: Social Security Work Incentives
Education: A Crucial Strategy in the Rehabilitation of the Mentally Ill
Community Support Programs: The Job Training Partnership Act
Families of Mentally Ill Self-Help Movement05/08/86
06/23/86
05/21/86
03/18/86
03/18/8699-86-14 99-86-20
99-86-16
99-86-10
99-86-071987 Ch. 4305 Client Liability Community MH/MR Liability 05/21/87 4305-87-02 Ch. 5100
Ch. 4305
Ch. 3490Notice of Grievance & Appeal Proc. Involuntary Outpatient Commitment
Revised MH/MR Client Liability Community Services Regulations
Model Policy and Procedures AIDS/HIV
Blind/Visually Impaired Patients
The Consumer's Self-Help Alternative
OMH Policy on Application of Act 33 and Administrative Bulletin 00-85-9609/08/87
01/08/87
07/22/87
01/15/87
01/15/87
01/16/8799-87-23
4305-87-01
99-87-26 99-87-08 99-87-05 99-87-041988
1989
1990 1991
1992Ch. 4305 Ch. 1151 1163
Ch. 1101
1150
Ch. 1153
Ch. 1101 Ch. 4210 Ch. 1550
Ch. 5100
Ch. 1151
Ch. 1153
Ch. 5100
Ch. 4300
Ch. 1151
Ch. 1151
Ch. 1153
Ch. 5310
Ch. 5310
Ch. 5100
Ch. 14Quarterly Liability Summaries
MA Revisions to Chapters 1151 and 1163 Regulations
Fee Schedule Revisions and Transportation Requirements
Do Not Resuscitate (DNR)
Appropriate Billing for Psychiatric Partial Hospitalization Providers and Outpatient Psychiatric Clinics
County Payment Exception for TCM Services
Abatement for Liability for Psychological Evaluations
Signature Requirements
Accessibility of Appropriate MH Services for Persons who are Hearing Impaired
Requirement to Notify County Administrators
SSI Disability for Children
Certification of Need—Medical Assistance Patients Under the Age of 21
Clozaril Monitoring and Evaluation Visit
Physicians Services Coverage
Annual Income and Expenditure Reports Certification and Appeal Process
Patient/Client Information System
MA Patients Under 21—Certification of Necessity
Transmittal of General Family Based Mental Health Services Program Issues
OMAP Independent Team—Certification of Need—MA Patients Under the Age of 21
Clozapine Support Services
Community Residential Rehabilitation Services (CRRS) Length of Stay Policy
Clarification of CRR Regulation Section 5310.33(e)
Policy and Guidelines on Ensuring the Protection of Human Rights (Patient Rights)
Patient Care Evaluation Studies
MH Crisis Intervention Services Implementation
Community Integrated Employment Program Definitions
Patient Abuse Investigations Investigator's Resource Manual01/29/88
06/29/88
06/30/88
07/12/88
03/01/88
11/04/88
09/14/89
09/25/89
10/10/89
11/28/89
09/27/90
06/24/91
11/06/91
06/10/91
10/21/91
07/01/91
04/30/91
02/27/92
02/21/92
01/31/92
04/03/92
04/03/92
05/05/92
06/24/92
10/15/92
11/10/92
12/14/924305-88-01 11-88-02
00-88-14
00-88-12 00-88-03
1101-89-01 00-89-17 00-89-07 00-89-09
00-89-12 00-90-24 13-91-01
29-91-07
SMH-91-03
OMH-91-13 OMH-91-09 OMH-91-05 OMH-91-19 13-92-03
01-92-04 OMH-92-05 OMH-92-06 OMH-92-07 SMH-92-01 OMH-92-16 OMH-92-12 OMH-92-141993 CH. 1101
Ch. 5221
Ch. 1101
Ch. 4210PAYMENT FOR MENTAL HEALTH SERVICES PROVIDED IN A RESIDENTIAL TREATMENT FACILITY FOR ELIGIBLE INDIVIDUALS UNDER 21 YEARS OF AGE Patient Smoking
Tuberculosis Surveillance and Management
Immunization of Patients/Residents and Employees
Resource Coordination Implementation
Cooperation with Utilization Review
MH Crisis Intervention Service Guidelines
Medical Assistance for Children01/01/93
06/15/93
06/15/93
07/09/93
07/30/93
09/17/93
08/09/93
09/15/931165-93-07 01-93-04
SMH-93-02 SMH-93-03 SMH-93-04 OMH-93-09 OMH-93-08 OMH-93-10 00-93-23Ch. 5221 Intensive Case Management Record Requirement
Providing Service to Persons with Autism/Pervasive Developmental Disorder09/21/93
11/09/935221-93-01 00-93-29 1994 Ch. 1150
Ch. 1101
Ch. 1101
Ch. 1153Outpatient Psychiatric Services for Children Under 21 Years of Age
Responsibilities of South Mountain Restoration/Long Term Care Facilities Regarding Implementation of Nursing Home Reform Legislation
Responsibilities of South Mountain Restoration/Long Term Care Facilities Regarding Implementation of Nursing Home Reform Legislation
180-Day Exception Requests and Invoice Submission Time Frames
180-Day Exception Requests and Invoice Submission Time Frames
Prior Authorization of Partial Hospitalization Services for Children Beyond the Limit of Total Number of Hours
Plan of Care Summary Form Referenced in 01-94-01
Guidelines for Assuring Accessibility of State Mental Hospital Services for Person who are Hearing Impaired01/11/94
02/14/94
02/23/94
04/11/94
05/27/94
12/30/94
04/01/94
06/28/9441-94-01
48-94-01
49-94-01
50-94-01
OMH-94-02
OMH-94-03
OMH-94-07
OMH-94-09
33-94-04
01-94-05
SMH-94-021995 CH. 1153 ACCESSING OUTPATIENT WRAPAROUND MENTAL HEALTH SERVICES Not Currently Included in the Medical Assistance Program Fee Schedule for Eligible Children Under 21 years of Age 09/08/95 1153-95-01 Ch. 1163 Revision of Utilization Guidelines for Inpatient Hospital Drug and Alcohol Services Under the Medical Assistance Program 11/06/95 01-95-20
11-95-12
1163-95-01Ch. 1163 Guidelines for Inpatient Hospital Drug and Alcohol Services—Non Availability of a Non-Hospital Bed 11/06/95 01-95-21
11-95-13
12-95-08Ch. 1150 Mental Health Services Provided in Non-JCAHO Accredited Residential Facility for Children Under 21 Years of Age 09/08/95 1157-95-01
01-95-12
11-95-08
12-95-04
13-95-01
14-95-01
17-95-05
41-95-03
50-95-03
53-95-01Ch. 1101
Ch. 4000
Ch. 1101 Ch. 5100
Ch. 20Update—JCAHO—Accredited RTF Services
Room and Board Payments for MH-only Children in Residential Facilities Which are Not JCAHO Accredited
Signature Requirement
Crime Victim Notification: Act 155 Expanding the Bill of Rights for Victims of Crime
License/Approval Process for Community Based Mental Health Service Programs
Guidelines for Safeguarding Patient Property
Distribution of PARF Position Statement for State Hospital Vocation Adjustment Services
Guidelines for Supporting the Development of Consumer Self-Help09/08/95
04/03/95
02/01/95
08/25/95
06/12/95
03/01/95
03/15/95
03/15/9501-95-13
11-95-09
12-95-05
13-95-02
14-95-02
17-95-06
41-95-04
50-95-04
53-95-02
1165-95-01 4000-95-01
01-95-01 SMH-95-01
OMH-95-08 OMH-95-05 OMH-95-04 OMH-95-031996
Ch. 20
Ch. 1150
Non-Renewal of Licenses for Community Based Mental Health Providers that have Suspended Services
Procedure for Claiming Federal Reimbursement of Administrative Costs for Medicaid Funded MH services
Tuberculosis Infection Control Program
Implementation of Act 28 of 1995 in OMH-Operated Long Term Care Units and South Mountain Restoration Center05/24/96
06/14/96
08/09/96
08/26/96OMH-96-02 OMH-96-04 SMH-96-01 SMH-96-02 1997 Ch. 14
Ch. 4305
Ch. 1150Reporting Alleged Neglect of Care of Dependent Persons under Act 28 of 1995
Quarterly Liability Summaries Supplement and Amendment
Role of State Mental Hospital and Restoration Center Boards of Trustees
Training for EPSDT Expanded Services Providers (Provider Type 50) on Completing MA Invoices
Change in Billing Procedures for Psychotherapy01/15/97
02/07/97
3/21/97
07/07/97
07/14/97OMH-97-01 00-97-02
SMH-97-01
50-97-03
29-97-06—- Change in Procedure for Requesting and Billing Therapeutic Staff Support (TSS) Services 09/17/97 01-97-16 41-97-02
48-97-02
49-97-06
50-97-051998
Ch. 4300 Reporting Requirements for Services Funded Through County Base and CHIPP Funds
02/17/98 OMH-98-01 Ch. 1223 Drug and Alcohol Clinics with Provisional Licenses 03/03/98 28-98-01
1123-98-01Ch. 1163 Revision of Utilization Guidelines for Inpatient Hospital Drug and Alcohol Services Under the Medical Assistance Program 05/18/98 1163-98-01 Ch. 5310
Ch. 1153
Ch. 1163Licensing Compliance Prediction Instrument Application in the Licensing of Community Residential Rehabilitation Services
Clozapine Support Services
Revision of Utilization Guidelines for Inpatient Hospital Drug and Alcohol Services under MA08/01/98
12/29/98
05/18/98OMH-98-02
01-98-19
01-98-061999 Emeriti v. Philadelphia Center for Human Development 720 A.2d 1032 (Pa. 1998) (Duty to Ward Third Parties—
Tarasoff in Pennsylvania)09/15/99 OMHSAS-9-09 50-99-03 Ch. 1153 Medication Management Visit 04/26/99 28-99-02
29-99-01Ch. 1153 Ch. 1223
Ch. 1141
Ch. 4300Increase Fees for Outpatient Psychiatric Clinics, Psychiatric Partial Hospitalization Programs and Outpatient Drug and Alcohol Clinics
Maximum Allowable Rates of Reimbursement for Psychiatric Physicians
Mental Health Research Involving Human Subjects
Sanctions Policy for Noncompliance with MH/MR Income and Expenditure, Consolidated Waiver, and Cost Settlement Reporting Requirements06/23/99
03/24/99
07/28/99
11/02/9928-99-03
29-99-02
33-99-01 OMHSAS-99-02 OMHSAS-99-06 OMHSAS-99-102000 Guidelines for Identifying Persons with Mental Retardation and Mental Illness for State Mental Health Hospital Discharge 05/15/00 00-00-04 Ch. 4300 The Roles and Responsibilities of County Mental Health/Mental Retardation Programs in the Development of a Child's Individual Education Program
Clarification of Billing Instructions for Methadone Maintenance Services
Changes in Terminology in MA Program Fee Schedule for Type of Services/Procedure Code AG/W1855
Freedom of Choice for MA Recipients Requiring Behavioral Health Services
Prior Authorization of Therapeutic Staff Support Services10/04/00
08/21/00
03/13/00
12/29/00
OMHSAS-00-04
28-00-03
28-00-01
01-00-16
2001 Ch. 5100 Age of Consent for Voluntary Outpatient Mental Health Treatment 06/18/01 OMHSAS-01-04 Accessibility of Community Mental Health and Substance Abuse Services for Persons Who Are Deaf, Hard of Hearing, Late Deafened, or Deaf-Blind 10/01/01 OMHSAS-01-06 Ch. 5100 Procedures for Client Rights Grievances and Appeals 08/10/01 SMH-01-03 Ch. 4300 Accessibility of State Mental Health Facilities for Persons who are Deaf, Hard of Hearing, or Deaf-Blind
Community Support Services Fee Schedule
The Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities (RTF)06/18/01
4/26/01
06/01/01
07/23/01SMH-01-01
OMHSAS-01-02 53-01-012002 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 Ch. 1223 Drug and Alcohol Clinics with Provisional Licenses 10/26/02 28-02-02 Ch. 5100 Interpretation of Pennsylvania Law Related to 402(b) Commitment 09/12/02 OMHSAS-02-04 The Use of Seclusion and Restraint in Mental Health Facilities and Programs 04/08/02 OMHSAS-02-01 Performance Expectations and Recommended Guidelines for the County Child and Adolescent Service System Program (CASSP) 06/06/02 OMHSAS-02-02 Ch. 1101 Generic Drugs
Documentation and Recordkeeping Requirements
Residential Treatment (RTF) Services Provided in a Secure Setting04/01/02
03/21/02
10/01/02
SMH-02-01 29-02-03 01-02-11
2003 Ch. 1223
Ch. 4300
Ch. 1101
Ch. 1101Elimination 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
Community Support Services Fee Schedule
Additional Place of Service (Office) for Psychotherapy
Availability of Training for Completion of Provider BHRS Reports
Site Visits and Access to Records by Pennsylvania Protection and Advocacy, Inc.
Process to Handle Residential Treatment Facility Reports of Death, Serious Injury, or Attempted Suicide (Serious Occurrences)
Obligation of MA Providers Participating in Managed Care Delivery System to Comply with MA Regulations
OMHSAS Bulletin Series Update (1980—2003)10/01/03
07/01/03
01/06/03
01/31/03
02/19/03
06/13/03
08/01/03
12/19/0328-03-02
OMHSAS-03-01 01-03-01 01-03-02
00-03-02
53-03-01
99-03-09
OMHSAS-03-042004 Ch. 1223 Methadone Take-Home Services
Services for Children Placed Out of County in Pre-Adoptive or Foster Homes
Employee and Contractor's Use of Personal Pager and Cellular Telephones02/01/04
07/19/04
11/05/0428-04-01
00-04-02
SMH-04-022005 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 Ch. 5100 Transporting Patients 02/28/05 SMH-05-02 Ch. 5100 Administrative Transfers between State Mental Hospitals Civil Sections 04/29/05 SMH-05-04 Ch. 4300 Cost Settlement Policy and Procedures for Community-
Based Medicaid Initiatives08/15/05 OMHSAS-05-01 Integrated Children's Services Initiative 06/09/05 00-05-05 Quality at the End of Life for Consumers and Residents
Limited English Proficiency (LEP)
MA Program Fee Schedule Procedure Code Changes for Case Management Services09/16/05
01/20/05
10/27/05SMH-05-05 00-04-13 21-05-03 2006 Memorandum of Understanding Between the Office of Mental Health and Substance Abuse Services and the Pennsylvania Department of Aging 02/01/06 OMHSAS-06-01 Service Priority For: Older Adult Population 02/01/06 OMHSAS-06-02 Co-Occurring Disorder Competency Approval Criteria for All Facilities Licensed by the Department of Health Division of Drug and Alcohol Program, License or the Department of Public Welfare, Office of Mental Health and Substance Abuse Services 02/10/06 OMHSAS-06-03 Writing of Orders by Administrators 02/13/06 SMH-06-01 Ch. 5100 Community Incident Management & Reporting System 07/18/06 OHMSAS-06-04 Ch. 1153 Ch. 5200 Mobile Mental Health Treatment 11/30/06 08-06-18 Ch. 1151
Ch. 1153
Ch. 1223BH-FFS Transfer from OMAP to OMHSAS 08/15/06 OMHSAS-06-07 Ch. 4210
Ch. 4210Guidelines for Following Mental Health Advanced Directives in State Mental Hospitals
Admissions/Discharges to County Programs from State Mental Health Facilities
Selected Discharges to County Programs from State Mental Health Facilities where the Admitting BSU is Different from the Discharge BSU09/19/06
11/01/06
12/27/06SMH-06-03
1527-06-19
1527-06-242007
Ch. 1101
Observation Levels of Intensive Treatment
Guidelines for Establishing and Granting Levels of Independence in the State Mental Hospitals Responsibility of MA Providers to Provide Requested Medical/Psychological Information to the Disability Advocacy Program
06/18/07
07/27/07
05/18/07
SMH-P-07-01
SMH-P-07-02
99-07-08Ch. 5100 Ch. 1151 Ch. 1163 Ch. 5310 Ch. 5320 Clarification of Act 169, also known as the Older Adult Protective Services Act (OAPSA), in regard to hiring practices for inpatient and residential facilities. 08/02/07 OMHSAS-07-01 2008 Ch. 5310
Ch. 5320Guidelines for Interagency Planning for Children
in Need of Behavioral Health Rehabilitation Services or Partial Hospitalization on Services during the School Day01/04/08 OMHSAS-08-01 Assertive Community Treatment (ACT) 09/02/08 OMHSAS-08-03 Ch. 3490 Implementation of Act 179 of 2006 & Act 73 of 2007 Amending The Child Protective Services Law
Therapeutic Leave Approval Process
Consumer Meeting Involvement
Consumer Possession and Use of Cellular Telephones06/27/08
03/20/08
03/20/08
03/20/083490-08-03
SMH-P-08-02 SMH-P-08-03 SMH-P-08-042009 Ch. 1223 Requirements for Clinics Supervisory Physician Reviews and Reevaluations of Diagnoses, Treatment Plans and Updates 04/18/09 OMHSAS-09-03 Best Practice for Family Involvement with Youth who are in Residential Treatment Facilities (RTFs) 06/15/09 OMHSAS-09-04 Ch. 5100 Ch. 13 Use of Restraints, Seclusion and Exclusion in State Mental Hospitals and Restoration Center 11/30/09 OMHSAS-09-06 Ch. 1150
Ch. 14
Ch. 3800
Inclusion of External Advocates in Hospital Administrative Investigations
Strategies and Practices to Eliminate the Use of Unnecessary Restraints
Prone Restraints in Children's Facilities
01/05/09
12/19/09
SMH-P-09-01 3800-09-01
3800-09-022010 Ch. 1153
Ch. 2380
Ch. 5200
Ch. 5210
Ch. 6400
Ch. 6500Medication Prescribing Practices of CRNP's in Mental
Health Programs and Mental Retardation Programs03/27/10 OMHSAS-10-01 Ch. 4000 Educational Portions of ''Non-Educational'' Residential Placement 01/04/10 OMHASA-10-02 Ch. 5221 Blended Case Management (BCM) (Revised) 06/14/10 OMHSAS-10-03 Ch. 4210 Ch. 5100 Ch. 14 Referrals for Admission from Department of Corrections and County Jails
Response to Incident of Alleged Improper Sexual Behavior
State Hospital Referrals for Potential Nursing Home Placement
Management of Incidents of Incidents: SI-815 Incident reporting and Risk Management Policy and Procedural Change02/01/10
03/10/10
11/17/10
11/10/10SMH-P-10-01 SMH-P-10-02 SMH-P-10-03 SMH-10-01 2011 Non-Discrimination Toward Lesbian, Gay, Bisexual, Transgender, Questioning and Intersex People 01/07/11 OMHSAS-11-01 Guidelines to Ensure Affirmative Environments and Clinically Appropriate Services for Lesbian, Gay, Bisexual, Transgender, Questioning and Intersex Consumers and Their Family Members 01/07/11 OMHSAS-11-02 Ch. 14 Administrative Investigations 10/20/11 OMHSAS-11-08 Unscheduled Use of Medication in the State Hospital System PRN and STAT Medication Orders 04/26/11 SMH-11-01 2012 Ch. 4300 Cost Centers for County Based Mental Health Services 03/26/12 OMHSAS-12-02 Ch. 5100 Unsupervised Leave of Patients Found Not Guilty by Reason of Insanity 04/04/12 SMH-P-12-01 Ch. 5100 Proper Implementation of Discharge or Transfer Procedures for Certain Person in the Category ''Acquitted Because of Lack of Criminal Responsibility.'' (Not Guilty by Reason of Insanity) 04/04/12 SMH-P-12-03 Ch. 5100 Information Sharing Between Regional Forensic Psychiatric Centers and State or County Correctional Facilities Upon Admission and Discharge 04/04/12 SMH-P-12-04 Ch. 5221 Mental Health Targeted Case Management (TCM) Documentation Requirements 06/14/12 OMHSAS-12-03 2013 Ch. 5221 Targeted Case Management (TCM) Travel and Transportation Guidelines 01/18/13 OMHSAS-13-01 Ch. 1101 Policy Clarification Regarding Written Prescriptions Orders and Requests—Statement of Policy 06/27/13 OMHSAS-13-02 2013 HCPCS Updates Related to Behavioral Health Services 10/18/13 OMHSAS-13-03 2014 Affordable Care Act (ACA) Re-enrollment Guidance for Behavioral Health Providers 08/01/14 OMHSAS-14-03 Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5)
Information Sharing Policies and Procedures—Those who Supervise Foster Children and PH and BH-MCOs09/05/14
05/23/14OMHSAS-14-04 01-14-01 2015 Community Incident Management & Reporting System
OMHSAS Bulletin Series Update—Obsolete Bulletins04/01/15
10/07/15OMHSAS-15-01 OMHSAS-15-02 2016 Ch. 1500
Ch. 1101
Mental Health Emergency Services Guidelines
Training and supervision requirements for therapeutic staff support workers that implement treatment plans that include applied behavioral analysis
Revised Procedure for Waiver of OMHSAS Program Regulations and Standards
Training requirements for licensed behavior specialists who use behavioral specialist consultant-autism spectrum disorder services to provide applied behavioral analysis
Guidelines for Referrals and Coordination of Admission to South Mountain Restoration Center for Individuals Discharged from Correctional Facilities
Payment for Room and Board when Services are Provided by a CARF or COA Accredited Residential Treatment Facility (RTF)
Enrollment and Payment of Provider Entities that Do Not Have a License to Provide Outpatient, Partial Hospitalization, or Family Based Mental Health Services to Use Behavioral Specialist Consultant Services and Therapeutic Staff Support Services to Provide Applied Behavioral Analysis to Children with Autism Spectrum Disorders
Security Guidelines for Regional Forensic Psychiatric Centers
Admissions, Transfers, Level of Care and Service Area Designation for the Regional Forensic Psychiatric Centers
Nursing Home Pre-Admission Screening and Resident Review Requirements Related to Mental Health Services
Peer Services Revised
(OMAP/OMHSAS) Payment for Claims for Services Provided to Children and Adolescents for the Diagnostic Assessment and Treatment of Autism Spectrum Disorder01/08/16
4/10/16
4/19/16
5/15/16
05/10/16
05/16/16
6/6/16
06/23/16
07/14/16
12/12/16
11/10/16
OMHSAS-16-01
OMHSAS-16-02 OMHSAS-16-03
OMHSAS-16-04
OMHSAS-16-05
OMHSAS-16-06
OMHSAS-16-07
OMHSAS-16-08
OMHSAS-16-10
OMHSAS-16-11
OMHSAS-16-12
99-16-152017 Reissue of Medical Necessity Guidelines for Applied Behavioral Analysis using behavioral specialist consultant-autism spectrum disorder and therapeutic staff support specialists
Applied behavioral health analysis using behavioral specialist consultant-autism spectrum disorder and therapeutic staff support services
Special Pharmaceutical Benefits Program—Mental Health
Physician/Certified Registered Nurse Practitioner Collaboration Procedures1/13/17
1/13/17
08/29/17
08/29/17OMHSAS-17-01
OMHSAS-17-02
OMHSAS-17-03
OMHSAS-17-042018 Consent to Mental Health Treatment for Minor Children 06/29/18 OMHSAS-18-01 2019
Ch. 5100Admissions, Discharges, and Continuity of Care for State Mental Hospitals
Service Location Enrollment for Behavioral Health Providers
Serious Mental Illness: Adult Priority Group
Guidelines for Implementing Assisted Outpatient Treatment
Peer Support Services
03/20/19
07/30/19
08/6/19
11/6/19
12/19/19OMHSAS-19-01
OMHSAS-19-02
OMHSAS-19-03
OMHSAS-19-04
OMHSAS-19-052020 Ch. 5240
Ch. 5310 Ch. 5320
Ch. 5240
Ch. 5240
Ch. 5240
Ch. 5310 Ch. 5320
Ch. 5240
Ch. 1151 Ch. 1153 Ch. 1155 Ch. 1223 Ch. 5100 Ch. 5200 Ch. 5210 Ch. 5221 Ch. 5230 Ch. 5310 Ch. 5320 Ch. 5240
Ch. 1153 Ch. 5240
Ch. 5240
Procedure Codes for IBHS Agencies
◦ ATTACHMENT: Intensive Behavioral Health Services Agency Procedure Codes
OHMSAS COVID-19 Frequently Asked Questions (FAQs)
Guidance for County Emergency Behavioral Health/Disaster Crisis Outreach and Referral Teams (EBH/DCORT).
Visitation Guidelines under COVID-19 for Residential Treatment including Long-Term Structured Residences (LTSR), Community Residential Rehabilitation (CRR) Services, Residential Treatment Facilities for Adults (RTF-A) and Crisis Residences.
Guidelines for the Delivery of IBHS and BHRS Group Services Through Telehealth
Guidelines for the Delivery of TSS, BHT, BHT-ABA, or Assistant BC-ABA Service Through Telehealth
COVID-19 Frequently Asked Questions (FAQs) Supplement 1
Telehealth Guidelines Related to COVID-19 (Updated)
Payment for IBHS Prior to Licensure
◦ ATTACHMENT: Intensive Behavioral Health Services (IBHS) Attestation Form
Prior Authorization during the COVID-19 Disaster Emergency Declaration Period
OMHSAS Behavioral Health Services in Counties Moving from RED Phase to YELLOW Phase
Applying Department of Health Testing Guidance for Long Term Care Facility Residents and Healthcare Personnel to Community Residential Rehabilitation (CRR), Long Term Structured Residence (LTSR) and Residential Treatment Facility for Adults (RTF-A) Providers.
Medical Necessity Guidelines for Intensive Behavioral Health Services (IBHS)
◦ Attachment 1—Individual Services
◦ Attachment 2—Applied Behavior Analysis
◦ Attachment 3—Group Services
Temporary Suspension of Specified Regulatory Requirements for Inpatient Psychiatric Services, Outpatient Psychiatric Services, Intensive Behavioral Health Services, Outpatient Drug and Alcohol Services, Mental Health Procedures, Partial Hospitalization, Intensive Case Management, Psychiatric Rehabilitation Services, Community Residential Rehabilitation Services, and Long-Term Structured Residences
Guidelines for the Use of Telehealth Technology in the Delivery of Behavioral Health Services
UPDATED IBHS Provider Attestation Bulletin
◦ ATTACHMENT: Intensive Behavioral Health Services (IBHS) Attestation Form
◦ Attachment 2: Description of Applied Behavior Analysis IBHS Fee-for-Service Prior-Authorization Bulletin
◦ Attachment A: Handbook for Prior Authorization of Intensive Behavioral Health Services Rendered (IBHS) in the Fee-for-Services Delivery System01/31/20
03/25/20
03/30/20
03/31/20
05/05/20
05/05/20
05/05/20
05/05/20
05/12/20
05/18/20
05/22/20
06/17/20
07/13/20
10/22/20
2/20/20
12/18/20
12/18/20
OMHSAS-20-01
OMHSAS Memo
OMHSAS Memo
OMHSAS Memo
OMHSAS Memo
OMHSAS Memo
OMHSAS Memo
OMHSAS Memo
OMHSAS-20-04
OMHSAS Memo
OMHSAS Memo
OMHSAS Memo
OMHSAS-20-05
OMHSAS Memo
OMHSAS-20-02
OMHSAS-20-06
OMHSAS-20-07
2021
Ch. 1153 Ch. 5240
Ch. 1153 Ch. 5240
Ch. 1151 Ch. 1153 Ch. 1155 Ch. 1223 Ch. 5100 Ch. 5200 Ch. 5210 Ch. 5221 Ch. 5230 Ch. 5310 Ch. 5320 Ch. 5240
Ch. 5310
Ch. 4210Obsolete Behavioral Health Rehabilitation Services (BHRS) Bulletins
Provision of One-to-One Intensive Behavioral Health Services in a Licensed Location
◦ Attachment A: Additional Information for Service Descriptions for IBHS Agencies that Intend to Provide One-to-One Services in a Center
Updates to Procedure Codes for Intensive Behavioral Health Services Agencies
◦ Attachment 1: Intensive Behavioral Health Services Agency Procedure Codes
Temporary Suspension of portions of bulletins and other guidance documents for Peer Support Services, Blended Case Management, Resource Coordination, Mental Health Crisis Intervention, Assertive Community Treatment, Behavioral Health Rehabilitation Services, Residential Treatment Facilities, and Family Based Mental Health Services
Procedure for Providing a Specialized Behavioral Health Treatment Program in Community Residential Rehabilitation Host Home Settings
◦ Attachment A: Service Description Format
◦ Attachment B: Fee-for-Service Prior Authorization Instructions
◦ Attachment C: Contact List for OMHSAS's Regional Field Offices
Contracted Delegate Services
03/30/21
01/22/21
01/22/21
02/18/21
03/30/21
03/10/21OMHSAS-21-01
OMHSAS-21-02
OMHSAS-21-03
OMHSAS Memo
OMHSAS-21-04
OMHSAS-21-05Opioid Treatment Program Services for Dually Eligible Individuals 07/08/21 OMHSAS-21-06 Guidelines for the Use of Telehealth Technology in the Delivery of Behavioral Health Services 08/26/21 OMHSAS-21-09
2022 Mental Health Emergency Services: Applying the 120-Hour Timeframe for Emergency Involuntary Commitments
Revised Guidelines for the delivery of Behavioral Health Services through Telehealth
Provision of One-to-One Intensive Behavioral Health Services in a Licensed Location
Referring children to the County Intellectual Disability and Autism Programs
Use of American Society of Addiction Medicine (ASAM) Criteria for Substance Use Disorder Services in the Medical Assistance Program
Revised Bulletin for Services to Older Adults
Peer Services Bulletin
04/1/22
7/1/2022
6/29/2022
7/12/2022
7/28/2022
8/23/2022
12/28/2022OMHSAS-22-01
OMHSAS-22-02
OMHSAS-22-03
OMHSAS-22-04
OMHSAS-22-05
OMHSAS-22-06
OMHSAS-22-082023
Act 65 of 2020: Consent to Mental Health Treatment for Minors
Emergency Services: 24/7 Call Centers
Aligning Co-Occurring Services with the American Society of Addiction Medicine Criteria
Mental Health Emergency Services: Applying the 120-hour timeframe for Emergency Involuntary Commitments
Confidentiality of Records Changes Due to ACT 32 of 2022 and Aligning with Health Insurance Portability and Accountability Act of 19961/24/2023
3/8/2023
4/7/2023
5/11/2023
5/12/2023
OMHSAS-23-01
OMHSAS-23-02
OMHSAS-23-03
OMHSAS-23-04
OMHSAS-23-05GUIDANCE MANUALS:
• Community Hospital Integration Projects Program (CHIPP) Guidelines
• Updated Olmstead Plan for Pennsylvania's Mental Health System
• OMHSAS Community Integration Project
• Chapter 5200 Psychiatric Outpatient Clinics Regulatory Compliance GuideOffice of Policy Development—Contact: Danielle Duckett (717) 265-8345
GUIDANCE MANUALS:
• Human Services Development Fund (HSDF) Instructions and Requirements
• HSDF Fiscal Year Update
• HSDF Instructions and Requirements
• Supporting Pennsylvanians Through Housing (DHS Five-Year Housing Strategy)
Pennsylvania
INSURANCE DEPARTMENT
(PID)
I. NOTICES
A. Executive Office
1. Insurance Department Notices
No. Date Pub'd Description 2023-11 07/01/23 Per Diem Charges for Market Conduct Examinations Conducted by the Insurance Department 2023-10 07/01/23 Per Diem Charges for Financial Examinations Conducted by the Insurance Department 2023-09 06/24/23 Adoption of Standards for Exemption 2023-08 06/24/23 1332 Waiver Reinsurance Program—Program Parameters 2023-07 06/24/23 Section 1332 Waiver—Reinsurance Program Continues 2023-04 04/22/23 Notice to Insurance Companies Regarding Medicare Supplement Guaranteed Issue Eligibility Following the COVID-19 Public Health Emergency 2023-03 03/25/23 Autism Spectrum Disorders Coverage—Maximum Benefit Adjustment 2023-02 03/25/23 Workers' Compensation Security Fund Assessment 2023-01 01/07/23 Increase in the Accident Surcharge Dollar Threshold (Cap) to $2,100 2022-13 10/29/22 Medical Care Availability and Reduction of Error Fund; Notice of and Amount of Assessment Action 2022-12 09/03/22 1332 Waiver Reinsurance Program—Program Parameters 2022-08 06/11/22 Availability of Technical Advisory Relating to External Grievance Process for Medical Assistance Managed Care Organizations in 28 Pa. Code §
9.707N/A 04/09/22 Insurance Coverages or Risks Eligible for Export by the Acting Insurance Commissioner 2022-05 04/09/22 Non-Enforcement of Prohibition on Data Collection 2022-03 03/05/22 Medical Care Availability and Reduction of Error Fund N/A 01/22/22 Qualified Unlicensed Reinsurers List N/A 10/23/21 Qualified Jurisdictions for Certified Reinsurers 2021-10 07/31/21 Act 46 of 2021 2021-05 05/08/21 Annual Attestations under Acts 89 and 92 2021-04 04/24/21 Notice Regarding the Need to Assess the Impacts of the COVID-19 Pandemic in Property and Casualty Rate Filing 2021-03 03/06/21 Notice Regarding Coronavirus (COVID-19) Insurance Coverage 2021-02 02/27/21 COVID-19 Guidance—Discontinuation of Renewal and Continuing Education Extensions 2020-21 10/03/20 COVID-19 Guidance—Discontinuation of Temporary Resident Producer Licensure 2020-19 06/27/20 Notice Regarding Coronavirus (COVID-19) Surprise Bills 2020-17 06/27/20 Acceptance of Non-Essential Filings 2020-11 04/25/20 COVID-19 Guidance Regarding Premium Finance Agreements 2020-09 04/25/20 Applicability of Notice Regarding Coronavirus (COVID-19) Insurance Coverage (Notice 2020-03) to Issuers and Producers of Limited Benefit Policies 2020-08 04/25/20 COVID-19 Guidance Regarding all Volunteer Physicians, Podiatrists and Certified Nurse Midwives Practicing under a Reactivated License 2020-07 04/25/20 COVID-19 Guidance Regarding all Insurers Writing Automobile Insurance, Personal and Commercial, within the Commonwealth 2020-04 04/25/20 Notice to Insurance Companies Regarding Policyholders Affected by the COVID-19 Virus 2020-03 03/21/20 Notice Regarding Coronavirus (COVID-19) Insurance Coverage 2019-07 11/02/19 Insurance Department and Health Insurance Exchange Authority Guidance Regarding Compliance in Marketplace Activities 2019-03 06/15/19 Use of Opioid Overdose Reversal Agents in Underwriting and Rating 2018-10 11/17/18 Repeal of Outdated Notice Regarding Form and Rate Filings; Notice of Form and Rate Filing Requirements under the Accident and Health Filing Reform Act 2018-08—
revised11/17/18 Short-Term Limited Duration Insurance—Guidance for Compliance Filings 2018-05 06/23/18 Certification as an Independent Review Organization; Long Term Care Benefit Trigger Determinations 2017-10 10/07/18 Arson and Insurance Fraud Reporting 2017-03 02/25/17 List of Approved Guide Source Method Vendors 2016-16 12/03/16 Private Passenger Motor Vehicle Liability Insurance Policies; Limited and Full Tort Data Reporting 2016-15 10/29/16 Guidance Regarding Parity in Mental Health and Substance Use Disorder Coverage 2016-11 09/17/16 Long Term Care Partnership Program Revised Guidance Announcement 2016-10 09/10/16 Principle-Based Reserving Operative Date 2016-05 04/30/16 Notice Regarding Nondiscrimination 2015-07 09/19/15 Provider Directories 2015-06 08/22/15 Price Optimization 2015-01 01/31/15 Terrorism Risk Insurance Program Reauthorization Act of 2015; Expedited Rate, Rule and Form Filing Review Process 2014-12 10/25/14 General Guidance for Disclosure of Prescribed Differences from NAIC Statutory Accounting Principles 2014-10 09/27/14 Deregulation of Certain Commercial Lines Property and Casualty Forms 2014-08 06/14/14 Repeal of Outdated PA Bulletin Notices. 2012-04 02/18/12 Effective Dates for Small Group Health Insurance Rate Filings 2011-06 07/30/11 Advisory Notice—Rate Review Process Determination 2011-03 05/14/11 Use of Misleading Professional Designations by Insurance Producers Selling Life Insurance or Annuities to Seniors 2010-10 10/02/10 Provisions of Act 51 of 2010 2010-09 08/14/10 Mini-COBRA Coverage 2010-08 07/17/10 Application for Written Consent 2010-06 07/03/10 Repeal of Outdated Notices 2010-02 01/02/10 Review Procedure Hearings; Cancellation or Refusal of Insurance 2009-07 07/31/09 Updated Guidelines for Record Retention 2009-06 06/27/09 Autism Review Process 2009-03 04/11/09 Autism Coverage 2009-02 02/14/09 Property and Casualty Insurance Companies and Producers Issuing Certificates of Insurance in Pennsylvania 2009-01 02/14/09 Community Health Reinvestment Activities 2008-05 04/19/08 Long-Term Care Partnership Program Effective Date and Revised Guidance Announcement 2007-06 12/01/07 Arson and Insurance Fraud Reporting 2006-12 11/18/06 Flood Insurance Training Requirements 2006-08 07/08/06 Repeal of Outdated Bulletins and Notices 2006-07 06/24/06 Professional Corporations, Professional Associations and Partnerships 2006-06 06/24/06 Notice of Agent Education and Training Requirement Changes 2005-07 07/23/05 Agreement on Community Health Reinvestment 2005-04 03/26/05 Viatical Settlement Broker License Testing Requirements for Licensed Life Insurance Producers 2005-02 02/05/05 Reporting and Disclosure of Criminal Convictions 2003-11 11/29/03 Coverage for Chiropractic Care 2003-07 09/20/03 Notice to Companies Writing Private Passenger Auto Insurance in Pennsylvania 2003-06 08/09/03 Drug and Alcohol Use and Dependency Coverage 2002-10 10/19/02 Proper Reporting of Uncovered Medical Liabilities and Expenses (Uncovered Claims) 2001-07 06/30/01 Deregulation of Life Insurance Forms 2001-04 04/21/01 Book Transfers 2000-04 02/26/00 The Violent Crime Control and Law Enforcement Act of 1994, 18 U.S.C. Sections 1033 and 1034 2000-03 02/19/00 Federally Mandated Health Care Fraud and Abuse Reporting 1995-09 08/23/95 Deregulation of Commercial Lines Property and Casualty Forms 1995-07 07/19/95 Modification of Contract for Use When an Annuity Premium Tax is Not Applicable 1994-14 10/03/94 Separate Account Modified Guaranteed Life Insurance 1994-13 10/03/94 General Account Modified Guaranteed Life Insurance 1994-12 10/03/94 Separate Account Modified Guaranteed Annuity 1994-11 10/03/94 General Account Modified Guaranteed Annuity 1994-09 07/07/94 Approval and Solicitation of Long Term Care Policies for Continuing Care Retirement Communities
2. Statements of Policy
• 31 Pa. Code, Chapter 67, Sections 67.41—67.45 and Appendix A, Motor Vehicle Financial Responsibility Law, Subchapter D. Adopted 05/19/1989.
• 31 Pa. Code, Chapter 89, Sections 89.451—89.474, Approval of Life, Accident and Health Insurance. Subchapter H. Statements of Policy. Adopted 02/05/1982.
• 31 Pa. Code, Chapter 90c, Sections 90c.1—90c.25, Individual Applications. Adopted 01/18/1991.
• 31 Pa. Code, Chapter 90d, Sections 90d.1—90d.9, Individual Accidental Death Benefits; Provided by Riders or Built into Policies. Adopted 01/18/1991.
• 31 Pa. Code, Chapter 90e, Sections 90e.1—90e.13, Individual IRA Endorsements for Life Insurance and Annuities. Adopted 01/18/1991.
• 31 Pa. Code, Chapter 90f, Sections 90f.1—90f.16, Individual Imminent Death/Lifetime Health Care Facility Confinement Benefits Provided as Accelerated Death Benefit or Settlements of Death Benefit; Provided by Riders or Built into Policies. Adopted 01/18/1991.
• 31 Pa. Code, Chapter 90g, Sections 90g.1—90g.16, Individual Health Care Facility Benefits Provided as Accelerated Death Benefit or Settlement of Death Benefit; Provided by Riders or Built into Policies. Adopted 01/18/1991.
• 31 Pa. Code, Chapter 90h, Sections 90h.1—90h.11, Individual Waiver of Surrender Charges for Life and Annuity Contracts Resulting From Health Care Facility Usage; Provided by Riders or Built into Policies. Adopted 01/18/1991.
• 31 Pa. Code, Chapter 90i, Sections 90i.1—90i.3, Certificates of Assumption. Adopted 03/05/1993.
• 31 Pa. Code, Chapter 119, Sections 119.1—119.26, Anti-Fraud. Adopted 08/27/1993.
• 31 Pa. Code, Chapter 120, Sections 120.1—120.5, Loss Cost Adjustment Filing. Adopted 08/27/1993.
• 31 Pa. Code, Chapter 150, Sections 150.1—150.5, Uniform Health Insurance Claim Form. Adopted 07/02/1993.
• 31 Pa. Code, Chapter 152, Sections 152.101—152.105, Preferred Provider Organizations, Primary Care Gatekeeper PPO Products. Adopted 09/27/1991.• 31 Pa. Code, Chapter 153, Section 153.2, Permission to file accident and health, life and annuity insert pages. Adopted 10/19/1990.
• 31 Pa. Code, Chapter 153, Section 153.3, Simplified review of company merger, assumption or name change form and rate filing. Adopted 06/28/1991.
• 31 Pa. Code, Chapter 301, Sections 301.201—301.204, Health Maintenance Organization, Subchapter H. Point-of-Service Products Group Specific Community Rating. Adopted 09/27/1991.
• 31 Pa. Code, Chapter 301, Sections 301.301—301.321, Health Maintenance Organization, Subchapter I. Contractual Arrangements Between HMOs and IDSs. Adopted 04/05/1996.
• 31 Pa. Code, Chapter 303, Section 303.1, Out-of-State Health Maintenance Organization Investments. Adopted 03/25/1988.
Contact: Katie Merritt, Policy Director, 717-783-0652; fax 717-705-3873II. OTHER
A. Administrative Hearings Office
• Digest of Automobile Policy Terminations (Act 68 and 78)
Insurance Commissioner Decisions on Automobile Insurance Administrative Hearings• Digest of CAT Fund Adjudications
Insurance Commissioner Decisions on Automobile CAT Fund Administrative Hearings• Digest of Homeowners Policy Terminations (Act 205)
Insurance Commissioner Decisions on Homeowners Insurance Administrative Hearings• Digest of Agency Terminations (Act 143)
Administrative Hearing Officer Decisions on Insurance Agency Administrative Hearings• Practice and Procedure Digest
Describes the Administrative Hearing Process
Contact: Administrative Hearings Office, 7l7-783-2126; fax 7l7-787-8781B. Office of Insurance Product Regulation and Administration
• Regulatory Procedures Manual
Internal procedures regarding drafting of regulations
Contact: Katie Merritt, Policy Director, 717-783-0652; fax 7l7-705-3873
Department of
LABOR & INDUSTRY
(L&I)
I. POLICY STATEMENTS
A. Labor & Industry Secretary
• Availability of First Aid, CPR, and Other Emergency Treatments
• Pennsylvania Worker and Community Right to Know Act Employee Workplace Notice
• Security Policy Statement
• Weapons Policy Statement
• Workforce Innovation and Equal Opportunity Act Policy Statement
• Workplace Violence Policy StatementB. Office of Equal Opportunity
Contact: James Kayer (717-787-1182)
• Equal Employment Opportunity Policy Statement
• Contract Compliance Policy Statement
• Equal Opportunity Plan
• Disability-Related Employment Policy Statement
• Sexual Harassment Policy Statement
• Workforce Innovation and Opportunity Act Equal Opportunity Policy Statement
• Non-Discrimination Plan
• Designation of Equal Opportunity Officers
• Designation of Equal Opportunity Liaisons
• Limited English Proficiency Policy Statement
• Office of Equal Opportunity Civil Rights StatementC. Bureau of Workers' Compensation
• Health Care Under the Workers' Compensation Act BWC Website: www.dli.pa.gov (''Workers' Compensation'')
• Uninsured Employers Guaranty Fund BWC Website: www.dli.pa.gov (''Workers' Compensation'') (Contact Callie Dow, 717-941-9595)
• General Provisions of Act 57 of 1996 BWC Website: www.dli.pa.gov (''Workers' Compensation'')II. GUIDANCE MANUALS
A. Office of Vocational Rehabilitation (OVR)
Contact: Dawn Sokol, Director, BBVS (dsokol@pa.gov); Marci Katona,ActingDirector, BVRS (mkatona@pa.gov)OVR Numbered Memoranda:
• 04-300.02 Performance Standards for RT & OM
• 09-200.01 Ticket to Work Program
• 10-100.02 Driver Services for OVR Employees
• 10-100.03 OVR Case Sharing
• 10-100.04 OVR Case Filing System
• 10-100.05 Provision of Services to OVR Employees, Relatives of OVR Employees, Individuals With Whom the Employee Has a Close Personal Relationship or other Cases Designated as Confidential Per Customer Request
• 10-200.01 Psychological Services—Qualifications, Approval, and Use of Psychological Providers and Services
• 10-300.01 Independent Living/Specialized Services Program Handbook
• 11-100.02 Competitive Bids—Procedures and Documentation
• 11-100.04 Alternate Format Policy
• 12-100.04 Clerical Procedures: OVR Base and Detailed Record, Program Referral, Intake, and Case Assignment Procedure
• 12.200.02 College and Other Post-Secondary Training
• 12-200.07 CWDS User Management Manual
• 12-200.08 Performance Factors and Standards—Clerk Typist 2, Clerk Typist 3, and Fiscal Assistants
• 12-300.01 Referring, Training and Placing VR Customers in the Business Enterprise Program
• 13-200.03 Work and Home Site Modifications
• 13-200.04 Vehicle Modifications # 8
• 18-200.01(01) Vehicle Modifications # 1—Guidelines
• 18-200.01(02) Vehicle Modifications # 2
• 18-200.01(05) Vehicle Modifications # 5
• 22-200.01 F.A.R.M. (Farming and Agriculture Rehabilitation Management) Service Provision Manual for Pennsylvania Farmers
• 21-200.01 School to Work Transition
• 14-100.03 OVR Records Retention and Disposition Procedures
• 20-200.04 Financial Needs Test
• 15-100.01 Appeals, Legal Requests, and Release of Information
• 15-200.01 Audiological Services, Interpreting Services, & Assistive Technology Procedures for Customers who are Deaf, Hard of Hearing, Late Deafened and Deaf-Blind
• 20-100.01 OVR Fiscal Procedures and Documentation
• 16-100.02 Provider Agreement Policy and Procedures
• 16-200.01 College & Other Post-Secondary Training
• 16-200.04 Small Business Ownership as a Vocational Goal for OVR Customers
• 23-200.01 On-The-Job Training
• 16-200.06 OVR Supported Employment Policy
• 17-200.01 Low Vision Services
• 20-200.03 Essential Procedures for the Vocational Rehabilitation Program
• 17-200.03 Psychological Services—Guidelines: Psycho-diagnostic and Vocational Assessment
• 97-200.08 Revised Guidelines—Specific Learning Disabilities
• 10-100.07 (04) Vehicle Modifications # 4
• 10-100.07 (06) Vehicle Modifications # 6
• 10-100.07 (07) Vehicle Modifications # 7Guidance Documents:
• 17-400.03 CIE Assessment
• 17-400.06 Graduate Level Studies
• 18-400.01 OVR Attendance at IEP Meetings for Cyber School Students
• 18-400.03 OVR-139 Form Exemptions
• 18-400.06 Specialized Provider Travel Reimbursement
• 19-400.01 Itinerary & Daily Activity Report Procedures
• 19-400.07 Guidelines Concerning Medical Marijuana
• 20-400.01 Procedure for Service Customers on the OOS Waiting List
• 20-400.02 Procedure for Verifying Supported Employment Provider Staff Credentials
• 20-400.08 Period of Performance Guidance Manual
• 20-400.10 Job Retention Exemption
• 20-400.11 OVR Fiscal Review Process
• 20-400.12 CWDS Information for Job Retention Exemption
• 20-400.13 Identity Verification Requirements for OVR Customers
• 20-400.15 Prior Approval Process
• 20-400.16 Staff Guidance for Setting up CART and Interpreter Services for Potentially Eligible Students
• 20-400.19 Provider Agreement Process
• 21-400.05 Paperless Standard Operating Procedures
• 21-400.06 Benefits Planning Services
• 21-400.08 VR Case File Format
• 22-400.01 CWDS User Management Manual
• 22-400.02 Credential Attainment & Measurable Skills Gains
• 22-400.04 Section 511 Requirements for Youth Prior to Entering Sub-Minimum Wage Employment
• 22-400.05 Guidance for Section 511—Limitations on the Use of Sub-Minimum Wage
• 22-400.06 Overview of PII and Signature Guidance
• 22-400.07 OVR Case Status Definitions
• 22-400.08 SSN Talking Points with OVR Customers
• 22-400-09 Youth Ambassador SOP
• 23-400.02 Bioptic Driver Training
• 23-400.05 Participant as Provider Job AidB. Bureau of Workers' Compensation
• Calculating 21-Day Compliance BWC Website: www.dli.pa.gov (''Workers' Compensation'')
• Return-to-Work Model BWC Website: www.dli.pa.gov (''Workers' Compensation'')
• PA Workers' Compensation Employer Information Pamphlet, LIBC-200 (Workers' Compensation Guidelines for Employers.) BWC Website: www.dli.pa.gov (''Workers' Compensation'')
• Employers' Guide to Self-Insuring Workers' Compensation, LIBC-300 BWC Website: www.dli.pa.gov (''Workers' Compensation'')
• Workers' Compensation and the Injured Worker Pamphlet, LIBC-100 (Workers' Compensation Guidelines for Injured Workers.) BWC Website: www.dli.pa.gov (''Workers' Compensation'')
• Workers' Compensation and the Injured Worker Pamphlet-Spanish Edition, LIBC-100-(ESP) (Workers' Compensation Guidelines for Spanish-speaking Injured Workers.) BWC website: www.dli.pa.gov (''Workers' Compensation'')
• Procedures for Completing an Application for Fee Review, BWC website: www.dli.pa.gov (''Workers' Compensation'')
• 2023 Statewide Average Weekly Wage Schedule. Revised effective January 1, 2023. BWC website: www.dli.pa.gov (''Workers' Compensation'')
• Statement of Purpose of Adoption of Usual and Customary Charge. Effective November 1, 2010. BWC website: www.dli.pa.gov (''Workers' Compensation'')
• Attention WC Providers and Insurers: Read the Bureau's response to questions regarding ICD-10 www.dli.pa.gov (''Workers' Compensation'')
• Changes made to the WC Act as made by ACT 184 (HB1846): View the Amendments www.dli.pa.gov (''Workers' Compensation'')
• Bureau Code Listings. Updated Monthly. BWC website: www.dli.pa.gov (''Workers' Compensation'')
• Safety Committee Box Score. Updated Monthly. BWC website: www.dli.pa.gov (''Workers' Compensation'')
• Accident and Illness Prevention Service Provider Qualifications Guide. Contact: Michelle Muncie, Health and Safety Division, BWC (717-772-1636)
• HandS System BWC website: www.dli.pa.gov (''Workers' Compensation''). Contact: Eric Hoffman, Health and Safety Division, BWC (717-772-1635)
• State-Certified Workplace Safety Committee Brochure (LIBC-733) BWC website: www.dli.pa.gov (''Workers' Compensation'')
• PATHS: Pennsylvania Training for Health and Safety. BWC website: www.dli.pa.gov (''Workers' Compensation'')
• Workplace Safety Committee Technical Assistance/Certification Assistance Manual (LIBC-55) BWC website: www.dli.pa.gov (''Workers' Compensation''). Contact: Eric Hoffman, Health and Safety Division, BWC (717-772-1635)
• Worker & Community Chemical Right to Know. BWC website: www.dli.pa.gov (''Workers' Compensation''). Contact: Eric Hoffman, Health and Safety Division, BWC (717-772-1635)
• Workers' Compensation Automation and Integration System (WCAIS) BWC website: www.dli.pa.gov (''Workers' Compensation'')
• WCAIS, Forms BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Claims Implementation Guide BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI PA R3 Event table BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI R3 Data Element table BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI R3 Edit Matrix BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Forms Solution Testing Strategy BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Quick Reference Guide BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Error Code Description BWC website: www.dli.pa.gov (''Workers' Compensation'')
• PA Change Log BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Relaxed Rules BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Claim Status Reference Sheet BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Quick Reference Guide for Attorneys (LIBC-145) BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Forms Solution Form to Transaction Guide (LIBC-146) BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI FROI and SROI 02 Mapping Reference Sheet BWC website: www.dli.pa.gov (''Workers' Compensation'')
• Form to EDI Transaction Guide (LIBC-12) BWC website: www.dli.pa.gov (''Workers' Compensation'')
• Claims Scenarios for PA BWC website: www.dli.pa.gov (''Workers' Compensation'')
• LIBC Form to Transaction BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI FEIN Guide BWC website: www.dli.pa.gov (''Workers' Compensation'')
• The Common Flow of a Claim Guide BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Strategy Migration BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Forms Solution Cutover Strategy BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Crossover Documents BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Forms Solution DN Mapping BWC website: www.dli.pa.gov (''Workers' Compensation'')
• Direct Filer Trading Partner Criteria BWC website: www.dli.pa.gov (''Workers' Compensation'')
• EDI Test and Production BWC website: www.dli.pa.gov (''Workers' Compensation'')
• Online Trading Partner Agreement Guide BWC website: www.dli.pa.gov (''Workers' Compensation'')
• WCAIS, Training Resources BWC website: www.dli.pa.gov (''Workers' Compensation'')
• WCAIS, Frequently Asked Questions BWC website: www.dli.pa.gov (''Workers' Compensation'')
• Workers' Compensation Fee Schedules BWC Website: www.dli.pa.gov (''Workers' Compensation'')• Ridley School District v. Bureau of Career and Technical Education
• 2021 Medical Access Study Executive overview. BWC Website: www.dli.pa.gov (''Workers' Compensation'')
• Workers' Compensation and Workplace Safety Annual Report BWC Website. This information can be found on our website by clicking on the following link: Home (pa.gov)
• Frequently Asked Questions Workers' Compensation BWC Website: www.dli.pa.gov (''Workers' Compensation'')
• Frequently Asked Questions Health Care Services Review BWC Website: www.dli.pa.gov (''Workers' Compensation'')
• Frequently Asked Questions Workplace Safety Committee Certification Program BWC Website: www.dli.pa.gov (''Workers' Compensation'')C. Workers' Compensation Office of Adjudication
• Accommodation Requests: http://www.dli.pa.gov— Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Adjudication Process— Accommodation Requests
• Act 109 Child Support Lien Search: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• Act 109 Employee Dependent Statement Form: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• Adjudication Forms: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Adjudication Forms—WCOA Forms
• Alternate Dispute Resolution Contact Information: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Alternate Dispute Resolution—ADR Contact Information
• Alternate Dispute Resolution Information: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Alternate Dispute Resolution
• Alternate Dispute Resolution Pamphlet: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Alternate Dispute Resolution—Alternate Dispute Resolution Pamphlet
• Directions to Hearing Locations: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Directions to Hearing Locations
• Frequently Asked Questions: http://www.dli.pa.gov— Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Adjudication Process—Frequently Asked Questions
• Judges' Procedural Rules & Policies: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Judges' Procedural Rules & Policies—search alphabetically by judge's name
• Lawyer Referral Service: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• Medical Fee Review Hearing Information: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Request for Hearing to Contest Fee
• Medicare Policy Evaluation and Approval of WC Lump Sum Settlements: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Adjudication Process—Medicare & WC Benefits
• Obtaining WC Hearing Transcripts: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Adjudication Process—Obtaining WC Hearing Transcripts
• Obtaining Unemployment Compensation Benefit Offset Information: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• Other PA WC Regulations: http://www.dli.pa.gov— Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• Requesting Records and Decisions: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• Special rules of administrative practice and procedure before the Workers' Compensation Appeal Board: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• Special rules of administrative practice and procedure before Workers' Compensation Judges: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• WC Act Changes as made by Act 147: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• WC Related Websites: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• WCAIS Claim Conversion Policy: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• WCAIS Training Guides: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—WCAIS Tips & Training
• Judges' Office Contact Information: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Contact the Judge's Office
• Teams Training Guides: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Microsoft Teams—Tips & Training
• WCOA E-mail Resource Accounts: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• WCOA Judge Manager, Director, and Chief Counsel Contact Information: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication—Adjudication Process— WCOA Contact Information
• WCOA Office Cancellation/Delay Policies: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• Workers' Compensation Act: http://www.dli.pa.gov— Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• Workers' Compensation Annual Report and other Publications: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation Adjudication
• Workers' Compensation Rate Schedules: http://www.dli.pa.gov—Individuals—Workers' Compensation Services—Workers' Compensation AdjudicationIII. OTHER
A. Center for Workforce Information and Analysis
Contact: Ed Legge (717-787-8646)• New Hire Program forms for businesses to use to report new hires can be found at www.pacareerlink.pa.gov
• High Priority Occupations methodology and petition information is available at www.workstats.dli.pa.gov
• Federal contractors' affirmative action planning workforce demographics are available at www.workstats. dli.pa.govB. Bureau of Workforce Development Administration & Bureau of Workforce Partnership and Operations
Contact: Brenda Duppstadt (717-783-8042), Steve Wolf (717-787-6874)• Co-Enrollment of Participants in the Trade Adjustment Assistance Program and Workforce Innovation and Opportunity Act Dislocated Worker Program
• Eligible Training Provider List
• Employment Services Complaint System
• Financial Management Policy
• Incumbent Worker Training Activities—Initial Implementation of the Workforce Innovation Opportunity Act
• Local Governance Policy
• Local Workforce Area Designation
• Local Workforce Delivery System—Common Identifier Policy
• Local Workforce Delivery System—Memorandum of Understanding
• Local Workforce Delivery System—PA CareerLink® Certification and Continuous Improvement
• Oversight and Monitoring
• PA CareerLink® System Operator
• Pennsylvania's Workforce System of Record
• Priority of Service
• Sanctions—Initial Implementation of the Workforce Innovation and Opportunity Act
• Self-Certification and Telephone/Document Inspection Verification
• TANF Youth Development Program Manual
• WIOA 2021—2024 Regional and Local Plans
• Workforce Innovation and Opportunity Act Performance Assessment
• Youth Eligibility Definitions—Initial Implementation of the Workforce Innovation and Opportunity ActC. Minimum Wage Advisory Board
• Annual Analysis of the Pennsylvania Minimum Wage—2007 through present is available at www. workstats.dli.pa.gov
D. Office of Vocational Rehabilitation (OVR)
• Order of Selection (OOS) Brochure—Connie Moonen (717-787-6176)
• The OVR Annual Report—Connie Moonen (717-787-6176)
• WIOA Combined State Plan Update—Cheryl Novak (610-506-9035)
• Employment Services for Persons with Disabilities—Connie Moonen (717-787-6176)
• The OVR Rehabilitation Services Handbook—Connie Moonen (717-787-6176)
• OVR Transition Guide for Professionals—Connie Moonen (717-787-6176)
• Your Road to Independence—Connie Moonen (717-787-6176)
• Business Services—Doug Rand (717-772-1657)
• On-the-Job Training—Doug Rand (717-772-1657)
• Jobs for All, Youth Employment Initiative—Doug Rand (717-772-1657)E. State Workers' Insurance Fund
• Injury Hotline Reporting Sticker
• Employee Information for reporting of Work Related Injuries
• Workers' Compensation Employee Notice
• SWIF District Office Map and Directory
• Notice of Employer W/C coverage with SWIF (English & Spanish)
• SWIF Information Pamphlet
• ''You as a Witness'' in a Workers' Compensation Proceeding
• Benefits of Early Reporting of Injuries
• State Workers' Insurance Fund ''Checklist''
• SWIF's Early Return to Work Program
• Telephonic Reporting Questionnaire
• ''21 day rule'' Reporting guideline Letter
• SWIF Safety Policy and Program Outline
• Certified Safety Committee Addendum
• SWIF debit card brochure, SWIF direct deposit form (SWIF-180 REV 11-11), SWIF payment selection form
• Notice of subrogation lien against a third-party recovery under Section 319 of the Workers' Compensation Act
• Preferred Provider Organization (PPO) Notice
• Free Access to Statewide Preferred Provider Organization (PPO) Notice
• Return-to-Work Program Notice (It is not the same as the SWIF Early Return to Work Program previously listed. Both are still in use.)
• Memo Concerning Section 305.2 of the Workers' Compensation Act.
• Notice to SWIF Policyholders Concerning their Obligation to Comply with Bureau Regulation 121.3b
• Memo regarding access to Pennsylvania Training for Health and Safety (PATHS)
• PA Workplace Safety Committee Certification Program Online Filing Instructions
• SWIF Debit Card Brochure
• SWIF Direct Deposit Form—SWIF—180 REV 11-11
• SWIF Payment Selection Form
• CFPB Disclosure—SWIF—331
• CFPB Disclosure—SWIF—332
• 756-Cover Letter
• Acknowledgement to Employee
• Acknowledgement to Employer
• Delayed Reporting Notice
• Benefits Affidavit
• Acknowledgement to Employee—Claim Petition
• Acknowledgement to Employer—Claim Petition
• Inquiry Letter to Claimant re: Interest in C&R
• Overpayment Due/RTW Letter to Claimant
• Claim Status to Claimant
• Partial C&R
• Employee Consent Form
• Injured Worker's Statement
• Inquiry Letter to Attorney re: Claimant's Interest in C&R
• Claim Status Report Letter to Claimant Attorney
• 760-To Claimant Attorney for Claimant Signature Form
• Letter with LIBC760 Returned for Proper Completion
• Full C&R
• Acknowledgement to Estate of—Fatal
• Confirming C&R Letter to Claimant Attorney
• Denial Rescinded Letter
• Witness Statement
• Claimant Statement & Medical Release/Sign & Return
• Final Receipt-Cover Letter to Claimant
• Final Receipt Cover Letter to Employer
• LOE to Claimant
• Employers Affidavit
• AOR—LIBC—497
• Canceled IME
• Claimant Profile Sheet By Adjuster
• Confirmation—IME
• IME Claimant Letter
• IME Physician Letter
• IME Provider List
• IME Territory Map
• Independent Medical Exams
• Physician Instructions
• Record Review Physician Letter
• Rescheduled IME
• Return To Work EvaluationF. Workers' Compensation Appeals Board
Contact: Steven Loux, WCAB Secretary (717-783-7838)• Workers' Compensation Appeal Board—Overview (http://www.dli.pa.gov/Businesses/Compensation/appeals/Pages/default.aspx) [ongoing updates and changes]
• 2023 Hearing Dates (https://www.dli.pa.gov/Businesses/Compensation/appeals/Pages/2023-Hearing-Dates.aspx)
• Guidance on coming changes to the WCAB hearing process, as follows:
—Preview Video: WCAB July 2022 Process Enhancements Preview—YouTube
—Preview PowerPoint associated with this video
—Training Video: https://www.youtube.com/watch?v= Kz_yqPedl_0&feature=youtu.be
—Training PowerPoint associated with this video
—For WCAIS, Online Help Topics (accessed here) and information postings on the WCAB Dashboard
—Simulations
◦ https://youtu.be/lH4ciYmvfXY
◦ https://youtu.be/vCOvOv1yTwM
◦ https://youtu.be/zj-Wyf0Yizc
◦ https://youtu.be/rPgq-q0iCqc
◦ https://youtu.be/fYnLTSheI_YG. Interpreter Law, Act 172 of 2006
Contact: Melissa Hawkins (717-783-4912)• Model Voir Dire for Qualifying a Non-Certified Sign Language Interpreter or Translator
• 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: https://www.dli.pa.gov/Individuals/Disability-Services/interpreter/Pages/default.aspxH. Office of Unemployment Compensation Benefits Policy
Contact: John Butler 717-783-0613• BAM-12 Pamphlet
• BUR-843 Request for Confidential Information
• DUA-5 Disaster Unemployment Assistance
• FP-01 Notice of new TRA Contact Information
• FP-02 Notice of the Health Coverage Tax Credit
• FP-1099G Statement for Recipients of PA Reemployment Trade Adjustment Assistance (RTAA) Payments
• FP-608 RTAA 2015 Election Form
• FP-609 R2021
• FP-857(DA)R2021
• FP-857(DB)R2021
• FP-857(DM)R2021
• FP-857(IC)R2021
• IB-1 Initial Interstate Claim
• PUA-1099G Statement for Recipients of Pandemic Unemployment Assistance (PUA) Payments
• PUA-2032—Pandemic Unemployment Disqualifying Determination
• PUA-528 Notice of Exhaustion of PUA Benefits
• UC-1 PA UC Handbook Cover Letter
• UC-1011 Work Search Notice
• UC-1080 Shared-Work poster
• UC-1083 Shared Work Application Collective Bargaining Representative Consent Document
• UC-1084 Application Shared-Work Plan (Employer)
• UC-1084(A) Application Instructions
• UC-1088(A) Application Instructions
• UC-1089 Bi-weekly claim form (Employer)
• UC-1091 Application to modify approved Shared-Work Plan
• UC-1099G Statement for Recipients of PA Unemployment Compensation Payments
• UC-1102 Internet Initial Claim Existing Claim
• UC-1103 Internet Initial Application Wages
• UC-1201 Important Registration Requirement
• UC-1201(MC) Don't Lose Your UC Benefits! Register Now
• UC-1201(MC)(ESP) 05-20—iNO PIERDA SUS BENEFICIOS DE COMENSACION POR DESEMPLEA! REGISTRESE AHORA
• UC-1205 Fax Cover Sheet
• UC-1208 Pennsylvania UC Benefits Address Confirmation and Power of Attorney
• UC-1212 PA UC Benefits Address Designation (Non-TPA)
• UC-1290 Notice of Certification Under the Trade Act of 2002
• UC-1290(E)R2021—NOTICE OF TAA CERTIFICATION ISSUED UNDER THE TRADE ACT OF REVERSION 2021
• UC-1290A Notice of Certification Under the Trade Act of 2009
• UC-1290B Notice of Certification Under the Trade Act of 2011
• UC-1290D Notice of Certification Under the Trade Act of 2015
• UC-1295 Trade Act Claim Confirmation
• UC-1298 Instructions for Filing Biweekly TRA Claims
• UC-1299 Selection of Available Insurance Programs
• UC-1609 (ESP) Employer Information—How to Apply for UC benefits (Spanish)
• UC-1609 Employer Information—How to Apply for UC benefits
• UC-1611 Notice of Monetary Eligibility—Combined Wage Claim
• UC-169(C) Fraud Record of Oral Interview—Claimant
• UC-169(E) Employer Record of Oral Interview
• UC-1805 Navigator Application
• UC-1926(ADJ) Request for Additional Information
• UC-1976 Appeal Hearing Participation Worksheet
• UC-199 Document Retention Notice
• UC-2 INS Instructions for Completing PA UC Quarterly Tax Forms
• UC-200 Poster Protect Your Business From Higher Taxes
• UC-2032 Disqualifying Determination—Failure to Identify
• UC-2033 Disqualifying Determination—Failure to Respond
• UC-27 UC Business Card
• UC-2D Request for Employer Wage/Credit Week Information
• UC-2D(OOS) Information Request for Combined Wage Claims
• UC-304 (ESP) Record of Job Applications and Work Search Activities (Spanish)
• UC-304 Record of Job Applications and Work Search Activities
• UC-310 Authorization for Direct Deposit
• UC-331/UC-331(ESP) U.S. Bank RELIACARD® Fee Schedule
• UC-332/UC-332(ESP) U.S. Bank RELIACARD® Fee Chart
• UC-335(1) Invoice for 1st Party research
• UC-335(843) Invoice for 843 research
• UC-335(CA) PA Agency Invoice for 843 research
• UC-335(CS-843) Cost schedule for 843 form
• UC-335(CS-S) Cost schedule for subpoena
• UC-335(S1) Subpoena Invoice for 3rd Party research
• UC-335(S2) PA Agency Subpoena Invoice
• UC-341 Money Network® Fee Schedule
• UC-341(ESP) CARTA DE PRESENTACION DEL MANUEL DEL PROGRAMA DE PRESTACIONES POR DESEMPLEO DE PENSILVANIA (PA-UC)
• UC-360 CARES Insert
• UC-360 Claim Confirmation Letter
• UC-365C New PIN Notice
• UC-393 Letter for Identity Documents
• UC-393(CL) PA CareerLink® ID Verification Form
• UC-393(CL)(ESP)
• UC-393(ESP) Letter for Identity Documents (Spanish)
• UC-42(I)(SW) Application Shared-Work Plan (Claimant)
• UC-49 Request for Full-Time Weekly Wage Information
• UC-494(A) EMPLOYER'S STATEMENT—CREDIT WEEKS (MULTIPLE BASE-YEAR EMPLOYERS)
• UC-50 Benefit Exhaustion Letter
• UC-503 Notice of Court Ordered Withholdings
• UC-503A, UC-503V Cover Letter and Stop Notice for Support Payment Deduction
• UC-504 SIDES E-response Application
• UC-528 Notice of Exhaustion of UC Benefits
• UC-529 Notice of Expiration of UC Benefits
• UC-548 Third Party Fraud Claim Notification
• UC-7 Notice of UC Claim Filed
• UC-700 UC Claims Poster (Private Employers)
• UC-700(ESP) UC Claims Poster (Spanish)
• UC-700A UC Claims Poster (State Employers)
• UC-79 Information Has Been Changed
• UC-810 TTY Biweekly Claims Questions
• UC-810(I) TTY Instructions
• UCP-1 (ESP) PA UC Handbook (Spanish)
• UCP-1 Cover Letter
• UCP-1 PA UC Handbook
• UCP-1081 Shared-Work Program pamphlet
• UCP-1082 Shared-Work Program fact sheet
• UCP-11(E)R2021—Trade Act of 2002 and Reversion 2021
• UCP-11A (ESP) Trade Act of 2002 (Spanish)
• UCP-11A Trade Act of 2002 & Reversion 2014
• UCP-11B (ESP) Trade and Globalization Adjustment Assistance Act of 2009
• UCP-11B Trade and Globalization Adjustment Assistance Act of 2009
• UCP-11C (ESP) Trade Adjustment Assistance Extension Act of 2011
• UCP-11C Trade Adjustment Assistance Extension Act of 2011
• UCP-16 UC for Reimbursable Employers
• UCP-18 (ESP)-UC Appeals Information (Spanish)
• UCP-18 UC Appeals Information
• UCP-22 RFC for Contributory Employers
• UCP-24 Support Withholding from UC
• UCP-26 Information and Instructions for Pennsylvania EUC Claimants
• 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
• UCP-8 State Unemployment Compensation and Supplemental Unemployment Benefit Plans
• UCP-9 UC (EB) Pamphlet May 2020I. Office of Unemployment Benefits—Discontinued Non-Regulatory Documents
• UC-547 MEUC Application
• UC-600 Poster:
Report UC Fraud
• UC-601 Poster:
UC Fraud is a Crime
• UC-602 Cheating the System
• UC-988 UC Claim Referral
• UC-1107 Work-Search Restarting in PA
• UCP-32 Employee or Independent Contractor
• 2013 PA Unemployment Compensation Amnesty Program/Final Report, April 2014: Make It Right
• 2017 PA Unemployment Compensation Amnesty Program/Final Report, April 2018J. Office of Unemployment Compensation Tax Services
• PA-100 Pennsylvania Online Business Tax Registration
• UCMS www.uctax.pa.gov
• UC-2 INS Instructions for Completing PA UC Tax Forms
• UC-746 Records to Be Kept by Employers
• UC-926 Employer Records to be Examined
• UC-2010 File Layouts and Formats for Electronic Reporting of PA Quarterly Unemployment Compensation Wage and Tax Data
• UCP-7 The Problem of ''Localized'' and ''Nonlocalized'' Employment
• UCP-16 UC for Reimbursable Employers
• UCP-32 Employee or Independent Contractor?
• UCP-35 Family Employment
• UCP-36 Employer's Reference Guide to UC
• UCP-40 Controlling UC Costs for Contributory EmployersK. Unemployment Compensation Board of Review
• UC-46B Petition for Appeal and UC-1627 Translation notice is owned by the service center but not listed for OUCB. Website is located at: http://www.uc.pa.gov/appeals/Pages/default.aspx
L. Bureau of Labor Law Compliance
Contact: Bryan Smolock, Director (717-787-0606)• 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 Performances—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
• Prevailing Wage Statistics and Collections
• Labor Standards Statistics and Collections
• Prevailing Wage Rate Determination Search (online)
• Prevailing Wage Determination Request Form (online)
• Prevailing Wage Act
• Prevailing Wage Regulations
• Current Labor & Industry debarment list [updated]
• 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
• Definitions for 29 County Building Common Journeyperson Construction Laborers
• Definitions for 29 County Heavy, Highway Construction Laborers [revised]
• 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 Common Journeyperson Laborers
• Definitions for 33 County Heavy & Highway Laborers [revised]
• Definitions for 33 County Building Operators
• Definitions for 33 County Heavy & Highway Operators
• Definitions for 5 County Building Common Journeyperson Laborers
• Definitions for 5 County Heavy & Highway Laborers [revised]
• Definitions for 5 County Building, Heavy, Highway Operators
• Electrician Lineman notes (statewide)
• 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 Worker Protection and Labor Law non-compliance list
• Act 75 E-Verify FAQs
• Act 75 E-Verify complaint formMonthly reports that summarize the activity of the Bureau on a monthly basis:
• Prohibition of Excessive Overtime in Health Care Act (PowerPoint)
• Bureau of Labor Law Compliance (Prevailing Wage Act PowerPoint)
• Bureau FAQs (online)
• Subminimum Wage application (Minimum Wage Law)
• *New FAQ sheet and information currently being developed on new Minimum Wage regulations to go into effect August 5, 2022M. Bureau of Mediation
Contact: Eric H Sanoba, Director (717-787-2803)
Deborah Pallo, Administrative Officer (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 Mediation LIMS-117
• Act 111 Notice to Bureau of Mediation for Assignment of a Labor Mediatory LIMS-111N. Bureau of Occupational and Industrial Safety
Contact: Matthew W. Kegg, Director, BOIS (717-783-6304)• Accessibility-Only Plan Reviews and Inspections
• Building Code Official (BCO) Certification. Revised November 14, 2007
• 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
• 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
• 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
• Building Approval Information
• New Construction vs. Alterations
• UCC Requirements for Elevators Used for Construction Permit
• Variances
• VRCs
• Wheelchair and Stairchair Lifts
• Work/Equipment in Machine Rooms
• PSF-38 Pennsylvania Tier II Emergency & Hazardous Chemical Inventory
• Toxic Release Inventory (TRI) Invoice
• Asbestos ''Roofing'' letter, dated July 1, 1999
• Bedding and Upholstery/Stuffed Toys Frequently Asked Questions
• Monthly BU Renewal AttachmentO. 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 Industrial Board Petition form
• LIIB 117 Uniform Construction Code Industrial Board Petition form
• LIIB 119 Request for Industrial Board Plans form
• LIIB 121 Flammable and Combustible Liquids Industrial Board Petition form
• LIIB 122 Liquefied Petroleum Gas Industrial Board Petition form
• LIIB 303 Boiler Industrial Board Petition form
• LIIB 304 Water Heater Industrial Board Petition form
• LIIB 305 Unfired Pressure Vessel Industrial Board Petition form
• LIIB 306 Bedding & Upholstery Industrial Board Petition form
• LIIB 307 Stuffed Toy Industrial Board Petition formP. Elevator Safety Board
Contact: Traci Willman, Administrative Officer (717-787-6114)• Board description
• Meeting Dates
• Appeal/Variance/Extension of Time Procedures
• LIIB 112 Elevator Safety Board Petition
Department of
MILITARY AND VETERANS AFFAIRS
(DMVA)
I. POLICY STATEMENTS
• Charter for the PARNG State Facilities Board
• Information Paper for the Operation of the Keystone Conference Center
• DMVA Commonwealth-Owned Housing Policy
• Housing and Keystone Conference Center Committee Charter
• Standard Weapons in Garrison Area at Fort Indiantown Gap
• Air Force Flyover Regulation
• Army Military Aircraft Flyovers
• Support for civilian government and fraternal organizations at Fort Indiantown Gap
• Training at Fort Indiantown Gap
• Hunting Fishing & Outdoor Recreation in the Training Areas
• Operation and Use of Recreational Boats at Fort Indiantown Gap
• Freedom from Abuse, Neglect and Exploitation
• Handbook of Accounting Manual for State Veterans' Homes
• HIPAA Policies and Forms for State Veterans' Homes
• Policy on Maintenance and Use of Veterans' Trust Fund• Emergency Response Plan—Accident and Illness Prevention Program
• Equal Opportunity Plan
• Incident Investigation and Reporting for Workers Compensation
• Information Technology Governance Program
• PA Worker and Community Right-to-Know Training Booklet
• Assignment of Responsibilities for Developing, Implementing and Evaluating the Accident and Illness Prevention Program
• General Safety Standards
• AIPP Employee Safety Suggestion and Compliance Program
• Policy of Smoking/Tobacco Use in the State Veterans Homes
• Smoking and Use of Tobacco at Federal and State Facilities—TAG Statement
• Standards of Conduct and Work Rules—TAG Policy
• Workplace Violence and Workplace Bullying Prevention Policy
• Overt-Time/Compensatory Leave Policy
• Pre-Employment Drug Testing Policy
• Automated Time Collection and Management
• DMVA Return to Work Program for Employees with Temporary Health Restrictions
• Employee-Related Issues/Concerns
• Standard Operating Procedure for Rental of Readiness CentersII. INTERNAL GUIDELINES
• Wear and Appearance of Army Uniforms
• Bomb Threat Plan—DMVA contains classified information
• Weather and Emergency Closure at Fort Indiantown Gap
• Pennsylvania National Guard Military Regulations and Directives (PMR/PaANGR)
• Manual for Courts-Martial under PCMJIII. OTHER/GUIDANCE/INSTRUCTIONAL
MANUALS• Guidelines for Military Family Relief Assistance Program
• Index of Administrative Publications (contains classified information) Pamphlet 25-40
• Military Publications Index of Blank Forms (contains classified information) Pamphlet 25-30
• Organizational and Functional Statement for the DMVA
• Patient Care Policy Manual, Veterans' Homes
• State Home Construction Grant Program
• Veterans Administration Guidelines for State Veterans' Homes
• Pennsylvania Veterans' Memorial
• DMVA Safety Manual
Department Contact: Office of Policy, Planning, and Legislative Affairs, Bldg. 7-36 Fort Indiantown Gap Annville, PA 17003 RA-MVDMVALEGISLATIVE@pa.gov or 717-861-8719
Pennsylvania
COMMISSION ON CRIME AND DELINQUENCY
(PCCD)
I. Office of Criminal Justice System Improvements
• 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
• U.S. Department of Justice, Bureau of Justice Assistance, Byrne State Crisis Intervention Program (SCIP) Guidance
• Minimum Operating Standards for Criminal Justice Advisory Boards (CJABs)
• Minimum Operating Standards for Reentry Coalitions
• Intermediate Punishment Program Minimum Standards
• § 9806 County Intermediate Punishment Plan (Outline)
• Intermediate Punishment Information Sheet
• Intermediate Punishment Program Authorization form
• County Adult Probation and Parole Operating Standards
• County Adult Probation and Parole Operating Standards Monitoring Guidelines
• Mental Health and Justice Advisory Committee Strategic Plan (2023)
• Local Law Enforcement Grant Program (2022)
• Gun Violence Investigation and Prosecution Program (2022)
• Indigent Defense Training Initiative (2023)
• Medical Marijuana Act Enforcement Initiative (2022)
• National Criminal History Improvement Program (2022)
• National Paul Coverdell Forensic Science Improvement Program (2022)
• NICS Act Records Improvement Act (2020, 2021, 2022)
• Adams Walsh Act Initiative (2021, 2022)
• Byrne JAG Reallocation Funds (2020, 2021, 2022)
• Byrne JAG Funding Plan (2022-2023)
• CJAB Technical Assistance (2022)
• Comprehensive Opioid Abuse Program (2018, 2019, 2020, 2022)
• County Intermediate Punishment Program (2023-24)
• County Jail-Based Vivitrol Program (2022)
• County Adult Probation and Parole Grant-in-Aid (2021-22, 2023-24)
• County Adult Probation and Parole Evidence-Based Practices Implementation Program
• Drug Court and Pre-trial Diversion Program (2019, 2021)
• PCPA Offender Identification/Accreditation/PAVTN Support (2022)
• Project Safe Neighborhoods Western District (2019, 2020, 2021, 2022)
• Project Safe Neighborhoods Middle District (2019, 2020, 2021, 2022)
• Project Safe Neighborhoods Eastern District (2018, 2019, 2020, 2021, 2022)
• Prosecuting Cold Cases Using DNA (2022)
• RSAT (2018, 2019, 2020, 2021, 2022)
• John R. Justice (2022)
• Smart Probation Initiative (2022)
• State Opioid Response Grants
• Stepping Up Technical Assistance Center Initiative (2022)
• Training Initiatives-PDAI (2022/2023)
• Training Initiatives-PA Defender Association of PA (2022/2023)
• Assessing Racial and Ethnic Disparities in PA's Criminal Justice System (2022)II. 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 and Adopted by CETB on Dec 2021)
• CETB/PCCD Policy on Act 233 Payments
• PA Constables' Classroom Code of Conduct (Updated June 13, 2023)
• Constable Record Form
• Criteria for instructors as listed on constables' certification application (Updated March 1, 2023)
• Constable Background Check Form (Updated May 2018)
• Act 49 Constable Training Grievance Form (Updated Sept 2019)
• Basic, Continuing Education, Firearms, Optional and Transfer Enrollment FormsIII. Sheriff and Deputy Sheriff Education and Training Board
• Deputy Sheriffs' Training Bulletins and Annual Reports. (April 1990 to Present)
• Deputy Sheriffs' Education & Training Board (DSETB) Policy (Updated December 2020)
• Code of Conduct for deputy sheriffs training, distributed by training contractor to trainees in each basic training and waiver class. (Updated September 2020)
• Sheriff offices submit Employment Forms for new hires through the Sheriff & Deputy Sheriff Information System (SDSIS)
• Basic Training Physical Form
• DSETB Instructor Application
• Sheriff offices submit waiver requests through the Sheriff & Deputy Sheriff Information System (SDSIS)
• DSETB Physical Training StandardsIV. Office of Financial Management and Administration
• PCCD Applicant's Manual and related documents on PCCD's website
• U.S. Department of Justice Grants Financial Guide
• 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards
• Commonwealth of Pennsylvania, Governor's Office, Management Directive 305.20, Grant Administration
• Funding guidelines disseminated as needed by various offices
• Federal award documents and associated conditions posted on PCCD's website
• PCCD Policy for Addressing Complaints Regarding Inherently Religious Activities
• Memo from the Federal Office of Management and Budget regarding ACORN
• Revised Standard Subgrant Conditions
• Federal Funding Accountability and Transparency Act guidance
• Time and Effort Reporting Standards
• Fiscal Accountability Guidelines
• Accounting System Requirements
• Audit Responsibilities
• EEOP Certification
• PCCD Civil Rights Compliance Procedures
• PCCD Discrimination Complaint Form.
• Department of Justice Office for Civil Rights Training for Grantees
• Grants Management Training PowerPoint
• Grants Information Frequently Asked Questions
• Time and Effort Reports Frequently Asked Questions
• Keystone Login & Registration Walkthrough Guide
• PCCD Egrants Agency Registration Request Form
• PCCD Egrants New User Role Request Form
• PCCD Egrants User Manager Help Guide
• PCCD Egrants Role Request Walkthrough
• General Grant Application Guides
• PCCD Competitive Grant Process Overview• Clearance and Endorsement of Certain Grant Applications
• PCCD Concept Paper and Grant Application Technology Conditions
• PCCD Privacy Certificate and Confidentiality Requirements
• Monitoring Training
• Sample Fiscal Monitoring Request Notification
• Reporting Potential Fraud, Waste and Abuse
• Acceptable Personal Services Contract
• Pass-Through Agreement
• Employee Time Certification
• Completed Sample Timesheet
• Timesheet Template
• Property Transfer Request Form
• PCCD Grant Applicant Readiness Checklist
• PCCD Grant Post Award Training
• Project Modification Request Guidance
• Project Modification Request Walkthrough
• Fiscal Report Walkthrough
• Program Report WalkthroughV. Office of Juvenile Justice and Delinquency Prevention
• Pennsylvania Juvenile Justice System Enhancement Strategy Monograph (2012)
• Advancing Balanced and Restorative Justice through Pennsylvania's Juvenile Justice System Enhancement Strategy (2015)
• Blueprints for Healthy Youth Development
• Joint Policy Statement on Aftercare (2005)
• Mental Health/Juvenile Justice Joint Policy Statement (2006)
• Models for Change
• Building Pennsylvania's Comprehensive Aftercare Model Probation Case Management Essentials for Youth in Placement (2008)
• Results First Cost-Benefit Analysis for PCCD's Evidence-Based Initiatives
• 2023 Pennsylvania Juvenile Justice and Delinquency Prevention Plan
• Statewide Juvenile Defender Training Initiative (2023)
• 2023-2024 PA Academic and Career/Technical Training Funding Announcement
• OJJDP Substance Abuse Education and Demand Reduction Research-Based Funding Announcement (2018, 2019, 2020/2021, 2022, 2023)
• Violence & Delinquency Prevention Programs Funding Announcement (2018, 2019, 2020)
• Community Coalition Capacity Building (3CB) Funding Announcement (2021 and 2023)
• Secure Compliance Monitoring Project (2019, 2022)
• Pennsylvania DMC Youth/Law Enforcement Corporation (2018, 2022)
• EPISCenter/Standardized Program Evaluation Protocol (SPEP) (2023)
• SPEP Project at Vanderbilt University (2018, 2021)
• A Validation of SPEP in Pennsylvania: A Brief Summary
• Summary of the Results of SPEP Validation Study: Final Report
• SPEP Score Interpretation and SPEP Scores
• PA Start/STOP Messaging Campaign Funding Announcement (2020, 2021, 2022, 2023*) *Competitive solicitation for 2023.
• JJSES Training and Technical Assistance Project (2019, 2020, 2022, 2023)
• EPIS 2022—2026 Prevention Initiative• Guidelines for the administration of the 2023 Pennsylvania Youth Survey—Survey Coordinator Training Instructions and Proctor Script/Instructions
• Pennsylvania Youth Survey (1989 to Present)
• Opioid Misuse Prevention Project Continuation Awards (2021, 2022, 2023)
• Support for Implementing the Screening, Brief Intervention, and Referral for Treatment (SBIRT) Program (2021, 2022, 2023)
• Training and Technical Assistance for Expanding the Use of Evidence-Based Programs in Schools (2021)
• 2021 Support for R/ED Coordinators
• Addressing Youth Substance Use and MH Funding Announcement (2023)VI. Office of Victims' Services
A. Victims Compensation
• Victims Compensation Claim Form (Standard) (Updated 4/21)
• Victims Compensation Claim Form (One Page) (Updated 4/21)
▪ Spanish (Updated 4/21)
▪ Vietnamese (created 5/21)
▪ Russian (created 5/21)
▪ Chinese (created 5/21
▪ Korean (created 5/21)
▪ German (created 5/21)
▪ Portuguese (created 1/22)
▪ Turkish (created 4/22)
▪ Ukrainian (created 9/22)
▪ Braille (created 6/22)
• Victims Compensation Sexual Assault Claim Form (One Page) (Updated 10/21)
▪ Spanish (Updated 11/21)
▪ Vietnamese (created 11/21)
▪ Russian (created 11/21)
▪ Chinese (created 1121
▪ Korean (created 11/21)
▪ German (created 11/21)
• Financial Assistance for Victims of Crime pamphlet (updated 10/21)
• Spanish (created 10/21)
• Vietnamese (created 10/21)
• Russian (created 10/21)
• Chinese (created 10/21)
• Korean (created 10/21)
• German (created 10/21)
• Portuguese (created 1/22)
• Victim Advocate Manual—rewritten 2014 and merged with Standard Operating Guidelines (Continual Updates)
• DAVE Brochure for online access of compensation claims (Updated 10/21)
▪ Spanish (Updated 10/21)
▪ Vietnamese (created 10/21)
▪ Russian (created 10/21)
▪ Chinese (created 10/21)
▪ Korean (created 10/21)
▪ German (created 10/21)
• Vehicular Claim Addendum Form (Updated 3/07)
• Emergency Compensation Award Application (updated 10/21)
▪ Spanish (Updated 11/21)
▪ Vietnamese (created 11/21)
▪ Russian (created 11/21)
▪ Chinese (created 11/21)
▪ Korean (created 11/21)
▪ German (created 11/21)
• Protocols and Billing Procedures for Forensic Rape Examinations (Updated 11/21)
• Law Enforcement Victims' Rights Notification Guide (updated 3/21)
◦ ENGLISH Guide, Postcard (3/21)
◦ ENGLISH Guide, One Page—Front (3/21)
◦ ENGLISH Guide, One Page—Front and Back (3/21)
◦ SPANISH Guide, Postcard (3/21)
◦ SPANISH Guide, One Page—Front (3/21)
◦ SPANISH Guide, One Page—Front and Back (3/21)
• Law Enforcement Victims' Rights Notification Guide (updated 3/21)
◦ ENGLISH Guide, Postcard (3/21)
◦ ENGLISH Guide, One Page—Front (3/21)
◦ ENGLISH Guide, One Page—Front and Back (3/21)
◦ SPANISH Guide, Postcard (3/21)
◦ SPANISH Guide, One Page—Front (3/21)
◦ SPANISH Guide, One Page—Front and Back (3/21)
◦ CHINESE Guide, One Page—Front (3/21)
◦ GERMAN Guide, One Page—Front (3/21)
◦ KOREAN Guide, One Page—Front (3/21)
◦ RUSSIAN Guide, One Page—Front (3/21)
◦ VIETNAMESE Guide, One Page—Front (3/21)
• SAVIN Poster (English/Spanish)
• SAVIN Brochure (English) (10/10)
• SAVIN Brochure (Spanish) (10/10)
• SAVIN Brochure (Bosnian) (10/10)
• SAVIN Brochure (Mandarian) (10/10)
• SAVIN Brochure (Vietnamese) (10/10)
• SAVIN Brochure (Russian) (10/10)
• SAVIN Tear-Off Pad (English/Spanish)B. Victims Services
• STOP Violence Against Women SART Development 2022
• STOP Violence Against Women Enhancing Services to Culturally Specific Populations 2022-2023
• STOP Violence Against Women Formula Grant Program 2022—2024
• STOP PDAI Training and Technical Assistance Project 2022—2024
• STOP PCPA Virtual Training 2022—2024
• PCADV STOP 2022—2024
• PCAR STOP 2022—2024
• STOP Judicial 2022
• STOP OVA Training and Technical Assistance 2022—2024
• Rights and Services Act (RASA)/Victims of Juvenile Offenders (VOJO) Funding Announcement, 2023—2024
• Rights and Services Act (RASA)/Victims of Juvenile Offenders (VOJO) Funding Announcement, 2021-2022
• Victims of Crime Act Non-Competitive, 2020—2023
• Victims of Crime Act Non-Competitive, 2023—2025
• Statewide Crisis Response Initiative Funding Announcement, 2020—2022
• Statewide Crisis Response Initiative Funding Announcement, 2022-2023
• Statewide Victim Witness Training Project 2021-2022
• Statewide Victim Witness Training Project 2023
• Sexual Assault Services Funding Announcement 2022-2023
• Sexual Assault Services Funding Announcement, 2021-2022
• PDAI-PA SAVIN Maintenance Funding Announcement 2022—2026
• Pennsylvania Victim Services Training (PVST) Online Learning Management System, 2020—2022
• Pennsylvania Victim Services Training (PVST) Online Learning Management System, 2022-2023
• PA Department of Aging Hotline & Technology Grant, 2020—2022• Antiterrorism & Emergency Assistance Program (AEAP), 2020—2022
• Victims' Rights Law Enforcement Video Project 2022
• Pennsylvania's STOP Implementation Plan, 2022—2025
• Office of Victim Services Monitoring Guidelines Revised (Revised 2021)
• Justice Assistance Grant Single Solicitation Local Initiatives 2021-2022
• Local Victim Services Fund Guidelines
• Victim Services SurveyVII. Office of Research, Evaluation and Strategic Policy Development
• Justice Reinvestment Initiative: Maximizing State Reforms—U.S. Department of Justice/Bureau of Justice Assistance
• Criminal Justice Population Projections Committee Annual Report
• Population Projection System Update—2018
• NCA Member Child Advocacy Centers (2017—2023)
• PA Chapter of CACs and MDITs (2016—2021)
• Child Advocacy Centers of PA 2022
• Emerging CACs and MDITs (2016—2020)
• Developing Satellite CACs—2022
• 2022 Child Advocacy Center Development
• CACs in PA and Drive-time Analysis Map
• Child Advocacy Center and MDIT Development (2017, 2018)
• Child Advocacy Center Statewide Plan Development: Technical Assistance to the Commonwealth of Pennsylvania
• Project Safe and Smart—2022
• Project Safe and Smart Funding Announcement Webinar
• Endowment Act—Prevention (2017, 2021)
• Endowment Act—Child Advocacy Centers (2015-2016, 2018-2019, 2020, 2022)
• Endowment Act—Direct Victim Services Org. (2015-2016, 2018-2019, 2020, 2022)
• Endowment Act—Programs Assisting Victims (2015-2016, 2019)
• Endowment Act—Treatment Training (2015-16, 2018-19, 2021)
• Endowment Act Planning Session Results (2015—2022)
• Endowment Act—CACs and Victim Service Providers 2019
• Endowment Act—PAV—Youth with Problematic Sexual Behaviors
• Notice of Proposed Expenditures Letters for Endowment Act (2015—Present)
• Endowment Act Grant Applications Recommended Maps (2015—Present)
• Endowment Act Interactive Map (2016—2022)
• Model Set of Standards for Pennsylvania's Multidisciplinary Investigative Teams
• 2018 PDAI MDIT Training Symposiums and Webinars
• 2022 PDAI MDIT Training Symposium
• CAC's of PA Children's Justice Act funding (2019—2022)
• 2021 CJA Mini-grants Program
• CJA Projects Overview for CACAC
• National Children's Alliance Accreditation Guidelines for Children's Advocacy Centers
• National Children's Alliance Standards for Accredited Members
• Non-Profit Security Grant Funds (2020—2023, Fall 2022)
• Non-Profit Security Grant Fund Walkthrough Webinar (2021-2022)
• Non-Profit Security Grant Funding—PMRs
• Pennsylvania Consolidated Victim Service Program Standards
• Pennsylvania Coalition Against Rape Standards
• Using Mental Health Screening Tools with Child Trauma Survivors
• The Safe and Healthy Communities Initiative: Implementation Guide
• Program Income for Child Advocacy Centers Webinar
• Outcomes Framework for CACs
• TF-CBT Advanced Training Report
• CSEC Survivors Forum Summary
• CACAC response to Council on Reform
• State CAC Outcomes Report (2016 through 2022)
• Endowment Act Outcomes Report (2016 through 2022)
• CACAC Memo on Legislative Recommendations
• CACAC letter to Senate in Support of SB871
• Testimony for Senate Aging and Youth Committee on Proposed Revisions to CPSL
• Child Abuse Medical Forum
• Improving Child Abuse Investigations—LE Training
• Support Families of Child Abuse Victims
• Understanding Childhood Trauma—Attorney Training
• PA ICAC—§ 6312 Training
• CACAC Legislation and Policy
• PCCD Medical Funds Summary
• PCCD Peer Reviewer Solicitation (2020—23)
• School Safety and Security Assessment Criteria and Overview
• School Safety and Security Survey
• School Safety and Security Grant Program (2018 and 2019) Funding Announcements
• Community Violence Prevention/Reduction (2018, 2019, and 2020) Funding Announcements
• COVID-19 School Health and Safety Grants for 20-21 (2020), both for public schools and intermediate units on behalf of nonpublic schools) Funding Announcements (CARES Act and ESSER)
• School Safety Provider Registry and Guide
• School Security Guard Vendor Registration
• School Security Personnel Training Standards
• Threat Assessment
▪ Model K—12 Procedures and Guidelines (2nd Edition) (2022);
▪ Guidance on Communication and Information on Confidentiality;
▪ Information for School Staff, Parents, and Guardians;
▪ Threat Assessment Team Training;
▪ Information for School Students;
▪ Threat Assessment Process (2022);
▪ Threat Assessment Case Management Form (2022); and
▪ Technical Assistance and Training Network
• Model Trauma-Informed Approach Plan (2019)
• Students Preventing Violence in School
• Grant Guides
• Act 55 of 2022 School Safety and Security Training FAQ Guidance (2022-23)
• Act 55 School Security Personnel Training Standards (2022)
• Act 55 School Safety and Security Coordinator Training Standards (2022)
• School Mental Health & Safety and Security Grants (2022)
• FY 2022-23 School Mental Health Survey Results (2022)
• Baseline Criteria (2021)
• Revised Baseline Criteria (2023)
• Research Report—''Cost of Non-fatal Firearm Injuries in Pennsylvania, 2016—2021'' (2022)VIII. PCCD Executive Offices
• Agency Annual Report (2022)
• 2021—2025 PCCD Strategic Framework (2020)
• Gun Violence Research Agenda (2020)
• Gun Violence Reduction Funding Announcement (2021)
• Local Gun Violence Prevention Efforts in PA During COVID-19 (2021)
• Naloxone for First Responders Program Guidelines and related information on PCCD's website (2020, 2021, 2022)
• Naloxone Distribution Expansion Grants Funding Announcement (2023)
• Violence Intervention and Prevention Funding Announcement (2021)
• Violence Intervention and Prevention Technical Assistance Project Funding Announcement (2021)
• Violence Intervention and Prevention Funding Announcement (2022)
• Coordinated Community Violence Intervention Strategies Pilot Grants Funding Announcement (2022)
• Violence Intervention and Prevention Grants Evaluation Project Funding Announcement (2023)
• PA Peace Alliance & Statewide Community of Practice (VIP Technical Assistance Initiative)
Pennsylvania
HOUSING FINANCING AGENCY
(PHFA)
I. 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 (as updated 2016))
12 Pa. Code, Section 31.201 et seq.
Contact: Lori Toia (717.780.3945)• HEMAP Consumer Credit Counseling Agencies on PHFA website at www.phfa.org
Contact: Lori Toia (717.780.3945)• Privacy Policy
Contact: Tom Brzana (717.780.3996)II. GUIDANCE MANUALS
A. Development Division
• PHFA Multifamily Housing Application and Guidelines (contains PennHOMES, Taxable and Tax-Exempt Financing and Low Income Housing Tax Credit Guidelines)
• 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)B. Technical Services Division
• Architectural Submission Guide
• PHFA Preconstruction Meeting Guide• General Payout Procedures for Mortgagors & Contractors
Contact: Kristy Provost (717.780.1846)C. Housing Management Division
• PHFA Property Operations Manual
• PHFA Section 8 Non-Performance Based Property Operations 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)D. 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 Philadelphia Family Resource Center Initiative Requirements
• Family Supportive Services Program Manual with Philadelphia Escrow/Waiver Requirements
• Quick Connections (supportive services newsletter)
Contact: Melissa Reifsnyder (717.780.4353)E. Single Family Housing Division
• PHFA Seller's Guide
Contact: Kate Newton (717.780.3891)• Renovate & Repair Program Guidelines
Contact: Roberta Schwalm (717.780.3838)• Pennvest Homeowner Septic Loan Program Guidelines
Contact: Roberta Schwalm (717.780.3838)III. 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
Contract Susan Delgado (717.780.3882)• PHFA Fraud Detection, Prevention, Escalation and Resolution Policy
• PHFA Quality Assurance Plan for Residential Mortgage Loan Programs
• PHFA Secondary Market Interest Rate Risk Management and Hedging Policy
Contact: Kate Newton (717-780-3891)V. OTHER
• Anti-Predatory Lending
• Anti-Predatory Lending and Foreclosure Prevention Presentation—CD-Rom
• Anti-Predatory Lending and Foreclosure Prevention—Trainer's Guide
Contact: Terri Redmond (717.780.3835)• PHFA Annual Report
• Pennsylvania Housing Studies (available only on website at www.phfa.org)
• Employer Assisted Housing (EAH) Initiative
• PHFA Homebuyer Workbook
• Do-Able Renewable Home (Accessibility Workbook)
Contact: Chris Anderson (717.780.3815)• Financial Reporting Information
Contract either Joseph Knopic (717.780.3826) or Heather Shull (717.780.3886)A. PHFA Brochures
• Programs for Homebuyers
• Housing Counseling and Education
• Don't Get Hooked by Predatory Lending
• Foreclosure Prevention
• PAHousingSearch.com
• Mortgage Tax Credits
• PENNVEST Homeowner Septic Program
• Why Should I Choose a PHFA Mortgage
• Renovate & Repair Loan Program (R&R) (available only in the website at www.phfa.org)
• Multifamily Development and Rental Housing
• Help with Housing (general PHFA brochure)
• Employer Assisted Housing (EAH) Initiative
Contact: Chris Anderson (717.780.3815)B. PHFA Program Notices
• PHARE Plan & RFP
Contact: Melissa Raffensperger (717.780.3947)• National Housing Trust Fund Program
Contact: Holly Glauser (717.780.3994)• Manufactured Home Community Rights Act Notice
Contact: Legal Department (717.780.3846)• HEMAP-Revised Act 91/6 Program Notice (and alternative language notices)
Contact: Lori Toia (717.780.3945)C. Programs for Home Buyers
• HFA PreferredTM and HFA Preferred Risk SharingTM
• Keystone Home Loan
• Keystone Government Loan
• Keystone Advantage Assistance Loan
• HOMEstead Assistance Loan
• Access Modification and Access Assistance Loans
• Mortgage Credit Certificate
Contact: Kate Newton (717.780.3891)D. Programs for Home Owners
• Mortgage Refinancing
Contact: Kate Newton (717.780.3891)• Renovate and Repair Program
• PENNVEST Homeowner Septic Program
• Homeowners Energy Efficiency Loan Program
Contact: Roberta Schwalm (717.780.3838)• Homeowner's Emergency Mortgage Assistance Program (HEMAP)
Contact: Lori Toia (717.780.3945)Additional information on these programs and other resources 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
MUNICIPAL RETIREMENT SYSTEM
(PMRS)
I. POLICY STATEMENTS
• 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
• Delayed Interest Payment Policy
• Designating Signatories
• Disability Reserve Funding
• DROP—Deferred Retirement Option Program
• Excess Interest Award Process
• Indemnification Policy
• Investment Policy Statement
• Missed Contributions Policy Statement
• 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
Contact: Doug Baker (717) 787-2065II. GUIDANCE MANUALS
• PMRS Notes & News
• PMRS Pamphlets:
Plan Benefit Summary (individualized for each municipality)
Evaluating Your Pension Plan
Pennsylvania Municipal Retirement System
• Individual Municipality Plan Benefit Agreements
• PMRS Website: www.pmrs.state.pa.us
Contact: Doug Baker (717) 787-2065III. DECISIONS
• PMRS Board of Trustees Adjudications Topics:
Death Benefit
Disability
Membership Eligibility
Miscellaneous
Payment of Interest
Pension Benefit
Pension Forfeiture
Purchase of Service
Retirement-Covered Compensation
Contact: Doug Baker (717) 787-2065IV. INTERNAL GUIDELINES
• 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
Contact: Doug Baker (717) 787-2065
MUNICIPAL POLICE OFFICERS' EDUCATION
AND TRAINING COMMISSION
(MPOETC)
Lethal Weapons (Act 235)
Physical Examination—LWTA (SP 8-200A)
Psychological Examination—LWTA (SP 8-200B)
Lethal Weapons Exemption—LWTA (SP 8-200C)
Renewal of Agent Certification—https://www.tacs.pa.gov/tacs/
Vision Examination—(SP 8-200V)MPOETC (Act 120)
Application for Police Officer Certification Examination: https://www.tacs.pa.gov/tacs/
Physical Examination (MPO-210)
Psychological Examination (MPO-212)
Application for Consideration of Reinstatement of Certification (MPO-213)
Vision Examination (MPO-211)
Post-Traumatic Stress Evaluation Form (MPO-214) (Effective 7/2021)
Application for Waiver Assessment Test (MPO-225) (Modified 8/2021)
• Modification was to allow out-of-state LE officers to take the test
• Modifications made to allow for additional training details to be included
• Modifications made to employment details
Replacement ID Card Request Form (MPO-237) (Effective 11/21)
Certified Law Enforcement Control Tactics Instructor (MPO-239) (Effective 1/2023)
Canine Unit Evaluation Form (MPO-240) (Effective 1/2023)
Application for Approval of Canine Training Organizations (MPO-243) (Effective 5/2023)MPOETC (Act 57) (Forms LE-001—LE-005 were created and approved 1/2021 but did not go into effect until 7/14/2021)
Separation Record Form (LE-001) (Effective 7/2021)
Authorization and Release Form (LE-002) (Effective
7/2021)
Waiver Form (LE-003) (Effective 7/2021)
Correction Request Form (LE-004) (Effective 7/2021)
Hiring Report Form (LE-005) (Effective 7/2021)
Agency Onboarding Form (LE-006) (Effective 11/2020)RLEIA (Act 79)
Certified Law Enforcement Firearms Instructor Application
Retired Officer Concealed Carry Acknowledgement Form
Firearms Instructors Qualification Card Order Form (MPO-253)All of the non-regulatory, compliance-related documents listed above are available from the Pennsylvania State Police by contacting the Department at the following address or phone number:
Pennsylvania State Police
Bureau of Research & Development
1800 Elmerton Avenue
Harrisburg, PA 17110
(717) 783-5536Documents are also available from the State Library, Government Publication Section at 219 Forum Building, Harrisburg, PA 17120 and may be obtained through inter-library loan.
Pennsylvania
STATE POLICE
(PSP)
GUIDANCE MANUALS, BROCHURES, FORMS AND OTHER MATERIALS
A. Bureau of Criminal Investigation
• Terrorism Tipline Card
• Business Terrorism Intervention Program (TIP) forms
• Terrorism Tips—Get Involved, Report Homeland Security or Terrorism Tips
• PA TIPLINE: Suspicious Activity Reporting
• CIKR and PACIC Brochure
• Drug Tipline Card
• SAR Brochure—What is Suspicious Activity ReportingB. Bureau of Human Resources & Bureau of Liquor Control Enforcement
• Liquor Enforcement Officer Trainee Brochure (SP 5-348)
C. Bureau of Patrol
• Emergency Vehicle Designation (SP 6-115)
• Child Safety Seat Identification Decal (SP 6-153)D. Bureau of Integrity and Professional Standards
• Complaint Verification Form (SP 1-108)
E. Bureau of Records and Identification
• Information for Pennsylvania Firearms Purchasers and Basic Firearm Safety (SP 4-135)
• Application/Record of Sale (SP 4-113)
• Request for Criminal Record Check (SP 4-164)
• Right-to-Know Law Request (SP 3-226)
• Notice of Crash Investigation and Application to Obtain Copy of Police Crash Report (SP 7-0015)
• Pennsylvania Instant Check System Challenge (SP 4-197)F. Bureau of Research and Development
• Pennsylvania Annual Police Pursuit Report
https://www.policepursuits.pa.gov
• Crime in Pennsylvania: Uniform Crime Report (2008—2018)
https://www.ucr.pa.gov/PAUCRSPublicG. Equality and Inclusion Office
• Sexual Harassment, Sexual Misconduct Policy and Complaint Procedures Pamphlet (SP 5-355)
• Sexual Harassment, Sexual Misconduct Policy and Complaint Procedures Pamphlet-Spanish version (SP 5-355S)H. Bureau of Training and Education—Academy
• Pennsylvania State Police—The Difference Is You (SP 5-359)
All of the non-regulatory, compliance-related documents listed above are available from the Pennsylvania State Police by contacting the Department at the following address or phone number:
Pennsylvania State Police
Bureau of Research & Development
1800 Elmerton Avenue
Harrisburg, PA 17110
(717) 783-5536Documents are also available from the State Library, Government Publication Section at 219 Forum Building, Harrisburg, PA 17120 and may be obtained through inter-library loan.
PUBLIC SCHOOL EMPLOYEES'
RETIREMENT SYSTEM
(PSERS)s
I. GUIDANCE MANUALS
• PSERS Active Member Handbook (Current Ed. 07/2019)
• PSERS Retired Member Handbook (Current Ed. 03/2014)• PSERS Pamphlets:
Let's Talk About: Taxes on Your Retirement Benefits (07/2017)
Let's Talk About: Disability Retirement Benefits (06/2016
Let's Talk About: PSERS Death Benefits (10/2018)
• Information for New School Employees (07/2019)
• PSERS Return to Service Exceptions (07/2018)
• PSERS Divorce Guidelines (09/2012)
• PSERS Active Member Newsletter (Vol. 1, 2, 3)
• PSERS Retired Member Newsletter (Vol. 1, 2, 3)
• The Employer Bulletin (Bimonthly)
• PSERS Employer Reference Manual
• Online Estimate Calculator Retirement Planning at your Fingertips
Contact: Evelyn Williams (717) 720-4734II. 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 Williams (717) 720-4734III. 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
• PSERS Oral Argument Policy
• PSERS Fraud, Waste and Abuse Reporting Policy
• PSERS Business Rules Categories:Administration of Member Accounts
Appeals
Customer Service
Death
Disability
Disbursements
Divorce
Employer
Enrollment
Estimate
Final Average Salary
Global
Health Care and Premium Assistance
Interest
Leave of Absence
Member
Multiple Service
Nomination of Beneficiary
Pension Forfeiture
Purchase of Service
Receivables
Refund
Required Beginning Date
Retirement
Retirement-Covered Compensation
Return to Service
Superannuation
T-F Election
Contact: Evelyn Williams (717) 720-4734IV. OTHER
• PSERS Website: psers.pa.gov
• PSERS Comprehensive Annual Financial Report (Includes Mission Statement)
• PSERS Summary Annual Financial Report
• 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 Budget Report Highlights
• PSERS SEC Form 13F filing
• PSERS Asset Listing (Fiscal Year End)
• Actuarial Tables and Computational Procedures, Pa. Bulletin, Vol. 48, No. 26, pp. 3839—3938, June 30, 2018
• Pennsylvania School Retiree Health Care Coverage
Website: hopbenefits.com
Health Options Program
Premium Assistance Program
Contact: Evelyn Williams (717) 720-4734
Department of
REVENUE
(DOR)
BUREAU OF ADMINISTRATIVE SERVICES, TAX FORMS SERVICE UNIT
1854 BROOKWOOD STREET, HARRISBURG, PA 17104-2244
TELEPHONE: 1-800-362-2050 (Toll-free number) ¦ FAX: (717) 346-1958
DOR WEBSITE: www.revenue.pa.gov• DEX-41—Application for Refund/Rebate Due the Decedent
• DEX-93—Personal Income Tax Correspondence Sheet (available via internet only)
• DFO-02—Personal Income Tax Preparation Guide
• DFO-03—Property Tax/Rent Rebate Preparation Guide
• DMF-76—Liquid Fuels and Fuels Recordkeeping Requirements for Retail Service Stations
• DMF-76A—Liquid Fuels and Fuels Recordkeeping Requirements for PA Registered Distributors
• DMF-101—Alternative Fuels Tax Report
• DMF-105—International Fuel Tax Agreement—Recordkeeping Requirements and Disposition of Decals
• DMF-107—Decal Waiver/Exempt Vehicle Q&A
• PA Schedule 19—Taxable Sale of a Principal Residence
• PA-20S/PA-65 Partnership—PA S Corporation Information Return—(available only through internet after 2010)
• PA-40—Personal Income Tax Return
PA-40 Schedule A—Interest Income
PA-40 Schedule B—Dividend Income
PA-40 Schedule D—Sale, Exchange or Disposition of Property
PA-40 Schedule E—Rents and Royalty Income (Loss)
PA-40 Schedule J—Income from Estates or Trusts
PA-40 Schedule O—Other Deductions
PA-40 Schedule P—Refund Donations to Pennsylvania 29 College Savings
Program Accounts
PA-40 Schedule SP—Special Tax Forgiveness
PA-40 Schedule T—Gambling and Lottery Winnings
PA-40 Schedule UE—Allowable Employee Business Expenses
PA-40 Schedule W-2S—Wage Statement Summary
• PA-40 ES (P/S/F)—Declaration of Estimated Tax or Estimated Withholding Tax for Fiduciaries, Partnerships & Other Pass Through Entities
• PA-40 ES (I)—Declaration of Estimated Personal Income Tax
• PA-40 IN—Personal Income Tax Instruction Book—Resident/Nonresident/Part-Year Resident (order by year needed)
• PA-40 NR—Personal Income Tax Instruction Book/Nonresidents (1995 & prior-order by year needed)
• PA-40 Schedule C—Profit or Loss from Business or Profession (Sole Proprietorship)
• PA-40 Schedule F—Farm Income and Expenses
• PA-40/PA-41 Schedule G-L—Calculation of Credit for Taxes Paid to Other States (Long Form)
• PA-40 Schedule NRH—Instructions for Apportioning Income by Nonresident Individuals
• PA-40 V—Payment Voucher (available via internet only)
• PA-40 W-2RW—PA W-2 Reconciliation Worksheet (available via internet only)
• Schedule PA-40 X—Amended PA Personal Income Tax Schedule
• PA-40/PA-41 Schedule OC—Other Credits
• PA-40ESR(F/C)—Declaration of Estimated or Estimated Withholding Income Tax for Fiduciary & Partnerships
• PA-40ESR(I)—Declaration of Estimated or Estimated Withholding Income
• PA-41—Instructions (detailed instructions available via internet only after 2003)
• PA-41—PA Fiduciary Income Tax Return
• 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 NRK-1—Nonresident Schedule of Shareholder/Partner/Beneficiary Pass Through Income, Loss and Credits
• PA-41 Schedule OI IN—Other Information Instructions
• PA-41 Schedule RK-1—Resident Schedule of Shareholder/Partner/Beneficiary Pass Through Income, Loss and Credits
• PA-41 V—Payment Voucher (available via internet only)
• Schedule PA-41 X—Amended PA Fiduciary Income Tax Schedule
• PA-971—Innocent Spouse Relief
• PA-1000—Property Tax or Rent Rebate Claim
• PA-1000 A—Deceased Claimant and/or Multiple Home Prorations
• PA-1000 B/D/E—Widow or Widower/Public Assistance/Business Use Prorations
• PA-1000 Booklet—Property Tax/Rent Rebate Instruction Book
• PA-1000 F/G—Multiple Owner or Lessor Prorations/Income Annualization
• PA-1000 PS—Physicians Statement of Permanent and Total Disability
• PA-1000 RC—PA Rent Certificate and Rental Occupancy Affidavit
• PA-8379—Injured Spouse Claim & Allocation
• PA-8453—Pennsylvania Individual Income Tax Declaration for Electronic Filing
• PA-8453C—PA Corporate Net Income Tax Declaration for a State e-file Report
• PA-8453F—Pennsylvania Fiduciary Income Tax Declaration for Electronic Filing
• PA-8453-NRC—Nonresident Consolidated Income Tax Return (PA-40 NRC) Tax Declaration for a State e-file Return
• PA-8453P—PA S Corporation/Partnership Information Return—Directory of Corporate Partners Tax Declaration for a State e-file Return
• PA-8857—Request for Relief from Joint Liability
• PA-8879—Pennsylvania e-file Signature Authorization
• PA-8879C—e-file Signature Authorization for RCT-101, PA Corporate Net Income Tax Report
• PA-8879F—Pennsylvania Fiduciary e-file Signature Authorization
• PA-8879-NRC—Pennsylvania e-file Signature Authorization for Nonresident Consolidated Income Tax Return (PA-40 NRC)
• PA-8879P—PA e-file Signature Authorization for PA S Corporation/Partnership Information Return Directory of Corporate Partners
• PA-12507—Innocent Spouse Statement
• PA-12508—Non-Requesting Spouse Information Request for Innocent Spouse Review
• PA-12510—Questionnaire for Relief from Joint Liability for Requesting Spouse
• 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-72—Sales Tax Exemption Instructions and Application
• REV-181—Application for Tax Clearance
• REV-183—Realty Transfer Tax Statement of Value
• REV-221—Sales & Use Tax Rate Chart
• REV-227—PA Sales and Use Tax Credit 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-276—Application for Extension of Time to File (PIT)
• REV-346—Estate Information Sheet
• REV-413 (F)—Instructions for Estimating PA Fiduciary Income Tax—For Estates and Trusts Only
• REV-413 (I)—Instructions for Estimating PA Personal Income Tax—For Individuals Only
• REV-414 (F)—Estates and Trusts Worksheet for Estimated Tax
• REV-414 (I)—Individuals Worksheet for Estimated Tax
• REV-415—Employer Withholding Information Guide
• REV-419—Employee's Nonwithholding Application Certificate
• REV-459B—Consent to Transfer, Adjust or Correct PA Estimated Personal Income Tax Account
• REV-467—Authorization for Release of Tax Records
• REV-484—Statement of Financial Condition for Businesses
• REV-488—Statement of Financial Condition for Individuals
• REV-489—Tips for Successfully Filing PA Schedule UE
• REV-527—Office of Taxpayer Rights Advocate Brochure
• REV-543—PA Distributor's Guide to License Classification
• REV-551—Dyed Diesel Fuel Inspection Notice
• REV-554—Your Rights as a Taxpayer (Disclosure Statement)
• REV-556—Taxpayer Request for Assistance
• REV-563—Business Trust Fund Taxes Responsible Party Information Form
• REV-573—Property Tax/Rent Rebate Brochure
• REV-577—Estimated Tax Payments—For PA Personal Income Tax Brochure
• REV-581—Personal Income Tax Fact Sheet
• REV-588—Starting a Business in Pennsylvania
• REV-611—Determining Residence for PA Personal Income Tax Brochure
• REV-612—Military Pay for PA Personal Income Tax Purposes Brochure
• REV-625—Sale of Your Principal Residence and PA Personal Income Tax Implications Brochure
• REV-631—Tax Forgiveness for PA Personal Income Tax Fact Sheet
• REV-636—Retirement—Traditional IRAs and Roth IRAs Brochure
• REV-677—Power of Attorney and Declaration of Representative
• REV-703—PA Cigarette Tax and Other Tobacco Products Administrative Due Dates
• REV-704—PA Malt Beverage Tax Payment and Report Due Dates
• REV-705—PA Pari-Mutuel Wagering Tax Return and Payment Due Dates
• REV-706—PA Small Games of Chance Administrative Due Dates
• REV-717—Retailers' Information Guide
• REV-757—Employer Letter Template
• REV-775—Personal Income Tax Employee Expense Affidavit
• REV-793—Consumer Cigarette Use/Excise Tax Return
• REV-796—PA Mass Transit (PTA/VRT) Returns, Tax Periods, and Administrative Due Dates
• REV-819—Sales Use, Hotel Occupancy Tax Returns, Tax Periods and Administrative Due Dates
• REV-853—Corp Tax Annual Extension Request Coupon
• REV-854—EIN/Tax Year/Address Change Form
• REV-857—Corp Tax Estimated Tax Payment Coupon
• REV-860—Schedule C-5, OA and OD
• REV-861—Schedule DA Disposition of Assets
• REV-915—PA Small Games of Chance Request for Game Approval
• REV-934—Schedule of Nonbusiness Income
• REV-956—Institution of Purely Public Charity Renewal Affidavit
• REV-976—Election Not to be Taxed as a PA S 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-1123—Educational Improvement/Opportunity Scholarship Tax Credit Election Form
• REV-1200—CT-1 Corporation Tax Instruction Book (order by year needed)
• REV-1220—Pennsylvania Exemption Certificate
• REV-1329—Corrected School District Code Report
• REV-1500—Instructions for form REV-1500 PA Inheritance Tax Resident Decedent
• REV-1601—Tax Credit Certification Request Form (Pennsylvania Employment Incentive Payment Program)
• REV-1605—Names of Corporate Officers
• REV-1611—Interest Rate and Calculation Method for All Taxes Due After Jan. 1, 1982
• 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—Tax-Exempt Obligation for Pennsylvania Personal Income Tax Purposes
• REV-1667—Annual Withholding Reconciliation Statement
• REV-1689—PA Schedule D-1 Calculation of Installment Sale Income
• REV-1705-R—Tax Account Information Change/Correction Form
• REV-1706—Business/Account Cancellation Form
• REV-1716—Period Ending and Administrative Due Dates for the Remittance of Employer Withholding and Filing of Quarterly Returns and W-2 Forms
• REV-1729—Tax Information for Farmers—State and Local Sales and Use Tax Brochure
• REV-1737A—Nonresident Inheritance Tax Return
• REV-1742—PIT Gain or Loss on Property Acquired prior to June 1, 1971/PA Schedule D-71
• REV-1799A—Time Limitations on the Filing of Appeal
• REV-1808—Licensed Manufacturers, Wholesalers & Retailers Reporting Schedule for (RYO) Roll-Your-Own Tobacco
• REV-1809—Consumer Tobacco Products Use/Excise Tax Return for Tobacco Products Purchased on or after October 1, 2016
• REV-1810—PA Medical Marijuana Gross Receipts Tax Due Dates
• REV-1827—PA Consumer Fireworks Tax Due Dates
• REV-1829—PA Wine Excise Tax Due Dates
• REV-1831—Tips for Reporting Common Expenses (Schedule C)
• REV-1832—1099-MISC Withholding Exemption Certificate
• REV-1834—Adjustments for Bonus Depreciation and Deduction
• REV-1840—Hotel Booking Agent Registration Form
• REV-1849—Business Operations QuestionnaireREGULATIONS/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 ENFORCEMENT AND TAXPAYER
ASSISTANCE
STRAWBERRY SQ. FLOOR 10, 327 WALNUT ST, HARRISBURG, PA 17128
TELEPHONE: (717) 783-9685• DCI-02—Tobacco Tax for Law Enforcement Brochure
BUREAU OF INDIVIDUAL TAXES
PO BOX 280600, HARRISBURG, PA 17128-0600
TELEPHONE: (717) 787-8346• PA-1436—Electronic Filing Test Package
THE 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
Department of
STATE
(DOS)
I. POLICY STATEMENTS
A. 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) 772-5193B. State Athletic Commission
• Athlete Agents, 58 Pa. Code §§ 41.1—41.3
Contact: Gregory Sirb (717) 787-5720C. Bureau of Corporations and Charitable Organizations
• Limited Liability Companies, 19 Pa. Code §§ 71.1-71.2
Contact: Elizabeth Rago (717) 783-9120D. Bureau of Professional and Occupational Affairs
1. Commissioner of Professional and Occupational Affairs
• Schedule of Civil Penalties—Pharmacists and Pharmacies, 49 Pa. Code § 43b.7a
• 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
Contact: Cynthia Montgomery (717) 783-72002. State Board of Chiropractic
• Patient Records, 49 Pa. Code § 5.51a
Contact: Shakeena Chappelle (717) 214-57023. State Board of Dentistry
• Use and 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: Christina Townley (717) 787-17624. State 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: J. Leslie Warner—717-783-33975. State Board of Medicine
• Expert Witnesses, 49 Pa. Code § 16.52a
• Disciplinary Guidelines for Use of Anabolic Steroids, 49 Pa. Code § 16.97
Contact: Saiyad Ali 717-783-48526. State 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) 783-71427. State Board of Examiners of Nursing Home Administrators
• Temporary Permits, 49 Pa. Code § 39.17
• Subordinate Supervision, 49 Pa. Code § 39.18
Contact: Thomas Leech (717) 710-27508. State Board of Optometry
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 23.101
Contact: Shakeena Chappelle (717) 214-57029. State Board of Osteopathic Medicine
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 25.291
Contact: Priscilla Turek 717-346-118810. State 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) 783-715611. State Board of Physical Therapy
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 40.54
Contact: Michelle Roberts (717) 783-486112. State 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: Thomas Leech, II (717) 710-275013. State 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: Sarah McNeill (717) 783-138914. State Board of Examiners in Speech-Language Pathology and Audiology
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 45.3
Contact: Shakeena Chappelle (717) 214-5702II. GUIDANCE MATERIALS
A. Department of State
• Right-to-Know Law Policy (revised 8/1/2016)
Contact: Janelle Hawthorne (717) 317-5340B. Bureau of Corporations and Charitable Organizations
• Registration Packets for Charitable Organizations, Professional Solicitors, Professional
• Fundraising Counsels and Purely Public Charities
• Exclusions and Exemptions Chart
• Guidelines on Charitable Solicitations Using the Internet
• Financial Statement Waiver Requests Requirements
• Annual Charities Reports
• A Guide to Business Registration in Pennsylvania
• Veteran or Reservist-Owned Small Business Report
• Registration of Foreign Associations—General Rule and Exclusions
• Sample Registration Forms
• History of LLP/Professional LLC Annual fees
• UCC Report to the Governor and the General Assembly
Contact: Elizabeth Rago (717) 783-9210C. Bureau of Professional and Occupational Affairs
• Covid-19 Pandemic Related Guidance:
◦ Important Reminder Regarding Expiration of Covid-19 Waivers
◦ Waived and Suspended Licensing Regulations
◦ Non-Approved Covid-19 Treatments and Medications
• Telemedicine Frequently Asked Questions
• Occupational Licensure Requirements Snapshots
• 50 State Comparison Report—A Comparison of State Occupational Licensure Requirements and Processes
• Veterans' Licensure Report
• Military Occupational Crosswalk (Act 35 of 2022)
• New Pennsylvanians Licensure Report
• Professional Licensure Guides and Timelines
• Tips for a Smooth Application Process
• BPOA Programs and Policies
• Guidelines for filing a complaint and how a complaint is processed• Office of the Prothonotary and Office of Hearing Examiners Guidance Documents:
◦ BPOA Hearing Schedule
◦ Frequently Asked Questions
◦ Video and Telephonic Hearing Protocols
◦ Hearing Examiner Practice Preferences
• Professional Health Monitoring Programs—General Information
• Pennsylvania Licensing System (PALS) Frequently Asked Questions (PDF)
• Policy Statement Interpreting the term ''Infectious, Communicable or Contagious Disease''
• Professional Licensure Scam Alert
• State Tax Compliance Notice
• National Transportation Safety Board—Safety Recommendations I-41-1 and -2 (PDF)
• Act 53 of 2020 Best Practices Guide (English and Spanish)
• Preliminary Determination Application User Guide
• Guidance for applying for licensure under Act 41 of 2019 for practitioners licensed outside the Commonwealth
• Act 6 of 2018 Reporting of Sanctions and Criminal Proceedings—Special Notice
• Notice—Act 6 of 2018 Expungement Provisions
• Act 135 of 2016—Business Fee Exemption for Veteran-Owned and Reservist-Owned Small Business
• Guidance related to Act 31 of 2014 Child Abuse Recognition and Reporting Continuing Education:
◦ Special Notice to All Health-related Licensees and Funeral Directors
◦ Act 31 of 2014—Frequently Asked Questions
◦ Approved Act 31 of 2014 Child Abuse Recognition and Reporting Continuing Education Providers
◦ Act 31 of 2014—How to become an approved CE provider
◦ Act 31 of 2014—Items Required for Course Approval
◦ Act 31 of 2014—BPOA Child Abuse Training Providers Process
◦ Act 31 of 2014—Child Abuse CE Import File Layout
◦ Mandated Reporter Training Relating to Child Abuse Recognition and Reporting
◦ Department of Human Services Child Abuse Recognition and Reporting Approved Course Provider Listing
◦ Act 31 of 2014—Exemption Request FormGuidance for all health-related boards:
• Health Care Practitioner Photo Identification Badge Requirement
• Letter to Veteran's Administration Hospitals Regarding License Verifications
• Special Notice Regarding Home Health Care Services Ordered by Out-of-State Physicians
• Act 125 of 2016—Consent to Prescribe Opioid Medications to a Minor
• Act 125 of 2016—Frequently Asked Questions—Prescribing Opioids to Minors
• Pennsylvania Prescription Drug Monitoring Program
• Clarification of Opioid Continuing Education Requirement Under ABC-MAP
• Pennsylvania Guidelines: Safe Administration of Low-Dose Ketamine
• Pennsylvania Guidelines: Treating Pain in Patients with Opioid Use Disorder (OUD)
• Pennsylvania Guidelines: Treatment of Acute and Chronic Pain in Patients with Sickle Cell Disease
• Pennsylvania Guidelines: Opioids to Treat Chronic Non-Cancer Pain
• Pennsylvania Guidelines: Emergency Department Pain Treatment• Pennsylvania Guidelines: Obstetrics & Gynecology Pain Treatment
• Pennsylvania Guidelines: Geriatric Pain Treatment
• Pennsylvania Guidelines: Opioids in Dental Practice
• Pennsylvania Guidelines: Opioid Dispensing
• Pennsylvania Guidelines: Use of Addiction Treatment Medications in the Treatment of Pregnant Patients with Opioid Use Disorder
• Pennsylvania Guidelines: Safe Prescribing for Workers Compensation
• Pennsylvania Guidelines: Safe Prescribing of Benzodiazepines for Acute Treatment of Anxiety and Insomnia
• Pennsylvania Guidelines: Safe Prescribing of Opioids in Orthopedics and Sports Medicine
• Pennsylvania Guidelines: Safe Prescribing of Opioids in Pediatric and Adolescent Populations
• Evidence-Based Prescribing: Tools You Can Use to Fight the Opioid Epidemic
• Drug Enforcement Administration (DEA) Renewal Change
• Naloxone Frequently Asked Questions
• Naloxone Prescription for Overdose Prevention (Standing Order)
• Naloxone for Opioid Safety—A Provider's Guide to Prescribing to Patients Who Use Opioids
• Fentanyl Safety Recommendations
• Elder Financial Abuse Prevention
• Elder Abuse Guide
• Senior Safe Web
• CHIP Provider Enrollment Information
Contact: Cynthia Montgomery (717) 783-72001. State Board of Accountancy
• Exam Credit Extensions due to COVID-19 Emergency Disaster Declaration
• Peer Review Notice—License Renewal (for 2020-2021 License Renewal Period)
• Listing of State Contacts for Criminal Background Checks
• CPA Board Examination Information
• License Renewal Information
• Special Notice Regarding CPE Changes (dated February 2010)
• Special Notice—CPE Certification and the 150 Semester Credit Education Requirement
• Act 53: Information for Individuals with Criminal Convictions
• CPA Examination Credit Extension Requests (revised October 2021)
• CPA Law Change Effective 8/18/13
• Summary of Amendments to the CPA Law—Act 73 of 2008
• CPE Reporting Form
• Authorship Certification Statement Form
• Verification of Experience Form
• Request for Waiver of CPE Requirements
• Request for Extension of Time to Complete CPE
• Elder Financial Abuse Prevention
• Licensure Snapshot: Certified Public Accountant
• 50 State Comparison Report: A Comparison of State Occupational Licensure Requirements and Processes
Contact: Miranda Murphy (717) 214-84022. State Board of Architects Licensure
• Electronic Signatures and Seals During Covid-19 Pandemic
• Act 53: Information for Individuals with Criminal Convictions
• Listing of State Contacts for Criminal Background Checks
• Seal Information
• Changes to the ARE
• ARE Rolling Clock Policy Update
Contact: Jessica Harris (717) 787-29273. State Board of Auctioneer Examiners
• Guidance Regarding Bedding and Upholstery Law
• Significant Changes to Auctioneer Licensing and Trading Assistant Registration Act
• Act 53: Information for Individuals with Criminal Convictions
Contact: Terrie Kocher (717) 783-48654. State Board of Barber Examiners
• Act 53: Information for Individuals with Criminal Convictions
• Cosmetology and Barber Training Through Career and Technical Center Program
• Barber Licensure Guide & Timeline
• Quarterly Hour Report for Students (form)
• Suggested Bond form for Barber Schools
• Barber Student Training in a Barber Shop Information
• Learn more about the coronavirus (COVID-19) outbreak
• If your license is expired (information regarding expired licenses)
• Listing of State Contacts for Criminal Background Checks
• Examination Information (Scheduling Examinations through Pearson Vue)
• License Renewal Cycle and Fees
• Pennsylvania Licensing Requirement
Contact: Sharona Evans (717) 772-85385. State Board of Certified Real Estate Appraisers
• Licensure Snapshots: Certified General Appraiser, Certified Pennsylvania Evaluator, Certified Residential Real Estate Appraiser, Licensed Appraiser Trainee
• 50 State Comparison Report: A Comparison of State Occupational Licensure Requirements and Processes
• 8/2022: 2020-21 USPAP Extended until 12/31/2023
• 1/2022: CREA Distance Education Definitions
• 1/2022: Report Released on Review of USPAP and AQB Criteria (1/19/2022 press release from the ASC)
• 8/2021: AQB Adopts Changes to Real Property Appraiser Qualification Criteria
• 4/2021: USPAP Extension and 7-Hour Update Course Information for 2022-2023
• 2/2021: Current Edition of USPAP Extended until 12/31/2022
• 1/2021: Continuing Education and Qualifying Education In-Person/Classroom Conversion to Virtual Training Due to COVID-19 Through 12/31/2021
• 11/2019: Special Notice—Regarding Real Estate Appraiser and Licensed Appraiser Trainee Qualifications
• 11/2018: Notice to Appraisal Management Companies Regarding National Registry Fee Submission
• 5/18: AQB Qualification Criteria Changes—Effective 5/1/18
• 11/2017: National Registry Fee of Appraisal Management Companies (AMCs)
• Change to Real Property Appraiser Qualification—Effective July 1, 2016
• 1/2016: Licensed Appraiser Trainee Biennial Renewal Fees
• Experience Logs for Licensed Appraiser Trainees
• Experience Log for Upgrade to General Appraiser
• Board Services
• List of Contacts for State Criminal History Record Checks
• Approved PA Law (Act) Course Provider List, May 2023• Approved USPAP 7-Hour Course Provider List, May 2023
• Approved Education Provider Course List, May 2023
• Federal Oversight Agencies
• Act 53: Information for Individuals with Criminal Convictions
• Examination Information
• Listing of Appraisal Management Companies
• Continuing Education for Licensed Appraiser Trainees
• Licensed Appraiser Trainee Registration of Supervisory Appraisers
• Special Notice to Certified Appraisers
• Special Notice—New College Degree Requirement
• Special Notice to Certified Appraisers Regarding Licensed Appraiser Trainee Regulation
• Real Property Appraiser Qualification Criteria—Summary of Changes—Effective May 1, 2018
• National Registry Fee of Appraisal Management Companies
• Notice to Appraisal Management Companies
• Appraisal Qualifications Board
• 2021 Renewal Fee Schedule
• 2023 Helpful Suggestions on How to Renew your PA CREA license (for licensees and AMCs)
• Appraisal Qualifications Board Conducts Audit on Hondros Learning
• AMC Notice of Early Termination
• Request for Bond Form
• Registry for Supervisor of Licensed Appraiser Trainee
• Request for Certification of Licensure for Appraisal Management Company
• Certified Pennsylvania Evaluator Course Form
• Supervisor's Affidavit
• Applicant's Affidavit
• Initial Certification Fee Schedule for Residential and General Appraisers—1/2023
• Initial Certification Fee Schedule for Certified Pennsylvania Evaluator—1/2023
• Education Worksheet
• Required Checklist for Licensed Appraiser Trainee
Contact: Kristel Hennessy Hemler (717) 214-77796. State Board of Chiropractic
• Chiropractors—Expansion of Scope of Practice to Provide Assistance in Responding to COVID-19 (PDF)
• Pennsylvania Extends License Renewal Deadlines for Chiropractors
• Renewal Information
• Frequently Asked Questions
• Special Notice—Chiropractic Radiology Personnel
• Fentanyl Safety Recommendations
• Health Care Practitioner Photo Identification Badge Requirement
• Continuing Education Letter
• Act 53: Information for Individuals with Criminal Convictions
• Elder Financial Abuse Prevention
• Elder Abuse Guide
• Senior Safe Web
Contact: Shakeena Chappelle (717) 214-57027. State Board of Cosmetology
• Cosmetology and Barber Training Through Career and Technical Center Program
• Cosmetology Licensure Guideline and Timeline
• Eyelash Extension Announcement
• Stay Healthy/Safe While Giving Manicures and Pedicures
• Criminal History Record Check Information
• Notice—Recent Decision of the Commonwealth Court regarding Lavatory Requirements
• Notice of Approval of Consent Agreement regarding Microblading
• Pathway to Licensure—Evaluating Criminal History during the Application Process
• Act 53: Information for individuals with Criminal Convictions
• Indoor Tanning Act
• Act 41 of 2019—Applying for a Professional License from Outside of Pennsylvania
• Military Occupational Crosswalk (Act 53 of 2022)
• Act 53 of 2020 Best Practices Guide
• Business Fee Exemption for Veterans and Reservists
• Licensure Snapshot Requirements: Cosmetologist, Cosmetologist Teacher, Esthetician, Esthetician Teacher, Nail Technician, Nail Technician Teacher, Natural Hair Braider, Natural Hair Braider Teacher
• Act 6 of 2018 Notice to All Licensees, Registrants, Certificate Holders & Permit Holders
• Act 6 Expungement Notice
• Policy on Student Absenteeism
• Elder Financial Abuse
• Elder Abuse
• Senior Safe
• Board Services
• Renewal Information
• Examination Information
• Consumer Information
• Listing of State Contacts for Criminal Background Checks
• Updated Square Footage Requirements
Contact: Val Eaton 833-367-24628. State Board of Crane Operators
• Listing of State Contacts for Criminal Background Checks
• Special Notice—Physical Examination Requirement
• List of Board-approved Certifying Organizations
• Act 53: Information for individuals with Criminal Convictions
Contact: Jessica Harris (717) 787-29279. State Board of Dentistry
• Guidance on COVID-19 for Dental Health Care Personnel in Pennsylvania
• Dentist—Expansion of Scope of Practice
• Guidance on licensing waivers—posted 5/17/21
• Guidance on masking for fully vaccinated individuals—posted 5/13/21
• Message from DEA regarding COVID-19
• Learn more about the coronavirus (COVID-19) outbreak
• 6/3/20 updated Department of Health Guidance
• Guidance on Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) Certification during declared state of emergency.
• Act 53: Information for Individuals with Criminal Convictions
• Pennsylvania's Prescription Drug Monitoring Program Announcement
• Pennsylvania's Guidelines: Opioids in Dental Practice
• Act 125 of 2016—Frequently Asked Questions—Prescribing Opioids to Minors
• Opioid Continuing Education for Renewal
• *NEW* Drug Enforcement Administration (DEA) Renewal Change
• Naloxone Frequently Asked Questions
• Naloxone Prescription for Overdose Prevention (Standing Order)
• Naloxone for Opioid Safety—A Provider's Guide to Prescribing to Patients Who Use Opioids
• Health Care Practitioner Photo Identification Badge Requirement
• Opioid Education for Dentist Applications and Renewals Submitted after July 1, 2017
• Clarification of Opioid Continuing Education Requirement Under ABC-MAP
• Special Notice—Dental Radiology Personnel
• Opioid Education Requirements for Initial Licensure and Renewal
• Consent to Prescribe Opioid Medications to a Minor Form
• Evidence-Based Prescribing—Tools You Can Use to Fight the Opioid Epidemic
• Fentanyl Safety Recommendations
• Licensure Snapshots: Dentist; Dental Hygienist, Dental Assistant; Public Health Dental Hygiene Practitioner
• 50 State Comparison Report: A Comparison of State Occupational Licensure Requirements and Processes
• Special Notice—Dental Radiology Personnel
• *NEW* Online CE Waiver—Board Schedules
• *NEW* New DEA Training Requirement
• Fee Increase Regulation—Published November 5, 2022
• EFDA Examination Notification
• 2023 Dentistry Renewal Guide
• Notification Regarding Online LOGS Request
• Volunteer License Application (paper)
• Temporary Volunteer License Application (paper)
• EFDA Education Approval Form
Contact: Christina Townley (717) 787-176210. State Board of Funeral Directors
• Licensure Requirements Snapshots
• Act 53: Information for Individuals with Criminal Convictions
• Funeral Establishments Not Renewed
• Military Occupational Crosswalk (Act 35 of 2022)
• Important Reminder Regarding Expiration of COVID-19 Waivers on October 31, 2022.
• Fentanyl Safety Recommendations
• Business Fee Exemption for Veterans and Reservists
• State Board of Funeral Directors Compliance
• Revised Guidance Regarding the Use of Disinfectant Spray in Funeral Homes
• Funeral Education Provider Course List
• Interpretation of 49 Pa. Code § 13.183 (relating to food and beverages)
• Instructions for Name Approval for Establishments
• Funeral Director Vaccine Status
• 12/2022—B2-Bi-yearly 2022 Newsletter
• 08/2022—FTC New Consumer Guidance
• 06/2022—B1-Bi-yearly 2022 Newsletter
• 09/2021—Request to Hold Human Remains—New Process
• Special Notice to all Health-Related Licensees and Funeral Directors
• Maryland Board of Morticians and Funeral Directors Courtesy Card Information
• Scam Alert
• Act 6 of 2018 Notice to All Licensees, Registrants, Certificate Holders & Permit Holders
• Listing of State Contacts for Criminal Background Checks
• Elder Financial Abuse
• Elder Abuse
• Senior Safe
Contact: J. Leslie Warner—717-783-339711. State Board of Landscape Architects
• Act 53: Information for Individuals with Criminal Convictions
Contact: Terri Kocher (717) 783-486512. State Board of Massage Therapy
• FSMTB Guidelines for Practice with COVID-19 Considerations
• Act 53 of 2020 Best Practices Guide
• Act 53: Information for Individuals with Criminal Convictions
• CE Course Approval for Individual Licensees
• CE Course Approval for Providers
• Frequently Asked Questions of the State Board of Massage Therapy
• Examination Information
• Acceptable CPR for Massage Therapy License
• Continuing Education Frequently Asked Questions
• Continuing Education Waiver for 2025 Renewal
• The Federation of State Massage Therapy Boards' Human Trafficking Task Force Report
• National Human Trafficking Hotline
• Pennsylvania Office of Victim Services—Human Trafficking Information and Victim Assistance
• Health Care Practitioner Photo Identification Badge Requirement
• April 2017 Newsletter
• Elder Financial Abuse Prevention
• Elder Abuse Guide
• Senior Safe Web
Contact: Paul Keller (717) 705-161513. State Board of Medicine
• Important Reminder Regarding Expiration of COVID-19 Waivers on October 31, 2022
• Non-Approved COVID-19 Treatments and Medications
• State Board of Medicine Licensure Guide and Timeline
• New Scam Alert—Health Care Provider Offices Targeted
• PDMP Vendor Transition
• Military Occupational Crosswalk (Act 35 of 2022)
• Licensure Requirements Snapshots
• Act 53: Information for Individuals with Criminal Convictions
• Statement in Support of COVID-19 Vaccination
• Some Continuing Education Restrictions Suspended for Licensed Professionals
• Board Adopts USMLE Policy Regarding Maximum Limit of Four Attempts as of January 1, 2021
• Special Notice—Pennsylvania Health Alert Network
• Medical Board Credentials Verification Fact Sheet
• Supervising Physician and Written Agreement Change Form Updates
• Special Notice—Board Recognition of International Society for Clinical Densitometry (ISCD)
• Special Notice—PennDOT's Medically Impaired Reporting Program
• Continuing Medical Education Requirements
• Special Notice—Written Agreements Insurance Requirement
• Special Notice—PA Patient Safety Anonymous Reporting
• Pennsylvania's New Prescription Drug Monitoring Program
• Pennsylvania Guidelines: Opioids to Treat Chronic Non-Cancer Pain
• Pennsylvania Guidelines: Emergency Department Pain Treatment
• Pennsylvania Guidelines: Obstetrics & Gynecology Pain Treatment
• Pennsylvania Guidelines: Geriatric Pain Treatment
• Pennsylvania Guidelines: Medications in the Treatment of Pregnant Patients with Opioid Use Disorder
• Pennsylvania Guidelines: Safe Prescribing of Opioids in Orthopedics and Sports Medicine
• Pennsylvania Guidelines: Safe Prescribing of Opioids in Pediatric and Adolescent Populations
• Pennsylvania Guidelines: Safe Prescribing for Worker's Compensation
• Naloxone Frequently Asked Questions
• Naloxone Prescription for Overdose Prevention (Standing Order DOH-002-2016)
• Naloxone for Opioid Safety—A Provider's Guide to Prescribing to Patients Who Use Opioids
• Naloxone Standing Order Prescription Letter for Pharmacists
• Frequently Asked Questions—Act 125 of 2016—Prescribing Opioids to Minors
• Consent to Prescribe Opioid Medication to a Minor Form
• Drug Enforcement Administration (DEA) Renewal Change
• Verification of Opioid Education for Medical Physician and Surgeon, Physician Assistant, and Nurse-Midwife with Prescriptive Authority Applications and Renewals Submitted after July 1, 2017
• Clarification of Opioid Continuing Education Requirement Under ABC-MAP
• Evidence-Based Prescribing: Tools You Can Use to Fight the Opioid Epidemic
• Fentanyl Safety Recommendations
• Common Application Discrepancies by License Type: Physician and Surgeon
• Common Application Discrepancies by License Type: Supervising Physician
• Department of Health Survey—2012 Pulse of Pennsylvania Physician and Phys. Asst Workforce
• X-Ray Equipment Operator Refresher Training Requirement
• Auxiliary Radiology Personnel Registration
• Clarification Regarding Professional Liability Insurance for PAC's
• Number of Physician Assistants Supervised by Physician
• Phys. Asst—Approval of Federation Credentials Verification Services
• CRNP—Death Certificates
• National Transportation Safety Board—Safety Recommendations I-41-1 and -2
• PennDOT's Physician Reporting Requirements
• Examination Information
• Paxlovid Information
• Act 6 of 2018 Reporting of Sanctions and Criminal Proceedings, Suspensions and Civil Penalties
• Supervising Physician and written Agreement Change Form updates
• Notice—Act 6 of 2018 Expungement Provisions
• GMT Hospital Application Initiation Process
• GMT Applicant Submission Process
• GMT FAQs
• GMT Criminal History Records Check Guide
Contact: Saiyad Ali (717) 783-485214. Navigation Commission for the Delaware River and Its Navigable Tributaries
• A Guide to the Pennsylvania Navigation Commission
• Act 53 Information for Individuals with Criminal Convictions
Contact: Amanda Li (717) 783-712915. State Board of Nursing
• Nursing Licensure Guide & Timeline
◦ Initial Registered Nurse License by Examination
◦ Initial Registered Nurse License by Endorsement ◦ Renewal of Existing Registered Nurse Licenses
◦ Process Overview
◦ Helpful Links
• Licensure Requirements Snapshots
• Clinical Nurse Specialist
• Certified Registered Nurse Practitioner
• Licensed Dietitian-Nutritionist
• Licensed Practical Nurses
• Registered Nurses
• Military Occupational Crosswalk (Act 35 of 2022)
• State Emergency Registry for Volunteers in PA
• Verification of Opioid Education for CRNP Prescriptive Authority Applications and Renewals Submitted after July 1, 2017
• NEW Act 53 of 2020 Best Practices Guide
• Act 53: Information for Individuals with Criminal Convictions
• Act 53: Rationale for Crimes Related to the Practice of Nursing and Dietetics-Nutrition
• eppiccNURSE—Frequently Asked Questions
• eppiccNURSE—Database
• eppiccNURSE Training Guide for Pre-licensure Programs
• eppiccNURSE Training Guide for CRNP Programs
• Organ Donation Registration
• Donate Life PA
• CRNP and CNS—Clarification on Professional Liability Insurance
• Notice to Employers
• Special Notice: RNs and LPNs Accepting Orders from Other Practitioners
• Home Health Care Services Ordered by Out-of-State Physicians
• LPNs Accepting Oral Orders
• Online instructions for Graduates applying for Exam and/or Graduate Temporary practice Permits
• Online instructions for Registered Nurse or Practical Nurse Licensure by Endorsement and/or TPP
• Online Instructions for Certified Registered Nurse Practitioner Certification—Add
• FAQs on Mandatory Continuing Education for Registered Nurses
• FAQs related to LPN IV Therapy Regulations
• LPN IV Therapy Regulations—Final
• IV Therapy Program Provider List
• Licensed Dietitian-Nutritionists on Continuing Education
• Tips for Renewal
• Reactivation of Licenses Expired or Inactive for less than 5 years
• Reactivation of Licenses Expired or Inactive for 5 or more years
• NURSYS and e-Notify Service
• Out-of-State PN Graduates with Less Than 1500 Program Clock Hours
• NEW REGULATION: General Revisions
• Reporting of Crimes and Disciplinary Actions
• Mandatory Reporting of Crimes and Disciplinary Actions by Licensees
• Board-Approved Nursing Education Programs—LPN
• Board-Approved Nursing Education Programs—RN
• Board-Approved Nursing Education Programs—CRNP
• Board-Approved Nursing Education Programs—CNS
• Board-Approved Nursing Education Programs—Advanced Pharmacology Courses
• NCLX Exam Pass Rates of Prelicensure Programs—RN
• NCLX Exam Pass Rates of Prelicensure Programs—RN
• List of Board-approved English Proficiency Tests
• List of Board-approved Foreign Credentials Evaluators
• List of Board-Approved Reactivation Programs
• List of Board-Approved LPN IV Therapy Education Programs
• Nursing Education Program Forms
◦ Application for Professional or Practical Pre-
licensure Nursing Education Programs
◦ Nursing Education Budget Report
◦ Table of Contents
◦ Distance Education Application Form
◦ Agency Data Form
◦ Faculty Qualification Form
◦ Faculty Completion of Regulatory Requirements
◦ Application for Certified Registered Nurse Practitioner Education Program
• Consumer Information
• Drug Enforcement Administration (DEA) Renewal Change
• Act 124 of 2016—Initial Training and Continuing Education in Pain Management, Addiction and Prescribing and Dispensing Practices for Opioids
• Act 124 of 2016—Clarification of Opioid Education Requirement under ABC-MAP
• CRNPs with Prescriptive Authority—Requirements Under Act 124 of 2016
• Opioid Education or Renewals Submitted after July 1, 2017
• Continuing Education Frequently Asked Questions
• Opioid Prescribing Guidelines
◦ Pennsylvania Guidelines: Treating Chronic Non-Cancer Pain
◦ Pennsylvania Guidelines: Emergency Department Pain Treatment
◦ Pennsylvania Guidelines: Opioids in Dental Practice
◦ Pennsylvania Guidelines: Opioid Dispensing Guidelines
◦ Pennsylvania Guidelines: Obstetrics & Gynecology Pain Treatment
◦ Pennsylvania Guidelines: Safe Prescribing of Opioids in Pediatric and Adolescent Populations
◦ Pennsylvania Guidelines: Geriatric Pain
◦ Pennsylvania Guidelines: Use of Addiction Treatment Medications in the Treatment of Pregnant Patients with Opioid Use Disorder
◦ Pennsylvania Guidelines: Safe Prescribing of Benzodiazepines for Acute Treatment of Anxiety and Insomnia
◦ Pennsylvania Guidelines: Safe Prescribing of Opioids in Orthopedics and Sports Medicine
◦ Pennsylvania Guidelines: Safe Prescribing of Opioids in Pediatric and Adolescent Populations
◦ Pennsylvania Guidelines: Treating Pain in Patients with OUD
◦ Pennsylvania Guidelines: Guidelines for Safe Administration of Low-Dose Ketamine
◦ Pennsylvania Guidelines: Treatment of Acute and Chronic Pain in Patients With Sickle Cell Disease
◦ Pennsylvania Guidelines: Central Nervous System (CNS) Stimulants in Adults Guidelines
◦ Pennsylvania Guidelines: Central Nervous System (CNS) Stimulants in Pediatric Patients Guidelines
• Inactive Status Notice
• Pennsylvania Guidelines: Safe Prescribing for Worker's Compensation
• Opioid Education for CRNP Prescriptive Authority Applications and Renewals Submitted After July 1, 2017
• Opioid Education Required to Renew CRNP Prescriptive Authority Approvals
• Pennsylvania's New Prescription Drug Monitoring Program
• NOTICE-PDMP Vendor Transition
• Fentanyl Safety Recommendations
• Prescription of Suboxone by CRNPs
• Naloxone Frequently Asked Questions
• Naloxone Prescription for Overdose Prevention (Standing Order DOH-002-2016)
• Naloxone for Opioid Safety—A Provider's Guide to Prescribing to Patients Who Use Opioids
• Naloxone Standing Order Prescription Letter for Pharmacists
• Health Care Practitioner Photo Identification Badge Requirement
• LPN Display Portion of License Retained by Employer
• Fireproof Files
• Board Action regarding Registered Nurse Continuing Education (CE) Regulations
• Criminal History Record Check (CHRC)
◦ List of Contacts for State CHRCS
◦ Requests for FBI Identity History Summary Checks
• Fee Increase Notification
• Chip Provider Enrollment Claim Denial Alert
• User Guide for Certified Registered Nurse Practitioner (CRNP) Prescriptive Authority Collaborative Agreement Application
• User Guide for Certified Registered Nurse Practitioner (CRNP) Collaborative Agreement Change Application
• New Scam Alert—Health Care Provider Offices Targeted
• CRNP Statement of Policy
• The Nurse Licensure Compact Commission announces proposed rules: https://www.nursecompact. com/rule-changes
• Act 53: Information for Individuals with Criminal Convictions
• Act 53: Rationale for Crimes Related to the Practice of Nursing and Dietetics-Nutrition Expungement Provisions
• Act 31 of 2014—Initial Training and Continuing Education in Child Abuse Recognition and Reporting Requirements
• Board-Approved Act 31 of 2014 Child Abuse Recognition and Reporting Continuing Education Providers
• Frequently Asked Questions (PDF)
• National Transportation Safety Board—Safety Recommendations I-41-1 and -2
• Nurse Licensure Compact Act (PDF)
• Act 48 of 1993—Schedule of Civil Penalties
• Application for Approval as a Provider of an LPN Infusion Therapy Education Program
• Infusion Therapy Program Faculty Qualification Form
• Infusion Therapy Program Curriculum Checklist
• Infusion Therapy Program Syllabus
• Infusion Therapy Program Certificate
• Infusion Therapy Program Invoice
Contact: Cindy Miller (717) 783-714316. State Board of Examiners of Nursing Home Administrators
• Act 31 of 2014 Mandated Child Abuse Recognition and Reporting
• Act 53: Information for Individuals with Criminal Convictions
• Act 53 of 2020 Best Practices Guide
• Act 6 of 2018 Reporting of Sanctions and Criminal Proceedings, Suspension and Civil Penalties
• Notice—Act 6 of 2018 Expungement Provisions
• Non-Approved Covid 19 Treatments and Medications
• Targeted Distribution of PPE
• Licensing Waiver Information Box 5/17/2021
• Learn more about the coronavirus (COVID-19) outbreak.
• NHA Continuing Education Information
• NAB CE Registry and the PA NHA Board
• Frequently Asked Questions (Updated 7/30/18)
• Approved Providers of 120-hour Programs
• Health Care Practitioner Photo Identification Badge Requirement
• Fentanyl Safety Recommendations
• State Tax Compliance
• Letter to Veteran's Administration Hospitals Regarding License Verifications
• Elder Financial Abuse Prevention
• Elder Abuse Guide
• Senior Safe Web
• New Continuing Education Regulations in Effect for 7/1/2022 to 6/30/2024 Biennial Renewal Period
Contact: Thomas Leech (717) 710-275017. State Board of Occupational Therapy Education and Licensure
• Act 53: Information for Individuals with Criminal Convictions
• Renewal Guide 2023
• Licensure Requirements Snapshots (Occupational Therapist and Occupational Therapist Assistant)
• Special Notice: Professional Liability Insurance
• Occupational Therapy Board FAQs
• Occupational Therapy Board Examination Information
• Updated Code of Ethics
• Continued Competency Regulations for Occupational Therapy Assistants
• Health Care Practitioner Photo Identification Badge Requirement
• Occupational Therapy Expansion of Scope of Practice
• CE Application—Sponsor
• CE Application—Individual
• Military Occupational Crosswalk (Act 35 of 2022)
• Organ Donation
Contact: Paul Keller (717) 705-161518. State Board of Optometry
• Act 53: Information for Individuals with Criminal Convictions
• Licensure Requirements Snapshots
• Important Reminder Regarding Expiration of COVID-19 Waivers on October 31, 2022
• Non-Approved COVID-19 Treatments and Medications
• *NEW* Online C.E. Waiver—Board Schedules
• Military Occupational Crosswalk (Act 35 of 2022)
• PA Prescription Drug Monitoring Program Transition Announcement
• CHIP Provider Enrollment Claim Denial Alert
• Fentanyl Safety Recommendations
• Drug Enforcement Administration (DEA) Renewal
• Department of Health Notice: Acyclovir Ophthalmic Ointment 3% (Avaclyr)
• Safe Prescribing of Opioids in Pediatric and Adolescent Populations
• Emergency Department Pain Treatment Guidelines
• Obstetrics and Gynecology Pain Treatment
• Health Care Practitioner Photo Identification Badge Requirement
• Veteran's Administration Hospitals-License Verification
American Board of Optometry (ABO) Board Certification
• Drugs Approved for PA Optometrists—February 2023.
• Elder Abuse Awareness Training
• Elder Financial Abuse Prevention
• Elder Abuse Guide
• Senior Safe Web
• Position Paper—American Board of Optometry (ABO) Board Certification
• List of Drugs Approved for use by Optometrists
• Department of Health notice: Lifitgrast (Xiidra) Ophthalmic Solution
• Department of Health Notice: Netarsudil ophthalmic solution (Rhopressa®) 0.02%
• Department of Health Notice; Cetirizine ophthalmic solution (Zerviate®) 0.24%
• DEA Rescheduling Hydrocodone Products
• List of Approved Continuing Education
• Optometry Frequently Asked Questions
• Opioid Education for Optometrists Certified to Prescribe and Administer Pharmaceutical Agents Applications and Renewals Submitted After July 1, 2017
• Clarification of Opioid Continuing Education Requirement Under ABC-MAP
• PA Prescription Drug Monitoring Program
• Evidence-Based Prescribing: Tools You Can Use to Fight the Opioid Epidemic
• Pennsylvania Guidelines: Safe Prescribing of Opioids in Pediatric and Adolescent Populations
• FAQs—Act 125 of 2016—Prescribing Opioids to Minors
• Consent to Prescribe Opioid Medication to a Minor Form
• Drug Enforcement Administration (DEA) Renewal Change
• Naloxone Frequently Asked Questions
• Naloxone Prescription for Overdose Prevention (Standing Order DOH-002-2016)
• Naloxone for Opioid Safety—A Provider's Guide to Prescribing to Patients Who Use Opioids
• Naloxone Standing Order Prescription Letter for Pharmacists
• Contact Lens Rule
Contact: Shakeena Chappelle (717) 214-570219. State Board of Osteopathic Medicine
• Act 53: Information for Individuals with Criminal Convictions
• Licensure Requirements Snapshots
• Guidance on licensing waivers
• Guidance on masking for fully vaccinated individuals
• Pearson VUE Information
• Learn more about the coronavirus (COVID-19) outbreak
• Information for telemedicine during the coronavirus emergency
• Telehealth behavioral health services to Medical Assistance beneficiary's information
• Osteopathic Medicine Licensure Guide and Timeline
• Special Notice—Pennsylvania Health Alert Network
• Osteopathic Board Credentials Verification Fact Sheet
• Department of Health Survey—2012 Pulse of Pennsylvania Physician and Physician Assistant Workforce
• PENNDOT Physician Reporting Requirements
• X-ray Equipment Operator Refresher Training Requirement
• Number of Physician Assistants Supervised by Physician
• Acceptance of Federation Credentials Verification Service
• Supervising Physician and Written Agreement Change Form Updates
• Written Agreement Insurance Requirements
• Physician Assistant Workforce
• Verification of Opioid Education for Osteopathic Physician and Osteopathic Physician Assistant Applications and Renewals Submitted After July 1, 2017
• Clarification of Opioid Continuing Education Requirement Under ABC-MAP
• Pennsylvania's Prescription Drug Monitoring Program• Pennsylvania Guidelines: Opioids to Treat Chronic Non-Cancer Pain
• Pennsylvania Guidelines: Emergency Department Pain Treatment
• Pennsylvania Guidelines: Obstetrics & Gynecology Pain Treatment
• Pennsylvania Guidelines: Geriatric Pain Treatment
• Pennsylvania Guidelines: Medications in the Treatment of Pregnant Patients with Opioid Use Disorder
• Pennsylvania Guidelines: Safe Prescribing of Benzodiazepines for Acute Treatment of Anxiety and Insomnia
• Pennsylvania Guidelines: Safe Prescribing of Opioids in Orthopedics and Sports Medicine
• Pennsylvania Guidelines: Opioid Dispensing
• Fentanyl Safety Recommendations
• Evidence-Based Prescribing: Tools You Can Use to Fight the Opioid Epidemic
• Naloxone Frequently Asked Questions
• Naloxone Prescription for Overdose Prevention (Standing Order DOH-002-2016)
• Naloxone for Opioid Safety—A Provider's Guide to Prescribing to Patients Who Use Opioids
• Naloxone Standing Order Prescription—Letter for Pharmacists
• National Transportation Safety Board—Safety Recommendations I-41 and -2
• Drug Enforcement Administration (DEA) Renewal Change
• FAQS—Act 125 of 2016—Prescribing Opioids to Minors
• Consent to Prescribe Opioid Medication to a Minor Form
• Auxiliary Radiology Personnel Registration
• Anti-Terrorism Advisory Council Conference 2019
• Continuing Education Requirements
• Physician and Surgeon Common Application Discrepancies
• Supervising Physician Common Application Discrepancies
• Paxlovid Information
• Military Occupational Crosswalk (Act 35 of 2022)
• GMT Hospital Application Initiation Process
• GMT Applicant Submission Process
• GMT FAQs
• GMT Criminal History Records Check Guide
Contact: Priscilla Turek (717) 346-118820. State Board of Pharmacy
• Act 53: Information for Individuals with Criminal Convictions
• Licensure Requirements Snapshots
• Pharmacy Licensure Guide and Timeline
• Continuing Education Time Frame for the 2022 Renewal
• Announcement for Pharmacy License Applicants (June 29, 2018)
• Opioid Education for Pharmacist Applications and Renewals Submitted after July 1, 2017
• NPLEx-National Precursor Log Exchange
• Patient Safety Continuing Education Required
• DEA Rescheduling Hydrocodone Products
• Governor signs Act 139—Allowing first responders to administer naloxone to individuals experiencing an opioid overdose
• Pennsylvania State Police to Carry Life-saving Naloxone to Combat Heroin and Opioid Overdoses
• Cancer Drug Repository Income Eligibility Notice• Special Notice—Act 8—AAI Professional Liability Insurance Requirement
• PA PDMP—Pennsylvania Prescription Drug Monitoring Program
• Business Fee Exemption for Veteran-Owned and Reservist-Owned Small Businesses
• Pennsylvania Guidelines—Opioid Dispensing
• Clarification of Opioid Continuing Education Requirement Under ABC-MAP
• Revised USP Compounding Standards
• New Compounding Regulations
• Disaster Declaration—Naloxone Delivery
• Amendment to Board Regulations for Naloxone Dispensing
• Naloxone Frequently Asked Questions
• Naloxone Prescription for Overdose Prevention (Standing Order)
• Naloxone for Opioid Safety—A Provider's Guide to Prescribing to Patients Who Use Opioids
• FDA Warns of Potential Counterfeit Drugs from Philadelphia Pharmacy
• Continuing Education Requirements for Pharmacist License Renewal
• Drug Enforcement Administration (DEA) Renewal Change
• Evidence-Based Prescribing: Tools You Can Use to Fight the Opioid Epidemic
• Fentanyl Safety Recommendations
• Health Care Practitioner Photo Identification Badge Requirement
• National Transportation Safety Board—Safety Recommendations 1-41-1 and -2
• Tips for Safe Medication Storage
• Tips for Grandparents on Safe Medication Storage
• Electronic Prescribing of Controlled Substances FAQs
• FDA to Take Action
• DHS Training for Electronic Enrollment in CHIP
• Frequently Asked Questions
• Information for Graduates of Foreign Pharmacy Schools
• Approved CPR Providers for Authorization to Administer Injectables
• CHIP Provider Enrollment Claim Denial Alert
• Elder Financial Abuse Prevention
• Elder Abuse Guide
• Senior Safe Web
• Act 147 of 2022—Expedited Partner Therapy Act
• Military Occupational Crosswalk (Act 35 of 2022)
Contact: Melanie Zimmerman (717) 783-486321. State Board of Physical Therapy
• Act 53: Information for Individuals with Criminal Convictions
• Physical Therapy—Expansion of Scope of Practice
• Licensure Requirements Snapshots
• Notice of Proposed Amendment to PT Compact Rules
• Changes to Continuing Education Regulations
• Webinar Presentation Slides
• New Regulatory Requirements
• Renewal Information—Physical Therapist
• Renewal Information—Physical Therapist Assistant
• Renewal Information—Certificate of Authorized (direct access)
• Approved Continuing Education Programs
• Physical Therapy—Expansion of Scope of Practice
Contact: Michelle Roberts (717) 783-486122. State Board of Podiatry
• Act 53: Information for Individuals with Criminal Convictions
• Learn more about the coronavirus (Covid-19) outbreak• Information Regarding Telemedicine During the Coronavirus Emergency
• Some Continuing-Education Restrictions Suspended for Licensed Professionals
• Expansion of Scope of Practice to Provide Assistance in Responding to COVID-19
• Licensure Requirements Snapshots
• Special Notice—Pennsylvania Health Alert Network
• Podiatry Board Credentials Verification Fact Sheet
• Continuing Education Requirements
• List of Approved Continuing Education Programs
• PENNDOT Physician Reporting Requirements
• X-ray Equipment Operator Refresher Training Requirement
• Pennsylvania's Prescription Drug Monitoring Program
• Evidence-Based Prescribing: Tools You Can Use to Fight the Opioid Epidemic
• Fentanyl Safety Recommendations
• Verification of Opioid Education for Doctor of Podiatric Medicine Applications and Renewals Submitted After July 1, 2017
• Prescribing Opioids to Minors
• Clarification of Opioid Continuing Education Requirement Under ABC-MAP
• Naloxone Frequently Asked Questions
• Naloxone Prescription for Overdose Prevention (Standing Order DOH-002-2016)
• Naloxone for Opioid Safety—A Provider's Guide to Prescribing to Patients Who Use Opioids
• Drug Enforcement Administration (DEA) Renewal Change
• FAQs—Act 125 of 2016—Prescribing Opioids to Minors
• Consent to Prescribe Opioid Medication to a Minor Form
• Auxiliary Radiology Personnel Registration
Contact: Priscilla Turek (717) 346-118823. State Registration Board for Professional Engineers, Land Surveyors and Geologists
• Act 53: Information for Individuals with Criminal Convictions
• Electronic Signatures and Seals During Covid-19 Pandemic
• Engineer Renewal Instructions
• Business Fee Exemption for Veteran-Owned and Reservist-Owned Small Business
Contact: Kristel Hennessy Hemler (717) 214-777924. State Board of Psychology
• Act 53 of 2020 Information for Individuals with Criminal Convictions
• Licensure Requirements Snapshots
• Learn more about the coronavirus (COVID-19) outbreak,
• Some Continuing Education Restrictions Suspended for Licensed Professionals
• Information for telemedicine during the coronavirus emergency
• Telehealth behavioral health services to Medical Assistance beneficiaries
• OMHASA—COVID-19 Telehealth Expansion
• *NEW* Online CE Waiver—Board Schedules
• Renewal Information
• PSYPACT
• Supervised Experience Requirement (Update from 10/7/19 Board Meeting)
• Frequently Asked Questions
• Board Approved Continuing Education Sponsors/Providers
• Continuing Education Information
• Supervised Experience Requirements
• Suicide Prevention Continuing Education Requirement
• Professional Psychologists Practice Act (Act 52 of 1972) Amendments Effective August 23, 2016
• Pearsonvue Information
• CHIP Provider Enrollment Claim Denial Alert
• Health Care Practitioner Photo Identification Badge Requirement
• Letter to Veterans' Administration Hospitals Regarding License Verification
• Mandated Child Abuse Reporter Training Under Act 31 of 2014
• Elder Financial Abuse Prevention
• Elder Abuse Guide
• Senior Safe Web
• Interpretations of 49 Pa. Code § 41.33(a)(5) (relating to supervisors)
Contact: Thomas Leech (717) 710-275025. State Real Estate Commission
• Act 53 of 2020: Information for Individuals with Criminal Convictions
• Schedule of Criminal Convictions that May Constitute Grounds to Refuse to Issue, Suspend, or Revoke a License, Certificate, Registration, or Permit
• Licensure Requirements Snapshots
• Team Advertising
• Real Estate Commission FAQs
• Special Notice Regarding Continuing Education for Renewal Cycle June 1, 2022—May 31, 2024
• Act 75 of 2018 Notice
• Act 135 Business Fee Exemption for Veteran-Owned and Reservist-Owned Small Business
• Real Estate Licensure Guide & Timeline
• List of websites to obtain Criminal Record History from the various states
• Linking Personal and Facility Licenses to your PALS Account
• PALS FAQs
• Elder Financial Abuse
• Elder Abuse
• Senior Safe
• Important Reminder Regarding Expiration of COVID-19 Waivers on October 31, 2022
• New York State Reciprocity Notification
Contact: Deon Bowers 717-772-854226. State Board of Examiners in Speech-Language Pathology and Audiology
• Act 53: Information for Individuals with Criminal Convictions
• Licensure Requirements Snapshots
• Continuing Education FAQs
• Understanding Continuing Education Requirements
• Board Approved Accrediting Agencies for Audiology Doctoral Degrees and Speech-Language Pathology Master's Degrees
• Special Notice—Provisional Licenses
• Special Notice Regarding Home Health Care Services Ordered by Out-of-State Physicians
• Health Care Practitioner Photo Identification Badge Requirement
• A Consumer Guide to Understanding Audiologists
• A Consumer Guide to Understanding Speech-Language Pathologists
Contact: Shakeena Chappelle 717-214-570227. State Board of Social Workers, Marriage and Family Therapists and Professional Counselors
• Licensure Requirements Snapshots
• 2023 Renewal Guide
• Act 53 of 2020 Information for Individuals with Criminal Convictions
• Certain Requirements Waived for those Seeking Licensure as a Psychologist, Social Worker, Therapists and Counselors
• Learn More about the coronavirus (COVID-19) outbreak
• Some Continuing Education Restrictions Suspended for Licensed Professionals
• Information for telemedicine during the coronavirus emergency
• Telehealth behavioral services to Medical Assistance beneficiaries information
• *NEW* Online CE Waiver—Board Schedules
• Social Workers Licensure Guide and Timelines
• Marriage and Family Therapists approved to take exam prior to completion of supervised clinical experience
• Special Notice—30 Clock Hours On-line
• Licensed Social Worker (LSW) Frequently Asked Questions
• Licensed Clinical Social Worker (LCSW) Frequently Asked Questions
• Licensed Marriage and Family Therapist (LMFT) Frequently Asked Questions
• Licensed Professional Counselor (LPC) Frequently Asked Questions
• Clarification of Act 76—Master's Degree Required
• Clarification of Act 76—Independent Practice
• Notice Under the Americans with Disabilities Act
• Suicide Prevention Continuing Education
• Special Notice—1 Clock Hour CE Courses
• Health Care Practitioner Photo Identification Badge Requirement
• CHIP Provider Enrollment Claim Denial Alert
• Letter to Veteran's Administration Hospitals Regarding License Verification
• Elder Financial Abuse Prevention
• Elder Abuse Guide
• Senior Safe Web
• Interpretations of 49 Pa. Code § 48.2(6) (relating to education requirements)
• Interpretations of 49 Pa. Code § 47.12(b) (relating to relating to licensed clinical social worker), 48.13(b) and 49.13(b) (relating to marriage and family therapists)
Contact: Sarah McNeill (717) 783-138928. State Board of Vehicle Manufacturers, Dealers and Salespersons
• Act 53 of 2020 Information for Individuals with Criminal Convictions
• Licensure Requirements Snapshots
• COVID-19 Online Vehicle Transactions Guidance
• Document Preparation Fees
• Criminal Background Check Information
• Act 59 of 2018 Notice
• Fee Increase Notification
• Important Reminder Regarding Expiration of COVID-19 Waivers on October 31, 2022
Contact: James Kushlan (717) 265-762629. State Board of Veterinary Medicine
• Act 53: Information for Individuals with Criminal Convictions
• Licensure Requirements Snapshots
• Guidance on Veterinary Practices amid Covid-19 Pandemic
• AVMA—Minimizing COVID-19 Exposure and Social Distancing in Veterinary Practice
• AVMA guidelines for use of personal protective equipment (PPE) during the COVID-19 pandemic when demand exceeds supply
• AVMA guidance during the COVID-19 pandemic, to include the rescheduling of elective procedures and all nonessential appointments so as to limit staff and public exposure
• Veterinarian and Veterinary Technician (Renewal Schedule)
• Special Notice—APHIS Approved Supplemental Training
• Special Notice—Veterinary Medical Recordkeeping
• Special Notice—Certified Veterinary Technician Specialists
• Special Notice—Vaccination Clinics
• Special Notice—Handling of Stray Dogs and Kennel Licensing Requirements
• List of Approved CE Programs
• List of Approved Euthanasia Technician Training Programs
• Anti-Terrorism Advisory Council Conference Invitation
• CE Course Approval Application
• Department of Health: Final Order temporarily scheduling Xylazine as a Schedule III Controlled Substance
Contact: Michelle Roberts (717) 783-4861D. Bureau of Elections
• Declaration of the Need of Assistance to Vote (English, Spanish, Traditional Chinese, Simplified Chinese, and Vietnamese)
• Secretary's Advisories and Directives to County Election and Voter Registration Officials
• Election Calendars
• Guide to Running a Voter Registration Drive in Pennsylvania
• Instructions for Filing as a Candidate of a Minor Political Party
• Instructions for Filing as a Political Body Candidate
• Instructions for Circulating Nomination Petitions
• Nomination Petitions
• Nomination Papers
• General Information About Running for Public Office
• Voter Education Toolkit and Materials
• Voter Registration Mail Application (English, Spanish, Traditional Chinese, Simplified Chinese, and Vietnamese)
• 2021 Report to the General Assembly—The Administration of Voter Registration in Pennsylvania
• Absentee and Mail-in Ballot Forms (English, Spanish, Traditional Chinese, Simplified Chinese, and Vietnamese)
• Voting Rights of Convicted Felons, Convicted Misdemeanants and Pretrial Detainees
• Voter Hall of Fame Inductees
• Pennsylvania's Guide to Agency-Based Voter Registration Programs
• Statement of Complaint—Violations of Title III of the Help America Vote Act of 2002 (English, Spanish, and Traditional Chinese)
• The Commonwealth of Pennsylvania State Plan (as required by the Help America Vote Act of 2002)
• Elections News Poster (English and Spanish)
• Poll Worker Training Videos (English)
Contact: Jessica Mathis (717) 787-5280E. Bureau of Notaries, Commissions & Legislation
• Becoming a Notary/Notary Services
• Electronic/Remote Notarization
• Court Reporters
• General Information and Equipment
• Notary Education Course Approval
• What to Know About RULONA
• Steps to Becoming an Electronic or Remote Notary in Pennsylvania
• List of Approved Electronic and Remote Notarization Solution Providers
Contact: Jessica Mathis (717) 787-5280F. Bureau of Campaign Finance and Lobbying Disclosure
• Non-Bid Contract Reporting Forms
• Lobbying Disclosure Registration and Reporting Forms
• Lobbying Disclosure Directory
• Lobbying Statute, Regulations, Frequently Asked Questions (FAQs) and Manual for Accounting and Reporting
• Campaign Finance Registration and Reporting Forms
• Campaign Finance Calendar of Filing Deadlines
• Campaign Finance Reporting Law Pamphlet
• Campaign Finance Reporting Law Frequently Asked Questions
• Campaign Finance Independent Expenditure Reporting Forms
• Campaign Finance Voucher Request Form
• Statement of Organization—Independent Expenditure Committee
• Statement Regarding the Effect of the U.S. Supreme Court's Decision in Citizens United v. FEC on Pennsylvania Law
• Statement Regarding the Effect of the Preliminary Injunction Order in General Majority PAC v. Carol Aichele, et al., on Pennsylvania Law
• Annual Reports on Lobbying Disclosure, 2014—2021
• Unsworn Statement for Campaign Finance Reports
• Unsworn Statement for Campaign Finance Statements
• Unsworn Statement for Independent Expenditure Reports
• Summary of Act 2020-15 Unsworn Declarations for Campaign Finance
• Lobbying Disclosure Step-by-Step Instructions: Keystone Login Authentication
• Lobbying Disclosure Step-by-Step Instruction: Creating a New Registration
• Lobbying Disclosure Step-by-Step Instructions: Amended an Existing Registration
• Lobbying Disclosure Step-by-Step Instructions: Terminate a Registration
• Lobbying Disclosure Step-by-Step Instructions: Registration Transfer
• Lobbying Disclosure Step-by-Step Instructions: Creating a New Expense Report
• Lobbying Disclosure Step-by-Step Instructions: Affirm an Expense Report
• Lobbying Disclosure Step-by-Step Instructions: Amending an Expense Report
• 2023-2024 Lobbying Disclosure Renewal Notice
• Lobbying Disclosure Equity Report Job Aid
• Lobbying Disclosure Equity Reporting Form Additional Lines
• Lobbying Disclosure ID Badge Application
• Equity Report FAQ's
• Political Committee Registration Statement: Completed Sample Registration
• Campaign Finance 10-day Enforcement Memo
• Candidates Q & A
• Judicial Candidates Q & A
• Notification of Clarification—Terminating Committees
Contact: Trisha Robinson (717) 787-5280G. Bureau of Election Security and Technology
• Notice on What Constitutes a Vote
• Online Voter Registration Web Application Programming Interface Forms
• Voting System Certification Reports
• Directives, Guidance or Job Aids to Statewide Uniform Registry of Electors Database Users
• Agency Release Notes for Development Related to Elections Technology
• Directives and Guidance Related to Voting Systems
• Pennsylvania Voting System Security Standard
• Election Administration and Voting Survey (EAVS)
• Election Data Catalog, Public Requests and Data Review
• Electronic Poll Book Approval Reports
• PA Voter Services and Online Elections Applications
• COOP Documentation and Procedures for Election Operations
Contact: Sindhu Ramachandran (717) 787-5280III. INTERNAL GUIDELINES
A. Bureau of Professional and Occupational Affairs
• Recusal Guidelines for Board Members
Contact: Cynthia Montgomery (717) 783-72001. State Board of Medicine
• Mcare Triage Guidelines
Contact: Saiyad Ali (717) 783-14002. Navigation Commission for the Delaware River and Its Navigable Tributaries
• Internal Operating Procedures Involving Inactive Status of Pilots
Contact: Mathew Eaton (717) 602-75493. State Board of Examiners of Nursing Home Administrators
• Guidelines for Continuing Education Audit
Contact: Chris Stuckey (717) 783-71554. State Board of Osteopathic Medicine
• Mcare Triage Guidelines
Contact: Priscilla Turek (717) 346-11885. State Board of Veterinary Medicine
• Inspection Checklist
Contact: Michelle Roberts (717) 783-4861B. Division of Election Security and Technology, Bureau of Elections
• Policy on Election System Security Measures
Contact: Zane Swanger (717) 787-5280C. Bureau of Notaries, Commissions & Legislation
• Procedures for Receiving, Processing and Advertising Non-Emergency Proposed Constitutional Amendments
Contact: Jessica Mathis (717) 787-5280
THE PENNSYLVANIA INFRASTRUCTURE
INVESTMENT AUTHORITY
Guidance:
• PENNVEST: Financing Clean Water for Pennsylvania, 2008
• On-Lot Sewage Disposal System for the Individual Homeowner Funding Program, 2012
• PENNVEST Annual Report, 2021-2022
• Brownfield Redevelopment Guidelines & Forms
• Handbook for PENNVEST Wastewater Projects
• Handbook for PENNVEST Drinking Water Projects
• PENNVEST Nutrient Credit Clearinghouse Rulebook
• PENNVEST Lead Line Replacement Incentive
• PENNVEST Military Installation Remediation/Polyfluoroalkyl Substances (PFAS) Remediation Program Guidance
• PENNVEST Small Projects Guidance
• PENNVEST Programmatic Financing (Pro Fi) Guidance
• PENNVEST Sublevel Revolving Loan Program Guidance
• PENNVEST Clean Water Procurement Program Guidance
• PENNVEST Emerging Contaminant, Lead Service Line, and Lead Testing and Remediation Program Guidance for Funds Awarded Under the Water Infrastructure Improvements for the Nation Act (WIIN) and the Infrastructure Investment and Jobs Act (IIJA)
• PENNVEST Informational Videos, www.youtube.com
• PENNVEST Lunch and Learn
• New PENNVEST Financing Opportunities
• PENNVEST ONLINE 2023
• About Us
◦ Agency Info
◦ Awards
◦ Board of Directors
◦ Employees
◦ Financial Statements
◦ Mission
◦ Partners
◦ Calendar
◦ FAQ
◦ Publications
◦ Annual Reports
◦ Information Brochures
◦ Presentations
◦ Legislation and Regulations
▪ Pennsylvania Infrastructure Investment Authority Act
▪ State Revolving Fund
◦ Right-to-Know
• Information
◦ Approved Projects
◦ Funding Programs
◦ Clean Water State Revolving Fund
◦ Commonwealth Funding
◦ Credit Enhancement Assistance
◦ Drinking Water State Revolving Fund
◦ Green Initiatives
◦ Non-Point Source
◦ On-Lot Sewage Disposal
◦ PFAS
◦ Small Projects
◦ ProFi
◦ Sublevel Revolving Loan Program
◦ Infrastructure Investment & Jobs Act
◦ Performance Measures
◦ IRMA Notices
• Services
◦ Apply Online
◦ Documents and Forms
◦ Process Guidelines and Flowcharts
◦ Application Planning Documents
◦ Application Template Documents
◦ Legal Conditions and Guidance
◦ Brownfield Redevelopment Loans
◦ Funds Disbursement
◦ Letter of No Prejudice
◦ Loan Servicing
◦ ACH Implementation/Change Form
◦ Annual Financial Reporting
◦ Continuing Education ◦ Contract Changes
◦ Payment Tracking
◦ Signature Authorization/Change Form
◦ Regional Assistance Map
• Tools
◦ Continuing Education Plan Search
◦ County Cap Rate
◦ Financial Assistance Simulator (FAS)
◦ Other Funding Sources
◦ Subsidy Calculator
◦ Webcasts and Training
▪ Training Materials
▪ PV Apply
▪ PENNVEST Eligibility
▪ PENNVEST Small Projects Initiative
▪ Programmatic Financing
◦ Webcast Events
◦ Buy America Webcasts—Substantially Made in America
◦ Training Sessions
◦ Online Training Sites
Contact: David L. Henning (717) 783-4490.Public Procedure:
• PENNVEST Right to Know Policy
Contact: Denise Zern (717) 783-6747.Internet Policy:
• Commonwealth Privacy Policy
• Commonwealth Site Security
Contact: Alice Sanders (717) 783-4491.
STATE EMPLOYEES' RETIREMENT SYSTEM
(SERS)
• SERS Board Adjudications by Topic
◦ Agency Debt
◦ Change of Benefit Option
◦ Class of Service
◦ Cost of Living Increase
◦ Credit for Contract Service
◦ Credited Years of Service
◦ Death Benefit
◦ Disability
◦ Effective Date of Retirement
◦ Final Average Salary
◦ Fraternal Order of Police
◦ Frozen Present Value
◦ Judicial Forfeiture/Purchase of Military Service Credit
◦ Membership Eligibility
◦ Military Service
◦ Miscellaneous
◦ Multiple Service Credit
◦ Overpayment
◦ Payment of Interest
◦ Pension Forfeiture
◦ Purchase of Service
◦ Reinstatement
◦ Retirement-Covered Compensation
◦ Transfer to Alternate Retirement Plan
• Annual Guide to Your SERS-Issued 1099-R Tax Form
• Disability Retirement Guide
• Defined Benefit Plan Handbook
• Defined Contribution Plan Handbook
• Hybrid Plan Handbook
• Guide for Retiring Members
• Annual Member (Personalized) Account Statements
◦ SERS Retirement Statement (for active members)
◦ Personal Statement of Retirement Benefits (for annuitants)
• SERS Fact Sheets
◦ Delaying Pension Payments
◦ Frozen Present Value: Its Impact on State Pensions (SERS-158)
◦ Purchase of Service (SERS-155)
◦ SERS Defined Benefit Plan Refund Procedures (SERS-159)
◦ State Police Officer Retirement Benefits (For those who entered the PSP Academy before 01/01/2019)
◦ State Police Officer Retirement Benefits (For those who entered the PSP Academy on or after 01/01/2019) Social Security Integration Coverage for SERS Members (SERS-151)
◦ Important Information Regarding Appeals to the State Employees' Retirement Board (SERS-412)
◦ Features and Highlights
—Defined Contribution Plan—Investment Plan
—Defined Benefit Plan—Traditional Pension
—Deferred Compensation Plan—Supplemental Benefit
◦ Membership Options—Class A3 or Class A4
◦ New Member Plan Comparison—Class A5, Class A6 or Straight Defined Contribution Plan
◦ Deferred Compensation Plan Fund Fact Sheets
◦ Defined Contribution Plan Fund Fact Sheets
◦ Deferred Compensation Plan Advisory Services Flyer
◦ Defined Contribution Plan Advisory Services Flyer
◦ Deferred Compensation Plan Distribution schedule calendar
◦ Defined Contribution Plan Distribution schedule calendar
◦ Defined Contribution Plan Snap Shot hand out
◦ Deferred Compensation Plan Snap Shot hand out
◦ Roth Options Brochure
◦ Active Choice Flyer: Be an Active Participant 457
◦ Leave Payout 457 Flyer
◦ Benefits of the Plan 457 Flyer
◦ Fee Comparison 457 Flyer
◦ Deferred Compensation Plan Snap Shot
◦ Stay in the plan 457 Flyer
◦ Participant enrollment governmental 457 B PA Deferred Compensation plan
◦ Enroll in your plan (list of employers)
◦ SERS Webinars/Videos
◦ Introduction to your class of service and how your pension is calculated
◦ Decisions you will make at retirement
◦ Timeline for the year before you retire and beyond
◦ Leave Payout Contribution Process
◦ Rolling in your assets
◦ Connecting to your future
◦ Boost your savings
◦ Investing basics
◦ New member video
• SERS Strategic Plan FY 2021—FY 2023
• SERS US & International Proxy Voting Policy
• SERS Derivatives Investment Policy Statement
• SERS Investment Manager Insurance Policy
• SERS Investment Manager Monitoring Policy
• SERS Defined Benefit Plan Investment Policy Statement
• SERS Securities Lending Policy
• SERS Right-to-Know-Law Policy
• SERS Compensation Policy for Investment Professional Staff
• The FOP Decision: The resolution of the SERS Board of Trustees dated September 26, 1990, implementing the arbitration award issued February 17, 1988, in Commonwealth of Pennsylvania v. Commonwealth of Penn-sylvania State Police Lodges, American Arbitration Association Case No. 14 390 1611 87 J (Thomas J. DiLauro, Chair)
• ''SERS News'' member and participant newsletter (two editions per year)
• Defined Contribution Participant newsletter (four editions per year)
• Deferred Compensation Participant newsletter (four editions per year)
• SERS Annual Comprehensive Financial Report (published each June)
• Annual Supplemental Budget Information
• Deferred Compensation Plan (DCP) Annual Financial Statements
• DCP Statement of Investment Policy
• State Employees' Retirement Board 401-(a) Defined Contribution Plan Investment Policy
• Sample Domestic Relations Order—Defined Benefit Plan
• Sample Domestic Relations Order—Defined Contribution Plan
• Sample Domestic Relations Order—Defined Benefit Plan and Defined Contribution Plan
• Domestic Relations Order Alternative Provisions Sample Sheets
• Power of Attorney Form
• SERS Board Minutes and Resolutions
• Actuarial Reports (annual and ''Five-Year Experience Study'')
• Annual Benefits Completion Plan Actuarial Reports
• Actuarial Tables
• SERS Appeals Committee Guidelines for Informal Appeals
• SERS Board Governance Policy Manual
◦ SERS Bylaws
◦ Audit, Risk and Compliance Committee Charter
◦ Board Governance and Personnel Committee Charter
◦ Finance and Member and Participant Services Committee Charter
◦ Investment Committee Charter
◦ Securities Litigation Committee Charter
◦ Board Chairperson and Assistant Chair Position Description
◦ Board Member Position Description
◦ Committee Chair and Assistant Chair Position Description
◦ Actuarial Services Policy
◦ Performance Review Process for CIO
◦ Performance Review Process for SERS Executive Director
◦ Policy on Placement Agent Disclosures
◦ Policy on Referrals of Investment Opportunities and Service Provider Candidates; Related Communications; Undue Influence
◦ SEC ''Pay-to-Play'' Rule Compliance and Reporting Policy
◦ SERS Board Communications Policy
◦ SERS Board Self-Assessment Policy
◦ Fiduciary Review Policy
◦ Ethical Conduct Policy
◦ Insider and Personal Trading Policy
◦ Policy for Indemnification of Board Members, Designees, Officers and Employees
◦ Strategic Planning Process
◦ State Employees' Retirement Board—Compliance Program Charter
◦ Board Education Policy
◦ SERS Board Travel Policy
◦ Recusal Policy
◦ SERS Securities Litigation Policy
◦ Committee Work Plan Procedures
• Claim Settlement Policy
• Statement of Governance Principles
• SERS Mediation Policy
• Annual Supplemental Budget Information
• DCP Plan Document
• Defined Contribution Plan—Plan Document
• DCP and Defined Contribution Forms Available Through the Website; i.e., Enrollment, Beneficiary
• State Employees' Defined Contribution Plan and Trust
• SERS Employee and Employer Rate Chart
• Management Directives issued by SERS:
◦ 570.1—Mandatory Membership in the State Employees' Retirement System
◦ 570.5—Employer Contributions Required on the Purchase of Previously Uncredited State Service
◦ 570.6—Optional Membership in the State Employees' Retirement System
◦ 570.8—Reinstatement of Terminated Employees into the State Employees' Retirement System
◦ 570.9—Reinstatement of Furloughed or Otherwise Terminated and Reemployed Employees in the State Employees' Retirement System
◦ 570.11—Amending Data in Retirement and Personnel/ Payroll Systems and Collecting Arrears Balances
◦ 570.12—Furloughed State Employees' Retirement System Members' Right to Earn Interest on Member Contributions
◦ 570.13—State Employees' Retirement System, Regional Counseling Centers
◦ 570.14—Deferred Compensation Program
◦ 570.15—Reporting Potential Public Employee Pension Forfeiture Crimes to the State Employees' Retirement System
◦ 570.16—State Employees' Retirement System, Duties of Departments and Agencies
Department of
TRANSPORTATION
(DOT)
DRIVER AND VEHICLE SERVICES
Bureau Responsible: Bureau of Driver Licensing
Category: Fact Sheet
Publication/Document Name: The Pennsylvania Point System Fact Sheet
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Fact%20Sheets/fs-ps.pdf
Pub/Doc #: n/a
Publication Last Updated: August 2022Bureau Responsible: Bureau of Driver Licensing
Category: Fact Sheet
Publication/Document Name: PA Driver Improvement School
https://www.dot.state.pa.us/public/DVSPubsForms/BDL/BDL%20Fact%20Sheets/FS-DIS.pdf
Pub/Doc #: n/a
Publication Last Updated: August 2022Bureau Responsible: Bureau of Driver Licensing
Category: Fact Sheet
Publication/Document Name: Ignition Interlock 'The Law' FAQs
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Fact%20Sheets/fs-iitl.pdf
Pub/Doc #: n/a
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Fact Sheet
Publication/Document Name: Act 107 of 2022 Fact Sheet
https://www.dot.state.pa.us/public/DVSPubsForms/BDL/BDL%20Fact%20Sheets/FS-A107.pdf
Pub/Doc #: n/a
Publication Last Updated: April 2023Bureau Responsible: Bureau of Driver Licensing
Category: Fact Sheet
Publication/Document Name: Hazardous Materials Endorsement Fact Sheet
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20fact%20sheets/fs-up.pdf
Pub/Doc #: n/a
Publication Last Updated: April 2023Bureau Responsible: Bureau of Driver Licensing
Category: Fact Sheet
Publication/Document Name: Driving Privilege Sanctions and Restoration Requirements Letter Fact Sheet
https://www.dot.state.pa.us/public/DVSPubsForms/BDL/BDL%20Fact%20Sheets/FS-DPSRRL.pdf
Pub/Doc #: n/a
Publication Last Updated: April 2023Bureau Responsible: Bureau of Driver Licensing
Category: Fact Sheet
Publication/Document Name: Driver Licensing Fee Chart Fact Sheet
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Fact%20Sheets/fs-dlf.pdf
Pub/Doc #: n/a
Publication Last Updated: April 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Service Person Request for Non-Commercial PA Driver's License
https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-298.pdf
Pub/Doc #: DL-298
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Self-Certification Form
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Form/DL-11CD.pdf
Pub/Doc #: DL-11CD
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Commercial Driver's License Application to Duplicate/Correct
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20form/dl-80cd.pdf
Pub/Doc #: DL-80CD
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Non-Commercial Driver's License Application for Renewal
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20form/dl-143.pdf
Pub/Doc #: DL-143
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Non-Commercial Driver's License Application for Change/Correction/Replacement
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Form/DL-80.pdf
Pub/Doc #: DL-80
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Application for change from a Junior Driver's License to a Regular Non-Commercial License
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Form/DL-59.pdf
Pub/Doc #: DL-59
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Photo Identification Card Application for Change/Correction/Replacement/Renew
https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-54B.pdf
Pub/Doc #: DL-54B
Publication Last Updated: January 2023
Bureau Responsible:Bureau of Driver Licensing
Category: Form
Publication/Document Name: Application for Initial Identification
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20form/dl-54a.pdf
Pub/Doc #: DL-54A
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Request for Letter of Clearance
https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-130.pdf
Pub/Doc #: DL-130
Publication Last Updated: May 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Application for Renewal of Commercial Driver's License
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20form/dl-143cd.pdf
Pub/Doc #: DL-143CD
Publication Last Updated: April 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Driver's License Center Location Flyer
https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-105lf.pdf
Pub/Doc #: DL-105LF
Publication Last Updated: March 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Hazardous Materials Endorsement
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Form/DL-288.pdf
Pub/Doc #: DL-288
Publication Last Updated: March 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Special Point Examination
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Form/DL-248L.pdf
Pub/Doc #: DL-248L
Publication Last Updated: March 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Application for Change/Correction/Replacement of Occupational Limited License or Probationary License (PL) or PL Permit
https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-80OP.pdf
Pub/Doc #: DL-80OP
Publication Last Updated: February 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Occupational Limited License (OLL) Petition
https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-15-15A.pdf
Pub/Doc #: DL-15
Publication Last Updated: February 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Commercial Learner's Permit Application to Apply for an Initial/Upgrade
https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-31CD.pdf
Pub/Doc #: DL-31CD
Publication Last Updated: February 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Application for Pennsylvania Commercial Driver's License by Out-of-State CDL Driver
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20form/dl-180r.pdf
Pub/Doc #: DL-180RCD
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Application for Ignition Interlock License/Return of Regular Driver's License
https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-3731.pdf
Pub/Doc #: DL-3731
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Application for Pennsylvania Non-Commercial Driver's License by Out-of-State Non CDL Driver
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20form/dl-180r.pdf
Pub/Doc #: DL-180R
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Probationary License (PL) Renewal Application
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20form/dl-143pl.pdf
Pub/Doc #: DL-143PL
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Application for Revision/Return of CDL Classification
https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-100CD.pdf
Pub/Doc #: DL-100CD
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Request for Gender Change on Driver's License/Identification Card
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Form/DL-32.pdf
Pub/Doc #: DL-32
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Probationary License (PL) Petition
https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-20.pdf
Pub/Doc #: DL-20
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Non-Commercial Learner's Permit Application
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20form/dl-180.pdf
Pub/Doc #: DL-180
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Military Commercial Driver's License (CDL) Test Waiver Application
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Form/DL-398.pdf
Pub/Doc #: DL-398
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Form
Publication/Document Name: Application for Change/Correction/Replacement of Ignition Interlock Limited License (IILL)
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Form/DL-80L1.pdf
Pub/Doc #: DL-80LI
Publication Last Updated: February 2023Bureau Responsible: Bureau of Driver Licensing
Category: Publication
Publication/Document Name: A Guide to Obtaining a PA Junior Learner's Permit and Junior Driver's License
https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Publications/Pub%20178.pdf
Pub/Doc #: PUB-178
Publication Last Updated: January 2023Bureau Responsible: Bureau of Driver Licensing
Category: Publication
Publication/Document Name: REAL ID in Pennsylvania Brochure
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20publications/pub%20813.pdf
Pub/Doc #: PUB-813
Publication Last Updated: December 2022Bureau Responsible: Bureau of Driver Licensing
Category: Publication
Publication/Document Name: Hazardous Materials Endorsement Renewal Manual
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20manuals/manuals/hazmat/pub%20288.pdf
Pub/Doc #: PUB-288
Publication Last Updated: April 2023Bureau Responsible: Bureau of Driver Licensing
Category: Publication
Publication/Document Name: Pennsylvania Driver's Manual (has been translated into several languages—as of July 2022, the manual is available in 25 languages)
https://www.dot.state.pa.us/public/dvspubsforms/bdl/bdl%20manuals/manuals/pa%20drivers%20manual%20by%20chapter/english/pub%2095.pdf
Pub/Doc #: PUB-95
Publication Last Updated: April 2021Bureau Responsible: Bureau of Driver Licensing
Category: Publication
Publication/Document Name: Commercial Driver's Manual
https://www.dot.state.pa.us/public/DVSPubsForms/BDL/BDL%20Manuals/Manuals/Commercial%20Drivers%20Manual/Comm%20Manual%20English/PUB%20223.pdf
Pub/Doc #: PUB-223
Publication Last Updated: October 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: New Form MV-46, ''Application for Replacement of Illegible Registration Plate''
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2023-11%20Special%20Edition%20Form%20MV-46.pdf
Pub/Doc #: Bulletin 23-11
Publication Last Updated: May 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Central Registration Reissuance (DEFGHY)
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2023-10%20Special%20Edition%20DEFGHY%20Reissuance.pdf
Pub/Doc #: Bulletin 23-10
Publication Last Updated: April 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Customer Price Index Fee Increase Correction
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2023-09C%20Special%20Edition%20Act%
2089%20April%202023.pdf
Pub/Doc #: Bulletin 23-09C
Publication Last Updated: April 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Reminder Central Registration Plate Reissuance Special Edition
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2023-08%20Special%20Edition%20DEFGHY
%20Reissuance.pdf
Pub/Doc #: Bulletin 23-08
Publication Last Updated: March 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Act 90 of 2022
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2023-07%20Special%20Edition-Staggered%20Apportioned%20Registration.pdf
Pub/Doc #: BULLETIN NO. 23-07
Publication Last Updated: March 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Special Addition: D, E, F, G, H and Y general reissuance program
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2023-06%20Special%20Edition%20DEFGHY
%20Reissuance.pdf
Pub/Doc #: BULLETIN NO. 23-06
Publication Last Updated: March 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Modernized Motor Vehicle/Driver's License System (MVDLS)
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2023-05%20Special%20Edition%20Modernized
%20Vehicle-Driver%E2%80%99s%20License%20
System%20MVDLS.pdf
Pub/Doc #: BULLETIN NO. 23-05
Publication Last Updated: March 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: House Bill 1571 and 1486
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2023-04%20Special%20Edition%20House
%20Bill%201571%20and%201486.pdf
Pub/Doc #: BULLETIN NO. 23-04
Publication Last Updated: March 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: House Bill 1486
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2023-03%20Special%20Edition%20House
%20Bill%201486.pdf
Pub/Doc #: Bulletin 23-03
Publication Last Updated: February 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Senate Bill 1123 Act 157
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2023-02%20Special%20Edition%20Senate
%20Bill%201123%20Act%20157.pdf
Pub/Doc #: Bulletin 23-02
Publication Last Updated: February 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: 2023 Agent Services Training
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%20Special%20Edition%2023-01%20Agent%20
Services%20Training%20Schedule%202023.pdf
Pub/Doc #: Bulletin No 23-01
Publication Last Updated: February 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Senate Bill 153, Act 145
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2022-13%20Senate%20Bill%20153,%20Act
%20145.pdf
Pub/Doc #: Bulletin 22-13
Publication Last Updated: January 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Special Edition Dealer Plate Reissuance
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2022-12%20Special%20Edition%20Dealer
%20Plate%20Reissuance.pdf
Pub/Doc #: Bulletin 22-12
Publication Last Updated: November 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Updated Design for PA Driver License and ID
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2022-11%20Special%20Edition%20Updated%20
Design%20for%20PA%20Driver%20License%20and
%20ID.pdf
Pub/Doc #: Bulletin No. 22-11
Publication Last Updated: November 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: New Publication 880—Online Registration Program Reconstructed-Flood Vehicle Processing Guide—Final Notice
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2022-10%20New%20Publication%20880%20-%20Online%20Registration%20Program%20Reconstructed-Flood%20Vehicle%20Processing%20Guide%20-%20Final
%20Notice.pdf
Pub/Doc #: Bulletin No. 22-10
Publication Last Updated: September 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: New Publication 880—Online Registration Program Reconstructed-Flood Vehicle Processing Guide
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2022-09%20New%20Publication%20880%20-%20Online%20Registration%20Program%20Reconstructed-Flood%20Vehicle%20Processing%20Guide.pdf
Pub/Doc #: Bulletin No. 22-09
Publication Last Updated: August 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Special Edition—New Publication 880—Online Registration Program Reconstructed-Flood Vehicle Processing Guide
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2022-08%20Training%20Reminder%20-%20New%20Publication%20880%20-%20Online
%20Registration%20Program%20Reconstructed-Flood%20Vehicle%20Processing%20Guide.pdfPub/Doc #: Bulletin 22-08
Publication Last Updated: August 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Guidance Bulletins
Publication/Document Name: Special Edition—New Publication 880—Online Registration Program Reconstructed-Flood Vehicle Processing Guide
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Driver%20and%20Vehicle%20Bulletins/Bulletin%2022-07%20Special%20Edition%20-%20New%20Publication%20880%20-%20Online
%20Registration%20Program%20Reconstructed-Flood%20Vehicle%20Processing%20Guide.pdf
Pub/Doc #: Bulletin 22-07
Publication Last Updated: August 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Fact Sheet
Publication/Document Name: Secure Power of Attorney (MV-POA) and General Power of Attorney Information
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Fact%20Sheets/fs-spoa.pdf
Pub/Doc #: n/a
Publication Last Updated: July 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Fact Sheet
Publication/Document Name: Insurance Law
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Fact%20Sheets/fs-inla.pdf
Pub/Doc #: n/a
Publication Last Updated: August 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Fact Sheet
Publication/Document Name: Transfer of Ownership by Court Order
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Fact%20Sheets/fs-intr.pdf
Pub/Doc #: n/a
Publication Last Updated: December 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Fact Sheet
Publication/Document Name: Registration Plate Re-Issuance
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Fact%20Sheets/License_Plate_Re_Issuance.pdf
Pub/Doc #: n/a
Publication Last Updated: May 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Fact Sheet
Publication/Document Name: Calculation Formula to Determine Increase Fees Due
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Fact%20Sheets/fs%20-%20Calc%20For%20Inc%20Fees.pdf
Pub/Doc #: n/a
Publication Last Updated: June 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Fact Sheet
Publication/Document Name: Antique, Classis Vehicles and Vintage Registration Plates
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Fact%20Sheets/fs-ant.pdf
Pub/Doc #: n/a
Publication Last Updated: May 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Fact Sheet
Publication/Document Name: Retired Status
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Fact%20Sheets/fs-rest.pdf
Pub/Doc #: n/a
Publication Last Updated: June 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Watercraft Trailer Forfeiture
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-26.pdf
Pub/Doc #: MV-26
Publication Last Updated: December 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Messenger and/or Agent Service Employee Report for PennDOT
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Forms/MV-46.pdf
Pub/Doc #: MV-73B
Publication Last Updated: November 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Safety Inspection Category Removal Request Form
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-401.pdf
Pub/Doc #: MV-401
Publication Last Updated: November 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Registration Fee Exemption
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-549.pdf
Pub/Doc #: MV-549
Publication Last Updated: August 2022Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for a Returned Person's $10.00 Processing Fee on a Vehicle Registration
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-371.pdf
Pub/Doc #: MV-371
Publication Last Updated: May 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Bureau of Motor Vehicles Schedule of Fees
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-70S.pdf
Pub/Doc #: MV-70S
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name:
School Bus/School Vehicle Use Application
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-1s.pdf
Pub/Doc #: MV-1S
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name:
Application for Non-Repairable or Salvage Certificate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-6.pdf
Pub/Doc #: MV-6
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Title Application for a Vehicle which was Erroneously Reported as Salvaged or Crushed
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-6E.pdf
Pub/Doc #: MV-6E
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Permanent, Antique, Classic or Collectible Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-11.pdf
Pub/Doc #: MV-11
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application to Display A Vintage Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-11V.pdf
Pub/Doc #: MV-11V
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Emergency Vehicle Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-14ev.pdf
Pub/Doc #: MV-14EV
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Cancellation of Certificate of Title
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-16.pdf
Pub/Doc #: MV-16
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Abandoned Manufactured Home Certificate of Title or Non-Repairable Certificate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-16A.pdf
Pub/Doc #: MV-16A
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Disposal of Watercraft Trailer Forfeiture
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-26D.pdf
Pub/Doc #: MV-26D
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Duplicate Certificate of Title by a Registered Dealer
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-38D.pdf
Pub/Doc #: MV-38D
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Duplicate Title or to Record, Renew, Remove a Lien, or to Correct Lien Information by Lienholder
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-38L.pdf
Pub/Doc #: MV-38L
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Duplicate Certificate of Title by Owner
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-38O.pdf
Pub/Doc #: MV-38O
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Correction of Vehicle Record or Verification of Vehicle Identification Number
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-41.pdf
Pub/Doc #: MV-41
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Correction or Change of Name
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-41A.pdf
Pub/Doc #: MV-41A
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Duplicate Registration Card or Replacement of Lost, Stolen or Defaced Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-44.pdf
Pub/Doc #: MV-44
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Replacement of Illegible Registration Plate
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Forms/MV-46.pdf
Pub/Doc #: MV-46
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application For Never Received Product
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Forms/MV-50.pdf
Pub/Doc #: MV-50
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Renewal/Change and/or Replacement of Certificate of Authorization as Motor Vehicle Messenger Service
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-73A.pdf
Pub/Doc #: MV-73A
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Farm Vehicle Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-77.pdf
Pub/Doc #: MV-77
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Farm Vehicle 2-Year Certificate of Exemption
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-77a.pdf
Pub/Doc #: MV-77A
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Request for Registration
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-140.pdf
Pub/Doc #: MV-140
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Seasonal Vehicle Registration
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-140sv.pdf
Pub/Doc #: MV-140SV
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Person with Disability or Hearing Impaired Registration Plate or a Person with Disability Motorcycle Plate Decal
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-145.pdf
Pub/Doc #: MV-145
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Disabled Veteran, Severely Disabled Veteran Registration Plate or Severely Disabled Veteran Motorcycle Plate Decal
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-145v.pdf
Pub/Doc #: MV-145V
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for U.S. Military Service Registration Plates
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-150.pdf
Pub/Doc #: MV-150
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for U.S. Military Registration Plates
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-150AD.pdf
Pub/Doc #: MV-150AD
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for U.S. Military Combat Registration Plates
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-150c.pdf
Pub/Doc #: MV-150C
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Veterans of an Allied Foreign Country Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-150FA.pdf
Pub/Doc #: MV-150FA
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for U.S. Military Service Registration Plate
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Forms/MV-150P.pdf
Pub/Doc #: MV-150P
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Pearl Harbor Survivor Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-150PH.pdf
Pub/Doc #: MV-150PH
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for U.S. Military Veteran Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-150v.pdf
Pub/Doc #: MV-150V
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for a Vertical Motorcycle Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-165.pdf
Pub/Doc #: MV-165
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Commercial Implement of Husbandry or Implement of Husbandry Supplemental Application—Special Mobile Supplemental Application
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-190.pdf
Pub/Doc #: MV-190
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Payment of Civil Penalty In Lieu of Registration Suspension
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-222.pdf
Pub/Doc #: MV-222
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Multi-purpose Dealer Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-326.pdf
Pub/Doc #: MV-326
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Vehicle Dealer Registration Plates for Dealers Licensed by Department of State
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-349.pdf
Pub/Doc #: MV-349
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Additional Dealer Registration Plates or Miscellaneous Motor Vehicle Business Registration Plates
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-350a.pdf
Pub/Doc #: MV-350A
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Renewal or Replacement Request of Dealer Registration Plates
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-350r.pdf
Pub/Doc #: MV-350R
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Temporary Registration Plates by Motor Vehicle Dealers and Full Agents
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-351.pdf
Pub/Doc #: MV-351
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Replacement of Temporary Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-351a.pdf
Pub/Doc #: MV-351A
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Replacement of Dealer or Miscellaneous Motor Vehicle Business Registration Plate, Card or Renewal Sticker
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-353.pdf
Pub/Doc #: MV-353
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Miscellaneous Motor Vehicle Business Registration Plates
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-359.pdf
Pub/Doc #: MV-359
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Vehicle Dealer Registration Plates for Vehicle Dealers Not Required to be Licensed by the Department of State
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-369.pdf
Pub/Doc #: MV-369
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Out-of-State Leasing Company Bond
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-373.pdf
Pub/Doc #: MV-373
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Manufacturer/Dealer/Full Agent/Card Agent/Messenger Service/Salvor Bond
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-375.pdf
Pub/Doc #: MV-375
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Farm Equipment Dealer Registration Plates Request
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-377.pdf
Pub/Doc #: MV-377
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Reconstructed, Specially Constructed, Collectible, Modified, Flood, Recovered Theft Vehicles and Street Rods
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-426B.pdf
Pub/Doc #: MV-426B
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Inspection Sticker and Insert Order Form
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-436A.pdf
Pub/Doc #: MV-436A
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Apportioned Registration Application—Schedule A
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-550.pdf
Pub/Doc #: MV-550
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Replacement of Apportioned Registration Credentials
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-558.pdf
Pub/Doc #: MV-558
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Fleet Owner Transporter Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-615.pdf
Pub/Doc #: MV-615
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Online Programs CPI Fee Waiver Sheet
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-752CPI.pdf
Pub/Doc #: MV-752
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Request for Carnival Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-903.pdf
Pub/Doc #: MV-903
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Personalized, Amateur Radio Operator, or Press Photographer Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-904.pdf
Pub/Doc #: MV-904
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Appalachian Trail Conservancy Registration Plate
Pub/Doc #: MV-904AT
Form is obtained from the organization
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Commercial Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-904c.pdf
Pub/Doc #: MV-904C
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Personalized Dealer Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-904d.pdf
Pub/Doc #: MV-904D
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Retired Legislator/Senator Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-904rl.pdf
Pub/Doc #: MV-904RL
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Special Organization Registration Plate
Form is obtained from the organization
Pub/Doc #: MV-904SO
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Specialty Registration Plate
Form is obtained from the organization
Pub/Doc #: MV-904SP
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Personalized Street Rod Registration Plate
https://www.dot.state.pa.us/public/dvspubsforms/BMV/BMV%20Forms/mv-904SR.pdf
Pub/Doc #: MV-904SR
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Special Pennsylvania Steelworker Registration Plate (K4)
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-910.pdf
Pub/Doc #: MV-910
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Special Fund Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-911.pdf
Pub/Doc #: MV-911
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Gold Star Family Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-912.pdf
Pub/Doc #: MV-912
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Honoring Our Veterans Special Fund Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/MV-914.pdf
Pub/Doc #: MV-914
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Teen Driver Special Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-915.pdf
Pub/Doc #: MV-915
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for In God We Trust Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-916.pdf
Pub/Doc #: MV-916
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Share the Road Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-917.pdf
Pub/Doc #: MV-917
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Distracted Driving Awareness Registration Plate
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-918.pdf
Pub/Doc #: MV-918
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for USA Semiquincentennial Registration Plate
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Forms/MV-919.pdf
Pub/Doc #: MV-919
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Application for Blue Star Family Registration Plate
https://www.dot.state.pa.us/public/DVSPubsForms/BMV/BMV%20Forms/MV-920.pdf
Pub/Doc #: MV-920
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Notification of Assignment of Secured Interest in a Vehicle/Notification of Assignment of Secured Interest in a Vehicle to a Dealer
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-950.pdf
Pub/Doc #: MV-950/MV-950A
Publication Last Updated: July 2023Bureau Responsible: Bureau of Motor Vehicles
Category: Form
Publication/Document Name: Salvor's Application/Invoice for Settlement
https://www.dot.state.pa.us/Public/DVSPubsForms/BMV/BMV%20Forms/mv-956.pdf
Pub/Doc #: MV-956
Publication Last Updated: July 2023HIGHWAY ADMINISTRATION
Bureau Responsible: Strategic Development and Implementation Office
Category: Internal Planning Document
Publication/Document Name: Final PA NEVI State Plan
https://www.penndot.pa.gov/ProjectAndPrograms/Planning/EVs/Documents/Final%20PA%20NEVI%20State
%20Plan%20(ver%207-21-2022).pdf
Publication Last Update 7-21-2022Bureau Responsible: Strategic Development and Implementation Office
Category: Internal Planning Document
Publication/Document Name: EV Mobility Plan
https://www.penndot.pa.gov/ProjectAndPrograms/Planning/EVs/Documents/EVMobilityPlan.pdf
Last Updated 07-22Bureau Responsible: Bureau of Construction and
Materials
Category: Internal Guidelines
Publication/Document Name: Project Office Manual (POM)
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%202/PUB%202.pdf
Pub/Doc #: Pub 2
Publication Last Update: April 2023Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Design Manual Part 1—
Transportation Program Development and Project Delivery Process
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%2010/Pub%2010/December%202021%20Change
%20No.%203.pdf
Pub/Doc #: Pub 10
Publication Last Updated: December 2021Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Design Manual Part 1B, Post-TIP NEPA Procedures
https://www.dot.state.pa.us/public/PubsForms/Publications/PUB%2010/Pub%2010B/April%202022%
20Change%20No.%202.pdf
Pub/Doc #: Pub 10B
Publication Last Updated: April 2022Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Design Manual Part 1C—Transportation Engineering Procedures and Project Delivery Process
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%2010/Pub%2010C/December%202021%20Change
%20No.%205.pdf
Pub/Doc #: Pub 10C
Publication Last Updated: December 2021Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Design Manual Part 1X—Appendices to Design Manuals 1, 1A, 1B, and 1C
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%2010/Pub%2010X/December%202021%20Change
%20No.%204.pdf
Pub/Doc #: Pub 10X
Publication Last Updated: February 2023Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Design Manual Part 2—Contextual Roadway Design
https://www.dot.state.pa.us/public/pubsforms/Publications/PUB%2013/June%202022.pdf
Pub/Doc#: Pub 13
Publication Last Updated: April 2023Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Design Manual Part 2—Highway Design
https://www.dot.state.pa.us/public/pubsforms/Publications/PUB%2013M/June%202022-Change%208.pdf
Pub/Doc #: Pub 13M
Publication Last Updated: February 2023Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Design Manual Part 3—Plans Presentation
https://www.dot.state.pa.us/public/pubsforms/Publications/PUB%2014M/June%202022%20Change%20No.%204.pdf
Pub/Doc #: Pub 14M
Publication Last Updated: February 2023Bureau Responsible: Bureau of Construction and Materials
Category: Guidance Manual
Publication/Document Name: Field and Laboratory Testing Manual
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB_19/Pub%2019.pdf
Pub/Doc #: Pub 19
Publication Last Updated: May 2022Bureau Responsible: Bureau of Operations
Category: Guidance Manuals
Publication/Document Name: Shoulder and Guide Rail Condition Survey Field Manual
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%2033.pdf
Pub/Doc #: Pub 33
Publication Last Updated: April 2023Bureau Responsible: Bureau of Construction and Materials
Category: Guidance Manual
Publication/Document Name: Qualified Products List for Construction (Bulletin 15)
http://www.dot.state.pa.us/public/pdf/BOCM_MTD_LAB/PUBLICATIONS/PUB_35/Current_Edition/Bulletin15.pdf
Pub/Doc #: Pub 35
Publication Last Updated: 2023 (Weekly)Bureau Responsible: Bureau of Bridge
Category: Guidance Manual
Publication/Document Name: Bridge Maintenance Manual
https://www.dot.state.pa.us/public/PubsForms/Publications/PUB%2055.pdf
Pub/Doc #: Pub 55
Publication Last Update: December 2022Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Standards for Roadway Construction
http://www.dot.state.pa.us/public/PubsForms/Publications/Pub%2072M/72M_2010_8/72M_2010_8.pdf
Pub/Doc #: Pub 72M
Publication Last Updated: February 2023Bureau Responsible: Bureau of Operations
Category: Guidance Manuals
Publication/Document Name: Storm Water Facility Condition Survey Field Manual
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%2073.pdf
Pub/Doc #: Pub 73
Publication Last Updated: April 2023Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Policy and Procedures for the Administration of Consultant Agreements
https://www.dot.state.pa.us/public/PubsForms/Publications/Pub%2072M/72M_2010_6/72M_2010_6.pdf
Pub/Doc #: Pub 93
Publication Last Updated: December 2022Bureau Responsible: Bureau of Operations
Category: Guidance Manual
Publication/Document Name: Traffic Control—Pavement Marking and Signing Standards
Pub/Doc #: Pub 111
https://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20111.pdf
Publication Last Updated: August 2021Bureau Responsible: Bureau of Bridge
Category: Guidance Manual
Publication/Document Name: Inspection of Fabricated Structural Steel Products
https://www.dot.state.pa.us/public/Pubsforms/Publications/PUB%20135.pdf
Pub/Doc #: Pub 135
Publication Last Updated: October 29, 2019Bureau Responsible: Bureau of Bridge
Category: Guidance Manual
Publication/Document Name: Inspection of Prestressed/
and Precast Concrete Products
http://www.dot.state.pa.us/public/PubsForms/
Publications/Pub 145.pdf
Pub/Doc #: Pub 145
Publication Last Updated: April 2022Bureau Responsible: Bureau of Operations
Category: Guidance Manual
Publication/Document Name: Police Officers Crash Report Manual
Pub/Doc #: Pub 153
https://www.penndot.pa.gov/TravelInPA/Safety/Documents/Pub153.pdf
Publication Last Updated: September 2021Bureau Responsible: Bureau of Operations
Category: Guidance Manual
Publication/Document Name: Changeable Message Sign (CMS) Operating Standards
https://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20200.pdf
Pub/Doc #: Pub 200
Publication Last Updated: November 2021Bureau Responsible: Bureau of Operations
Category: Guidance Manual
Publication/Document Name: Temporary Traffic Control Guidelines
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20213.pdf
Pub/Doc #: Pub 213
Publication Last Updated: April 2022Bureau Responsible: Bureau of Bridge
Category: Guidance Manual
Publication/Document Name: Bridge Design Standards (BD-600M Series)
https://www.dot.state.pa.us/public/pubsforms/Publications/PUB%20218M.pdf
Pub/Doc #: Pub 218M
Publication Last Updated: February 2023Bureau Responsible: Bureau of Bridge
Category: Guidance Manual
Publication/Document Name: Bridge Construction Standards (BC-700M Series)
https://www.dot.state.pa.us/public/pubsforms/Publications/PUB%20219M.pdf
Pub/Doc #: Pub 219M
Publication Last Updated: February 2023Bureau Responsible: Bureau of Bridge
Category: Internal Guidelines
Publication/Document Name: Bridge Collapse or Tunnel Failure Board of Inquiry Investigation Teams
https://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20220.pdf
Pub/Doc #: Pub 220
Publication Last Updated: March 2022Bureau Responsible: Bureau of Bridge
Category: Guidance Manual
Publication/Document Name: Bridge Safety Inspection Quality Assurance Manual
Pub/Doc #: Pub 240
https://www.dot.state.pa.us/public/PubsForms/Publications/PUB%2073.pdf
Publication Last Update: December 2022Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Pavement Policy Manual
https://www.dot.state.pa.us/public/Pubsforms/Publications/PUB%20424.pdf
Pub/Doc #: Pub 242
Publication Last Updated: December 2022Bureau Responsible: Bureau of Bridge
Category: Guidance Manual
Publication/Document Name: Publication 280 Manufacturing Specifications for Reinforced Pipe
https://www.dot.state.pa.us/public/Pubsforms/Publications/PUB%20280.pdf
Pub/Doc #: Pub 280
Publication Last Updated: June 2020Bureau Responsible: Bureau of Operations
Category: Guidance Manuals
Publication/Document Name: Automated Pavement Condition Surveying Field Manual
http://www.dot.state.pa.us/public/PubsForms/Publications/Pub%20336.pdf
Pub/Doc #: Pub 336
Publication Last Updated: April 2023Bureau Responsible: Bureau of Operations
Category: Guidance Manuals
Publication/Document Name: Continuously Reinforced Concrete and Unpaved Roads Condition Survey Field Manual
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20343.pdf
Pub/Doc #: Pub 343
Publication Last Updated: April 2023Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Grade Crossing Manual
Pub/Doc #: Pub 371
https://www.dot.state.pa.us/public/pubsforms/Publications/PUB%20371.pdf
Publication Last Updated: March 2023Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: Highway Construction Specifications, 2020 Edition
http://www.dot.state.pa.us/public/PubsForms/Publications/Pub_408/PUB%20408.pdf
Pub/Doc #: Pub 408
Publication Last Updated: April 2023Bureau Responsible: Bureau of Design and Delivery
Category: Guidance Manual
Publication/Document Name: PennDOT Drainage Manual
https://www.dot.state.pa.us/public/pubsforms/Publications/PUB%20584.pdf
Pub/Doc #: Pub 584
Publication Last Updated: June 2022Bureau Responsible: Bureau of Operations
Category: Guidance Manuals
Publication/Document Name: LWP System—Calibration Verification & Operator Certification Program Manual
https://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20589/PUB%20589.pdf
Pub/Doc #:
Pub 589
Publication Last Updated: May 2021Bureau Responsible: Bureau of Operations
Category: Guidance Manual
Publication/Document Name: Highway Safety Program Guide
https://www.dot.state.pa.us/public/pubsforms/Publications/PUB%20638.pdf
Pub/Doc #: Pub 638
Publication Last Updated: October 2021Bureau Responsible: Bureau of Operations
Category: Guidance Manual
Publication/Document Name: Pennsylvania Safety Predictive Analysis Methods Manual
http://www.dot.state.pa.us/public/pubsforms/Publications/PUB%20638a.pdf
Pub/Doc #: Pub 638A
Publication Last Updated: May 2021Bureau Responsible: Bureau of Operations
Category: Guidance Manuals
Publication/Document Name: PennDOT SR Segment Signing Guide
https://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20664.pdf
Pub/Doc #: Pub 664
Publication Last Updated: February 2021Bureau Responsible: strategic development and implementation office
Category: Guidance Manuals
Publication/Document Name: Highly Automated Vehicle Testing Guidance
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20950.pdf
Pub/Doc #: PUB 950
Publication Last Updated: September 2020Bureau Responsible: strategic development and implementation office
Category: Guidance Manuals
Publication/Document Name: Personal Delivery Device (PDD) Operations Policy
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20955.pdf
Pub/Doc #: PUB 955
Publication Last Updated: February 2021POLICY/COMMUNICATIONS
Bureau Responsible: Communications Office
Category: Annual Report
Publication/Document Name: 2022 Annual Report
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20409.pdf
Pub/Doc #: Pub 409
Publication Last Updated: March 2023MULTIMODAL
Bureau Responsible: Bureau of Aviation
Category: Guidance Manual
Publication/Document Name: Unmanned Aircraft System (UAS) Policy
Pub/Doc #: Pub 832
https://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20832.pdf
Publication Last Updated: September 2021Bureau Responsible: Bureau of Rail, Freight, Ports, & Waterways
Category: Program Requirements
Publication/Document Name: Bureau of Rail, Freight, Ports, & Waterways Grant Program Policy
Pub/Doc #: N/A
https://www.penndot.pa.gov/Doing-Business/RailFreightAndPorts/Policies/Documents/Grant%20Program%20Policy-%20April%202022.pdf
Publication Last Updated: April 2022Bureau Responsible: Bureau of Public Transportation
Category: Annual Report
Publication/Document Name: Annual Performance Report: Fiscal Year 2020-21
Pub/Doc #: N/A
https://www.penndot.pa.gov/Doing-Business/Transit/InformationandReports/Documents/BPT Annual Report 2020-21.pdf
Publication Last Updated: April 2022Bureau Responsible: Bureau of Public Transportation
Category: Fact Sheet
Publication/Document Name: Local Match Requirements Fact Sheet
Pub/Doc #: N/A
https://www.penndot.pa.gov/Doing-Business/Transit/Funding%20and%20Legislation/Documents/Local%20Match%20Requirements%20Fact%20Sheet.pdf
Publication Last Updated: March 2022PLANNING
Bureau Responsible: Office of Public-Private Partnerships
Category: Guidance Manual
Publication/Document Name: P3 Implementation Manual and Guidelines
Pub/Doc #: P3-Implementation-Manual.pdf (pa.gov)
Publication Last Updated: December 2022Bureau Responsible: Bureau of Planning and Research
Category: Guidance Manual
Publication/Document Name: Approved Products for Lower Volume Local Roads
Pub/Doc #: Pub 447
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20447.pdf
Publication Last Updated: March 2022Bureau Responsible: Center for Program Development and Management
Category: Guidance Manual
Publication/Document Name: Freight Planning Guidance
Pub/Doc #: Pub 790
http://www.dot.state.pa.us/public/PubsForms/Publications/PUB%20790.pdf
Publication Last Updated: October 2020Bureau Responsible: Center for Program Development and Management
Category: Planning Document
Publication/Document Name: 2045 Long Range Transportation Plan
Pub/Doc #: Pub 394
http://www.dot.state.pa.us/public/PubsForms/Publications/Pub 394.pdf
Publication Last Updated: December 2021Bureau Responsible: Center for Program Development and Management
Category: Planning Document
Publication/Document Name: 2045 Long Range Transportation Plan Appendix
Pub/Doc #: Pub 394A
http://www.dot.state.pa.us/public/PubsForms/Publications/Pub 394A.pdf
Publication Last Updated: December 2021Bureau Responsible: Center for Program Development and Management
Category: Guidance Document
Publication/Document Name: Regional LRTP Guidance
Pub/Doc #: Pub 575
http://www.dot.state.pa.us/public/PubsForms/Publications/Pub 394A.pdf
Publication Last Updated: Feb 2023Bureau Responsible: Center for Program Development and Management
Category: Guidance Document
Publication/Document Name: Freight Movement Plan
Pub/Doc #: Pub 791
http://www.dot.state.pa.us/public/pubsforms/Publications/PUB 791.pdf
Publication Last Updated: Feb 2023Bureau Responsible: Center for Program Development and Management
Category: Guidance Document
Publication/Document Name: Freight Movement Plan Appendix
Pub/Doc #: Pub 791A
http://www.dot.state.pa.us/public/pubsforms/Publications/PUB 791A.pdf
Publication Last Updated: Feb 2023
[Pa.B. Doc. No. 23-1064. Filed for public inspection August 4, 2023, 9:00 a.m.]
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