[48 Pa.B. 5943]
[Saturday, September 22, 2018]
[Continued from previous Web Page] III. OTHER
A. Bureau of Health Planning
• Department of Health Strategic Plan 2016-2019
• Pennsylvania State Health Assessment, 2013 updated in 2016 and 2017
• Pennsylvania State Health Improvement Plan, 2015-2020
• 2017 Pennsylvania State Health Improvement Plan Annual Report
• Health Improvement Partnership Program quarterly newsletters:
Spring 2018
Fall 2017
Summer 2017
Spring 2017
Winter 2017
Fall 2016
Summer 2016
August/September 2015
June/July 2015
April/May 2015
• 2012-2013 Pulse of Pennsylvania's Registered Nurse Workforce Report
• 2013 Pennsylvania Nursing Education Program Report
• 2014 Nursing Education Report
• 2014 Pulse of Pennsylvania's Physician and Physician Assistant Workforce Report
• 2015 Pulse of Pennsylvania's Dentist and Dental Hygienist Workforce Report
• 2013 Pulse of Pennsylvania's Dentist and Dental Hygienist Workforce
• 2014 Pulse of Pennsylvania's Licensed Practical Nurse Workforce Report
Contact: Janet Bargh (717) 772-5298B. Bureau of Emergency Medical Services
• Prehospital Care Response Report
• Statewide Emergency Medical Services System Development Plan
• 2008 Annual EMS Report
• Reports on EMS System Issues
• EMS Statistics
• EMS Training Information
• EMS Practitioner Registry
• List of Disciplinary Sanctions Imposed
• Tool for Locating Regional EMS Councils by County
• EMS Incident Self Reporting Process1. Information Bulletins
• EMS Information Bulletin #1—EMS Personnel Called to Active Military Duty (8/5/03)
• EMS Information Bulletin #2—Epinephrine Auto Injector Administration by EMTs (8/13/03) • EMS Information Bulletin #3—EMS Vehicle Collision Accident Form (9/30/03)
• EMS Information Bulletin #4—EMS Instructor Update Requirement (Revised 3/2/04)
• EMS Information Bulletin #5—Cyanide Compound Exposure Protocol (9/9/03)
• EMS Information Bulletin #6—Continuing Education Requirement-ALS Medical Command (11/5/03)
• EMS Information Bulletin #7—On-Line Continuing Education (11/6/03)
• EMS Information Bulletin #8—Distribution of Continuing Education Handbook (12/9/03)
• EMS Information Bulletin #10—EMS License Plates (2/11/04)
• EMS Information Bulletin #11—Public Access AED (2/13/04)
• EMS Information Bulletin #13—EMS Vehicle Collision and Personal Injury Form (Revised 4/1/04)
• EMS Information Bulletin #14—Epinephrine Auto-Injector Administration (Revised 3/10/04)
• EMS Information Bulletin #15—Emergency Response Employees (ERES) (4/30/04)
• EMS Information Bulletin #16—Electronic Ambulance Licensure Application Amendment Procedure (4/30/04)
• EMS Information Bulletin #17—Statewide BLS Medical Treatment Protocols and Guidelines (5/6/04)
• EMS Information Bulletin #19—CD and Web-Based ACLS Programs (6/18/04)
• EMS Information Bulletin #20—Certificates, Wallet Cards and Patches (6/8/04)
• EMS Information Bulletin #21—System Status Management (6/18/04)
• EMS Information Bulletin #22—EMTs Assisting With ALS Procedures (7/28/04)
• EMS Information Bulletin #23—Ambulance Licensing Overview (10/19/04)
• EMS Information Bulletin #25—Surge Response Services Update (12/13/04)
• EMS Information Bulletin #26 AED Mode Use on ALS Monitor/Defibrillator Devices (4/11/2006)
• EMS Information Bulletin #27 Interfacility Transport Guidelines (7/8/2005)
• EMS Information Bulletin #28 Grand Rounds (7/25/2005)
• EMS Information Bulletin #29 EMS Office Organization Chart (8/3/2005)
• EMS Information Bulletin #30 Ambulance Vehicle Standards (10/19/2005)
• EMS Information Bulletin #31 Draft ALS Protocols (10/25/2005)
• EMS Information Bulletin #32 Patients Exposed to Tasers (11/10/2005)
• EMS Information Bulletin #33 New Electronic Applications (11/17/2005)
• EMS Information Bulletin #34 Ambulance Vehicle Markings (12/20/2005)
• EMS Information Bulletin #35 Updated AHA Standards (12/23/2005)
• EMS Information Bulletin #36 New BLS Protocols (4/7/2006)
• EMS Information Bulletin #37 Epinephrine Auto-Injector Approval Update (4/11/2006)
• EMS Information Bulletin #38 Implementation of New AHA Standards (5/23/2006)
• EMS Information Bulletin #39A Statewide BLS Protocols and AED Utilization (10/31/06)
• EMS Information Bulletin #40 Update to Statewide BLS Protocol Course (11/14/06)
• EMS Information Bulletin #41 Revised Ambulance Licensure Equipment (11/17/06) • EMS Information Bulletin #42 Changes to Scope of Practice and Equipment (11/17/06)
• EMS Information Bulletin #43 Continuing Education Requirements for ALS Medical Command Authorization (12/01/06)
• EMS Information Bulletin #44 Centralized Registration for the Learning Management System (12/31/06)
• EMS Information Bulletin #45 State Recognized CPR Programs (03/05/007)
• EMS Information Bulletin #46 Comprehensive Laboratory Improvement Amendments (03/19/07)
• EMS Information Bulletin #47 Replacement of Promethazine with Ondansetron (03/19/07)
• EMS Information Bulletin #48 Capnography Frequently Asked Questions (08/14/07)
• EMS Information Bulletin #50 First Responder Equivalences (11/05/07)
• EMS Information Bulletin #51 State Recognized CPR Programs (11/05/07)
• EMS Information Bulletin #52 Recognized Emergency Vehicle Operators Courses (11/05/07)
• EMS Information Bulletin #53 Medical Command Authorization 2007 (12/01/07)
• EMS Information Bulletin #54 Implementation of National EMS Information System (NEMSIS) (12/20/07)
• EMS Information Bulletin #55 National Ski Patrol (02/28/08)
• EMS Information Bulletin #56 Paramedic—PHRN Certification Process (03/05/08)
• EMS Information Bulletin #57 Air Ambulance Guidelines (06/23/08)
• EMS Information Bulletin #58 Emergency Contraception Guidelines (10/07/08)
• EMS Information Bulletin #59 Emergency Vehicle Operator Courses (10/20/08)
• EMS Information Bulletin #60 Amended Continuous Positive Airway Pressure for Basic Life Support (10/27/08)
• EMS Information Bulletin #61 Suspension of Ambulance Driving Privilege (11/13/08)
• EMS Information Bulletin #62 Implementation of Updated Protocols (11/21/08)
• EMS Information Bulletin #63 Basic Life Support Skill Sheets (12/31/08)
• EMS Information Bulletin #64 Operation of Ambulance and Other Emergency Vehicles While at Hospital Emergency Department (01/22/09)
• EMS Information Bulletin #65 State Recognized CPR Programs (01/28/09)
• EMS Information Bulletin #66 Guidelines for CPAP Devices (01/30/09)
• EMS Information Bulletin #67 Trauma Patient Destination/Statewide Air Ambulance Transport Protocol (05/06/09)
• EMS Information Bulletin #68 State Recognized CPR Programs (06/30/09)
• EMS Information Bulletin #69 Approved Emergency Vehicle Operator Courses (07/01/09)
• EMS Information Bulletin #70 Guidelines for Reflective Chevrons (09/08/09)
• EMS Information Bulletin #71 Picture Identification Cards (09/08/09)
• EMS Information Bulletin #72 Statewide BLS (605) and ALS (6005) Blast Protocols (09/15/09)
• EMS Information Bulletin #73 (Amended) Paramedic Liability Protection (10/28/09)
• EMS Information Bulletin #74 Stretcher and Wheelchair Vehicle (02/08/10)
• EMS Information Bulletin #75 EMS Provider Examination Policy (04/10/10)
• EMS Information Bulletin 2013-007 Patient Care Report Submissions
• EMS Information Bulletin 2013-005 State Recognized CPR Programs
• EMS Information Bulletin 2011-012 Wind Effects on Ambulance Vehicles
• EMS Information Bulletin 2011-008 Verification of EMS Practitioner Status for Endorsement
• EMS Information Bulletin 2011-007 Re-Entry of EMS Personnel with Expired Certifications prior to NSC of 1995
• EMS Information Bulletin 2011-006 Bed Bug Information
• EMS Information Bulletin 2011-005 Drowning Data Collection
• EMS Information Bulletin 2011-004 ALS and BLS Statewide Protocols Implementation
• EMS Information Bulletin 2011-003 Pediatric Transport Guidelines
• EMS Information Bulletin 2011-002 Implementation of Updated ALS-BLS Statewide Protocols
• EMS Information Bulletin 2011-001 Continuing Education Hour Calculation
• EMS Information Bulletin 2012-015 Yellow DOT
• EMS Information Bulletin 2012-014 Approved Emergency Vehicle Operator Course
• EMS Information Bulletin 2012-013-C State Recognized CPR Programs
• EMS Information Bulletin 2012-011 Picture Identification
• EMS Information Bulletin 2012-010 Drug Shortage
• EMS Information Bulletin 2012-009 EMS Transfer of Care Form
• EMS Information Bulletin 2012-008 Stretcher Vans
• EMS Information Bulletin 2012-007 Defibrillation Doses
• EMS Information Bulletin 2012-004 PA NJ ConEd Document
• EMS Information Bulletin 2013-010 Lapse of Registration
• EMS Information Bulletin 2013-009 Cognitive Exam Acknowledgement Form
• EMS Information Bulletin 2013-008 Expired Medications
• EMS Information Bulletin 2013-007 Patient Care Report Submissions
• EMS Information Bulletin 2013-005 State Recognized CPR Programs
• EMS Information Bulletin 2013-004 ALS/BLS Protocol
• EMS Information Bulletin 2013-003 Mechanical CPR
• EMS Information Bulletin 2013-002 Emergency Medical Responder
• EMS Information Bulletin 2013-001 Out of Service Decal
• EMS Information Bulletin 2014-001 State Recognized CPR Programs
• EMS Information Bulletin 2014-002 Transfer of Care
• EMS Information Bulletin 2014-003 Ebola
• EMS Information Bulletin 2014-004 Naloxone
• EMS Information Bulletin 2014-005 Ebola Treatment Facilities
• EMS Information Bulletin 2014-006 Scope of Practice for EMS Providers
• EMS Information Bulletin 2014-007 EVZOTM Naloxone Autoinjector Donation Update
• EMS Information Bulletin 2015-001 Expired Medications
• EMS Information Bulletin 2015-002 CPR Requirements
• EMS Information Bulletin 2015-003 PA DOH Statewide Protocol Update
• EMS Information Bulletin 2015-004 Advance Emergency Medical Technician (AEMT) Certified Providers
• EMS Information Bulletin 2015-005 2015 PA DOH Statewide Protocol Update
• EMS Information Bulletin 2015-006 Voluntary Rescue Service Recognition (VRSR) Water Rescue Application
• EMS Information Bulletin 2015-007 State Recognized CPR Programs
• EMS Information Bulletin 2015-007A State Recognized CPR Programs
• EMS Information Bulletin 2015-008 Federal Specification for the Star-of-Life Ambulance, KKK-A-1822F Update
• EMS Information Bulletin 2015-009 2015 PA DOH Statewide AEMT Protocol
• EMS Information Bulletin 2015-010 Use of ALS monitor/defibrillators by BLS providers and AEMTs on vehicles used at the BLS and IALS levels
• EMS Information Bulletin 2015-011 2015 PA DOH Statewide Protocol Update
• EMS Information Bulletin 2015-012 New Release Update
• EMS Information Bulletin 2015-013 EMS providers performing legal blood draws
• EMS Information Bulletin 2015-014 EMS Certification Reminders
• EMS Information Bulletin 2015-015 Critical Care Transport and Air Ambulance Provider Expanded Scope of Practice.
• EMS Information Bulletin 2016-01 QRS Staffing Clarification
• EMS Information Bulletin 2016-02 Critical Care Transport and Air Ambulance Transport Approved Educational Programs
• EMS Information Bulletin 2016-03 Clarification for Chest Tubes in Paramedic Scope of Practice
• EMS Information Bulletin 2016-04 Critical Care Agency Licensure Process
• EMS Information Bulletin 2016-05 EMS Vehicle Operator Application
• EMS Information Bulletin 2016-06 EMS Provider Certification Exam Fees
• EMS Information Bulletin 2016-07 EMS Provider Certification Application
• EMS Information Bulletin 2016-08 Pre-Hospital Registered Nurse Scope of Practice and Administration of Anesthetic Agents
• EMS Information Bulletin 2016-09 Statewide ALS Protocol Update to Reflect Increased Naloxone Dosing in Altered Mental Status Protocols.
• EMS Information Bulletin 2016-10 Direct Pay Tracking
• EMS Information Bulletin 2017-02 Legal Blood Draws—Interim Guidelines
• EMS Information Bulletin 2017-03 Naloxone Increased Dosage Option
• EMS Information Bulletin 2017-05 CCT and Air Transport Approved Educational Programs
• EMS Information Bulletin 2017-06 Minimum Staffing
• EMS Information Bulletin 2017-07 Drowning and new drowning event reporting
• EMS Information Bulletin 2017-08 WannaCry Ransomware
• EMS Information Bulletin 2017-09 Announcing Updates
• EMS Information Bulletin 2017-10 Pediatric Safe Transport Devices
• EMS Information Bulletin 2017-11 Revising 2017-10 Pediatric Safe Transport Devices
• EMS Information Bulletin 2017-12 Vehicle Equipment and Supplies Implementation Date
• EMS Information Bulletin 2017-13 Direct Pay Notice of form Publication
• EMS Information Bulletin 2017-14 ALS Certification Registration Expiration
• EMS Information Bulletin 2017-15 NEMSIS 3.4 Data Collection Requirement
Contact: Aaron M. Rhone (717) 787-8740C. Office of Quality Assurance
• QA Annual Report
Contact: Quality Assurance (717) 783-1078D. Bureau of Facility Licensure and Certification
1. Division of Nursing Care Facilities (Long Term Care Provider Bulletins)
• Abuse, Neglect, Misappropriation of Property by Nurse Aides or Others—LTC PB No. 22 (Reviewed 6/19/15)
• Nurse Aide Registry Update—LTC PB No. 29 (Reviewed 6/19/15)
• Training of Companions/Sitters in T18 or 19 Facilities—LTC PB No. 31 (Reviewed 6/25/14)
• Disposition of Patient Medications—LTC PB No. 35 (Reviewed 6/19/15)
• Exception/Waiver Requests—LTC PB No. 37 (Reviewed 6/19/15)
• Taping of Exit Conference—LTC PB No. 42 (Reviewed 6/19/15)
• Informal Dispute Resolution—LTC PB No. 44 (Reviewed 6/19/15)
• Surety Bond Requirements—Clarification of ''Obligee''—LTC PB No. 48 (Reviewed 6/19/15)
• Department Access to Records at Nursing Homes Pursuant to 35 P.S. § 448.813-LTC PB No. 49 (Reviewed 6/19/15)
• Independent Informal Dispute Resolution (Section 6111 of the Patient Protection and Affordable Care Act of 2010/Sections 1819(h) and 1919(h) of the Social Security Act, 42 U.S.C. §§ 1395i-3(h) and 1396r(h), and 42 C.F.R. § 488.431)—LTC PB No. 2011-12 (Issued December 8, 2011) (Reviewed 6/19/15)
• Department of State Referrals of Licensed Professionals when allegations have been unsubstantiated—LTC PB No. 2012-2-1 (Issued February 14, 2012) (Reviewed 6/19/15)
• Long-Term Care Nursing Facility Independent Informal Dispute Resolution Act, Act 128 of 2011—LTC PB No. 2012-05-1 (Issued May 24, 2012) (Reviewed 6/19/15)
• Provider Bulletin 2012-11-13 Required Reportable Events/Actions by Facility (Issued 11/13/2012) (Reviewed 6/19/15)
• Provider Bulletin 2012-11-29 National Partnership to Improve Dementia Care and Reduce Antipsychotic Drug Use in Nursing Homes (Issued 11/29/2012) (Reviewed 6/19/15)
Contact: Susan Williamson (717) 787-18162. Division of Acute and Ambulatory Care
• Abortion Control Act (footnoted)
• Ambulatory Gynecological Surgery in Hospitals and Clinics Regulations (footnoted)
• Abortion: Making a Decision
Contact: Ann Chronister (717) 787-8015• PA Department of Health Message Board http://app2.health.state.pa.us/commonpoc/content/FacilityWeb/FacMsgBoard.asp?Distribution=F&Selection=All
• Stroke Center Listing
• Exception Process
• Expedited Exception Process and Request Form for Hospitals and Ambulatory Surgery Facilities • Exception Committee Procedure: Elective Percutaneous Coronary Interventions (PCI)
• Telemedicine Survey Guidelines and Department of Health Survey Policy-General Statement
Contact: Garrison Gladfelter (717) 783-8980E. Bureau of Community Programs, Licensure & Certification
• Application for Tanning Registration HD01628F: 07/07/2014
• Indoor Tanning FAQs 07/07/2014 Updated: 07/16/2014
Contact: Susan Coble (717) 736-73621. Division of Home Health
• Home Health Survey Guideline: Physician Verbal Orders 5/3/2013
• Application forms for a Home Health license and/or Medicare Certification
• Technical Advisory 5/3/2013
• FAQ Regarding Medications
• FAQ Regarding Act 179
• Consumer Notice of Direct Care Worker Status form
• Department of Aging Criminal Background Unit
• Department of Human Services ChildLine
• Directory of Birth Centers and Other Types of Health Care Facilities by County and Survey Results
• Application forms for Birth Center licensure
• American Association for Birth Centers
• American Association for Birth Centers: Standards for Birth Centers
• Application forms for Hospice licensure and/or Medicare certification
• CMS Approved Accreditation Associations: Community Health Accreditation Program (CHAP)
• The Joint Commission (TJC)
• Hospice FAQs
• Search for Hospice agencies by county
• PA Hospice Network
• Hospice Association of America
• National Hospice and Palliative Care Organization
• Application forms for Medicare certification for ESRDs
• ESRD FAQ
• List of Fiscal Intermediaries
• Search for ESRD Survey History by County
• Complete Listing of ESRDs In Your Area
• National Kidney Foundation
• American Association of Kidney Patients
• Centers for Medicare/Medicaid Services
• American Kidney Fund
• ESRD Network 4, Inc.
• Directory of PECCs by county with survey results
• Generic Drug Substitution/Equivalency Overview of Laws/Regulations
• Narrow Therapeutic Index General Information
• Federal Requirements for Electronic Orders and Prescriptions
• Pennsylvania Wholesale Prescription Drug Distributors License Act FAQ
• Submit a New Registration Online
• Renew/Update/Cancel Existing Registration
• Download Blank Application Forms
• Infant Hearing Education Assessment Reporting & Referral (IHEARR) Act
• Registration Requirements for Fitters and Dealers
• Department of State (Board of Speech, Hearing, Audiology & Board of Medicine)
• American Speech & Hearing Association (ASHA)
• National Board Certification Program
• International Hearing Society
Contact: Linda Chamberlain (717) 736-7350F. Bureau of Family Health
• Application for Chronic Renal Disease Transportation Services (Form #HD01623S 11/4/2014)
• Application for Head Injury Program Services (Form #HD1072F)
Contact: Carolyn Cass (717) 346-30001. Division of Newborn Screening and Genetics
• Universal Newborn Hearing Screening Program Guidelines for Infant Hearing Screening
• Early Hearing Detection and Intervention Program: Pennsylvania Department of Health Early Hearing Detection and Intervention (EHDI) Program Report on Screening and Follow-up for 2004-2014 Births
• Newborn Screening Provider Manual for the Commonwealth of Pennsylvania-Division of Newborn Screening and Genetics Bureau of Family Health
• Brochure to Parents: Pennsylvania Department of Health: Important Information For Parents About Newborn Screening
• Brochure to Parents: Pennsylvania Department of Health: Important Information For Parents About Lysosomal Storage Disorders
• Application for Services Metabolic Formula Program Pharmacy Selection Form
• Application for Services Metabolic Formula Program (Form #HD1072F)
• Application for Services HEALTH INSURANCE BENEFITS INFORMATION SHEET
• Application for Services Certification and Authorization Statements
• Application for Special Needs Services (Form #HD1072F)
Contact: Kelly Holland (717) 783-8143G. Bureau of Women, Infants and Children (WIC)
• WIC State Plan of Operations
• WIC Vendor Handbook
• WIC Food List
• PA Licensed Infant Formula Sellers
Contact: Will Cramer (717) 783-1289H. Bureau of Communicable Diseases
1. TB Program
• TB Control Manual
• TB Outbreak Response Plan
Contact: Kimberly Fitzpatrick (717)787-62672. STD Program
• STD Outbreak Response Plan
• PA NEDSS STD Program Reference Guide (available on line)
• Sexually Transmitted Diseases Treatment Guidelines 2015 (available online)
• Testing Guidelines for Obstetricians and Gynecologists for Hepatitis B, HIV and STD
• Program Operation Guidelines for STD Prevention (published by Centers for Disease Control and Prevention (CDC))
Contact: Beth Butler (717) 787-3981I. Bureau of Health Statistics and Registries
• Application for Birth Certificate, Form H105.102 (6/18)
• Solicitud de Copia Certificada del Acta de Nacimiento, Form H105.102 (8/2014).
• Application for a Birth Certificate with Fees Waived Under the Disaster Declaration (for an Individual with an Opioid Disorder), Form HD1106F-O (5/18) • Application for a Stillborn Birth Certificate, Form H02080F (6/18)
• Application for a Death Certificate, Form H02090F (7/18)
• Adoptee's Application for Noncertified Copy of Original Birth Record
• Birth Corrections Statement, Form H105.133. (6/2016)
• Application for Death Certificate, Form H105.102 (6/2016)
• Solicitud de Copia Certificada de Acta De Defuncion, Form H105.102 (8.2014)
• Death Correction Statement, Form H105.135 (6/2016).
• Application for Multi-Year Search of Birth Record, Form HD1124F (3/2015)
• Application for Multi-Year Search of Death Record, Form HD 1125F (3/2015)
• Authorization for an Individual to Pick Up Certificates, Form (HD02082F (5/18)
• Change in Civil Status Form, Form H105.132 (2/2006).
• Disposition/Transit Permit, Form HD01232F (11/2013)
• Disinterment/Reinternment Permit, Form HD01189F
• Record for Interment of Cremated Remains, Form H105.111 (5/18)
• Certificate of Adoption, Form H105.091
• Certificate of Adoption of a Foreign-Born Child, Form HD01273F
• Funeral Home Application for a Death Certificate, Form (HD02085F (6/18)
• Name Redaction Request
• Statement of Citizenship and Residency, Form HD01275F
• Affidavit of Mother for Registration Other than as Child of Mother's Husband, Form H105.004
• Affidavit of Husband for Registration Other than as Child of Mother's Husband, Form H105.005
• Report of Delayed Birth Record, H105.019
• Local Registrar's Monthly Report—Summary Schedule of Activity and Income, Form H106.026
• Local Registrar's Monthly Report—Schedule of Certified Copies Issued and Income Earned, Form H105.028
• Report of Live Birth, Form H105.142 (11/17)
• Certificate (Report) of Death, Form H105.143 (11/17)
• Report of Fetal Death, Form H105.024 (11/17)
• Supplemental Report of Assisted Conception, Form H105.030
Contact: Audrey Marrocco (717) 783-2548The following forms are electronically available at: https://www.health.pa.gov/topics/Reporting-Registries/Pages/EDRS.aspx
• DAVE User Agreement and Confidentiality Policy, Form HD01590F
• DAVE User Account Request, Form HD01591F (8/2016
• DAVE Facility Account Manager Request Form, Form HD01592F (2/2016)
• Electronic Death Registration System (EDRS) Training Continuing Education Units (CEUs) Acknowledgment and Attestation Form, Form HD02044F (5/2017)
• Funeral Director Worksheet (11/2015)
• Funeral Home Application for a Death Certificate
• Medical Certification Worksheet, Form HD02036F
• EDRS Medical Certifier Interested in Early Adoption of EDRS Form, Survey HD02034S
• Application of Intent to Participate in the Reporting of Deaths in Pennsylvania Form (2/2016)
Contact: Frank Caniglia (717) 783-2548J. Bureau of Laboratories
Some of these documents are electronically available at www.health.pa.gov/topics/labs/Pages/Laboratories.aspx
• Submission of Rabies Specimens
• General Specimen Submission Form
• CDC Specimen Submission Form
• Compliance with Shipping of Diagnostic Specimen/Etiologic Agent
• Laboratory Submission Form for Viral Encephalitis/Meningitis
• Lyme Disease Testing Form
• Bioterrorism Agents (various) Information
• Sputum Collection for Tuberculosis
• Nasal or Throat Swab Procedure for Virus Isolation
• CDC MERS-CoV Clinical Specimen Guidelines
• Food collection guidelines
• Neisseria gonorrhea collection guidelines
• Water Collection guidelines for Legionella testing
• Stool collection guideline for patient
• Stool collection guideline for public health site
• Bordetella pertussis collection guidelines
• Measles collection guidelines
• Material transfer agreement
• Division of Chemistry and Toxicology contact list
• Division of Laboratory Improvement contact list
• Division of Microbiology contact list
• Bureau of Laboratories Directory of Services
• Blood Alcohol & Drugs of Abuse Postmortem Specimen Collection Instructions
• Environmental Lead Analysis—Specimen Submittal Requirements
• Alcohol in Blood and/or Serum Testing Approval Requirements
• Requirements for the Approval of Laboratories That Perform Blood Lead Analysis
• Requirements for the Approval of Laboratories That Perform Erythrocyte Protoporphyrin and/or Zinc Protoporphyrin Analysis
• Drugs of Abuse in Blood and/or Serum Testing Approval Requirements
• Drugs of Abuse in Urine Testing Approval Requirements
• Pennsylvania Clinical Laboratory Permit Application for In-State Laboratories
• Multiphasic Screening Procedure
• Pennsylvania Clinical Laboratory Permit Application for Out-of-State Laboratories
• Pennsylvania Clinical Laboratory Permit Application— Mobile Labs
• Pennsylvania Clinical Laboratory Permit Application—Screening Sites
• Change of Status Form
• May 18, 2012 Letter regarding Policy Changes
• Laboratory Requirement for Zika Virus Test submission
• Zika Virus Laboratory Submission form
• Quick guide for Clinicians: How to interpret Zika Virus Test Results
• Guidelines for Pennsylvania Laboratories Handling Specimens for patients with suspected or confirmed Ebola virus disease
• Sexual Assault Testing and Evidence Collection Act Initial Data Reporting Form
• Sexual Assault Testing and Evidence Collection Act Annual Data Reporting Form
• Act 27 Frequently Asked Questions
• Pennsylvania Clinical Laboratory Permit and Proficiency Testing Program Fees • May 28, 2014 Letter Regarding Revisions to the Pennsylvania Clinical Laboratory Act—Act 122-2013
• Frequently Asked Questions—Volume 1 (Questions 1—28) Act 122-2013 May 28, 2014
• Frequently Asked Questions—Volume 2 (Questions 29—38) Act 122-2013 June 23, 2014
• Frequently Asked Questions—Volume 3 (Questions 39—52) Act 122-2013 July 31, 2014
• Act 122-2013 Clinical Laboratory Complaint Form
• Instructions for Requesting Collection Kits for Blood Alcohol & Drugs of Abuse Postmortem Specimens
• 2018 Toxicology Proficiency Testing Program Fees
• Toxicology Proficiency Testing Programs 2018 Schedule
• Limits of Quantitation of Laboratories Approved to Analyze Blood for Controlled Substances and/or their Metabolites
Contact: James R. Lute, Ph.D. (610) 280-3464K. Bureau of Public Health Preparedness
• State Emergency Registry of Volunteers in Pennsylvania Criminal History Policy and Code of Conduct (2011-01) July 1, 2011
Contact: Jeffrey Backer (717) 346-0640L. Prescription Drug Monitoring Program Office
• Achieving Better Care by Monitoring All Prescriptions (ABC-MAP) Annual Report
Contact: Meghna Patel (717) 547-3309M. Health Research Office
CURE Annual Report—available at https://www.health.pa.gov/MyRecords/Health-Research/CURE/Pages/Health%20Research.aspx#.W174aeLD-Ul
Contact: Penny E. Harris (717) 547-3706
Department of HUMAN SERVICES (DHS)
(Editor's Note: Statements of Policy are in upper and lower case. Notices of Rule Change are in all capitals. Notices of Rule Change adopted more than 180 days before deposit are starred (*).)
Office of Children's Health Insurance Program—Contact: J. Diane Brannon-Nordtomme (717) 705-4196
Children's Health Insurance Program (CHIP) State Plan approved 4-5-2017
10/01/2012 Children's Health Insurance Program Policy and Procedures Manual
4/5/2017 CHIP Eligibility and Benefits Handbook
POLICY STATEMENTS:
Year Subject Effective Date Transmittal
Number2012 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 Process12/31/2012 2012-07 2013 Revised CHIP Policy and Procedures Manual—
Chapter 37.2: Benefits Package02/05/2013 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 AdultBasic 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 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 Federal Final Rule ''Notice of Nondiscrimination and Taglines'' 11/08/2016 2016-07 2016 Salzmann Index 11/23/2016 2016-08 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 2017-06 2017 CHIP Provider Enrollment Transmittal 2017-08 08/04/2017 2017-08
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 Office of Income Maintenance—Contact: Cathy Buhrig (717) 787-4081
POLICY STATEMENTS:
GUIDANCE MANUALS:
Year Code
CitationSubject Date Issued Bulletin Number 1983 Ch. 166 Computation of CWEP Hrs. 10/25/83 166-83-57 Ch. 275 Postmark Date as the Receipt Indicator for Appeals and for Requests for Reconsideration 03/15/84 275-84-10 1993 *CH. 166 PROVIDING SUPPORTIVE SERVICES TO PARTICIPANTS IN THE COMMUNITY WORK EXPERIENCE PROGRAM 08/21/93 166-93-01 1995 *CH. 257 MA ESTATE RECOVERY—CHAPTER 178—
MEDICAL ASSISTANCE RESOURCES; CHAPTER 257—REIMBURSEMENT06/01/95 257-95-01 1996 *CH. 125 ACT 1995-20 PROVISIONS RELATING TO PERSONS SENTENCED OR CHARGED FOR A FELONY OR MISDEMEANOR 04/05/96 125-96-01
• Cash Assistance Handbook
• Supplemental Nutrition Assistance Program (SNAP) Handbook
• Medical Assistance Eligibility Handbook
• Long Term Care Handbook
• Supplemental Handbook
• Medicaid in Pennsylvania
• Low-Income Home Energy Assistance Program Final State Plan
• Actions for Support
• TANF State Plan
• Disaster Supplemental Nutrition Assistance Program Plan
• Supplemental Nutrition Assistance Program Ed (SNAP ED) State Plan
• Supplemental Nutrition Assistance Program (SNAP) Outreach State Plan
• County Assistance Office Employee and Visitors Access Policy
• Homeless Assistance Program—Instructions and Requirements
• Pennsylvania's State SNAP Employment and Training Program State Plan
• TANF Work Verification Plan
• LIHEAP Handbook
• Pennsylvania Child Support Handbook
• Employment, Advancement and Retention Network (EARN) Program and Policy Procedures Manual
• WORK READY Program and Policy Procedures Manual
• Keystone Education Yields Success (KEYS) Program Policy and Procedures Manual
• Maximizing Participation Project (MPP) Program Policy and Procedures Manual
• Human Services Development Fund Instructions and Requirements
• Early Intervention Annual Expenditure Report Instructions
• Human Services Block Grant Annual Expenditure Report Instructions
• Human Services Non-Block Grant Annual Expenditure Report InstructionsOffice of Medical Assistance—Contact: Dan De Lellis (717) 772-6341
POLICY STATEMENTS:
Year Code Citation(s) Subject Date Issued Bulletin
Number1981 Ch. 1251 Clarification of M.A. Bulletin # 22-80-01 08/19/81 22-81-01 Ch. 1121 Info. Concerning Claims Submitted as Compounded Prescriptions 06/30/82 19-82-02 1984 Ch. 1251 Revisions to MA Chapter 1251 (Funeral Directors' Services) 05/11/84 22-84-01 1984 Ch. 1101 Third Party Resource and Copay 11/01/84 99-84-15 1985 Ch. 1141 Physician Assistant Use 04/22/85 01-85-05 Ch. 1101 Allergy Testing—Exemptions from Co-Payments 10/15/85 01-85-18
11-85-20
12-85-11
10-85-02Ch. 1101 Professional Component Billing Regarding Patient Transport 10/15/85 01-85-16 Ch. 5100 Requirements for Treatment Plans Documentation of Treatment 10/31/85 29-85-02
33-85-021986 Ch. 1141 Payment Policy for Abortion Clinic
Visits09/10/86 10-86-02
11-86-10Ch. 1101 Policy Clarification Re: Provider's Signature 09/19/86 99-86-06 Ch. 1150 Payment Policy for Consultations 10/23/86 03-86-07 Ch. 1101 Preclusion of Convicted Persons, Not Providers, from Participation or Involvement in the MA Program 10/24/86 99-86-09 Ch. 1123 Durable Medical Equipment Warranties 10/28/86 05-86-02
19-86-071987 Ch. 1101 Physicians' Responsibility when Ordering Home Health Services 01/12/87 01-87-01 Ch. 1149 Palliative Emergency Treatment 04/24/87 03-87-02
27-87-01Ch. 1187 Barber and Beauty Costs 05/15/87 35-87-04
36-87-01Ch. 1101
Ch. 1123Coverage for Motorized Wheelchairs 07/30/87 05-87-02
01-87-08
19-87-06Ch. 1123 Policy Relating to Apnea Monitors 09/02/87 01-87-15
05-87-04
19-87-09Ch. 1187 Barber and Beauty Costs 10/22/87 35-87-07
36-87-08Ch. 140 Use of the PA 162 Forms for Notification of Medical Assistance Eligibility 10/22/87 99-87-10 Ch. 5310 Medical Assistance Coverage for Recipients Residing in Community Residential Facilities 10/23/87 99-87-11 Ch. 1150 Time Limit for Claim Resubmissions And Recovery of Overpayments 11/03/87 99-87-12 1988 Ch. 1150 Place of Service Review (PSR) Program 01/04/88 01-88-01
03-88-01
04-88-01
06-88-01
08-88-01
11-88-01Ch. 1150 Place of Service Review (PSR) Program 03/04/88 01-88-02
03-88-02
04-88-02
06-88-02
08-88-02
11-88-03Ch. 140 Healthy Beginning—Presumptive Eligibility Program 04/01/88 99-88-04 Ch. 1123 List of Accredited Rehabilitation Facilities to be used for Motorized Wheelchair Evaluation 04/06/88 01-88-04
05-88-02
19-88-03Ch. 150 Medical Assistance Eligibility Change For Aliens 04/13/88 99-88-05 Ch. 1151 Revisions to Chapters 1151 and 1163 1163 Regulations 06/29/88 11-88-02
12-88-05
13-88-05
1151-88-02
1163-88-02Ch. 1101 Policy Clarification Regarding Physician License 07/01/88 1101-88-01 Ch. 1223 Revision of Inpatient Hospital Drug And Alcohol Detoxification Payment Policy 09/09/89 01-88-11
11-88-11
1163-88Ch. 1150 Desk Reference 10/06/88 29-88-01
33-88-011989 Ch. 140 Healthy Horizons and Medicare Cost Sharing 01/04/89 99-89-02 Ch. 1150 Billing Instructions—Services Covered Only By Medicare 05/18/89 99-89-03 — Signature Requirements and Encounter Forms 05/26/89 99-89-05 Ch. 1150 Proper Use of Place of Service Codes 07/05/89 03-89-05 Ch. 1101 Policy Reminder Regarding Practitioner License Requirements 1101-89-02
03-89-08
04-89-07
07-89-02
15-89-02
31-89-02Ch. 1101 1150 Penalty for Bypassing Place of Service Review 11/03/89 01-89-09
03-89-06
04-89-05 06-89-04
08-89-04
11-89-10Ch. 1150 Michael Dallas Model Waiver Program For Technology—Dependent Children 11/03/89 99-89-13 Ch. 1247 Targeted Case Management Services 11/13/89 99-89-12
1247-89-01— Additional Category Eligible for Medicare-Cost Sharing Benefits 12/27/89 99-89-15 1990 Ch. 1121 Special Billing Instructions for Persantine 01/19/90 01-90-01 Ch. 1150
1163
1249
1121
1126AIDS Waiver Program 04/02/90 01-90-02
02-90-01
05-90-02
19-90-01
23-90-01
38-90-01
39-90-01Ch. 1150 Payment Policy for Consultations 04/27/90 1150-90-01 Ch. 1150 The Medicare Catastrophic Coverage Act of 1988 the Medicare Catastrophic Coverage Repeal Act of 1989 05/18/90 34-90-09 Ch. 1140 Provider Participation Requirements for Healthy Beginning Plus 06/12/90 1140-90-01
01-90-06
09-90-01
10-90-02
11-90-04
23-90-05
26-90-02
30-90-02
31-90-01Ch. 1163 Inpatient Hospital Services Retrospective Review Findings 07/09/90 11-90-08
12-90-03
13-90-02Ch. 1144 Certified Registered Nurse Practitioner 07/31/90 99-90-05
1144-90-01— Increase in Eligibility Guidelines 08/15/90 99-90-06 Ch. 1241 EPSDT Services 10/15/90 99-90-07
1241-90-01Ch. 1141 Allergen Immunotherapy 1991 Ch. 1141
1149
1143
1221Billing Procedures—Multiple Surgical Surgical/Obstetrical and Anesthesia Procedures 03/01/91 01-91-01
03-91-01
04-91-01
10-91-01
11-91-01
44-91-01
49-91-01Ch. 1123 Incontinence Products and Diapers 03/21/91 01-91-02
02-91-01
05-91-01
19-91-01
23-91-01Ch. 1121 Manufacturers' Rebate Program Corrections and Clarifications 05/20/91 01-91-07
02-91-03
03-91-05
04-91-05
10-91-04
11-91-06
12-91-03
19-91-05
26-91-03
28-91-02
29-91-02
30-91-02
33-91-02
49-91-03Ch. 1121 Manufacturers' Rebate Program 05/31/91 01-91-08
02-91-04
03-91-06
04-91-06
10-91-05
11-91-07
12-91-04
19-91-06
26-91-04
28-91-03
29-91-03
30-91-03
33-91-03
49-91-04— Certification of Need—Medical Assistance Patients Under the Age of 21 06/24/91 13-91-01 Ch. 1101 Lock-In Enhanced Recipient Restriction Program 07/12/91 99-91-04 — Third Party Resources Edits 608 and 616 07/26/91 99-91-05 *CH. 1101
CH. 1121
CH. 1123
CH. 1241EPSDT—OBRA '89 08/02/91 1101-91-01
1121-91-02
1123-91-01
1241-91-01Ch. 1123 Repair and Replacement of Durable Medical Equipment (DME), Orthotics And Prosthetics 10/01/91 05-91-04
19-91-14Ch. 1101
1150
1241Payments for Vaccines 11/06/91 1221-91-01 Ch. 1121 Clorazil Monitoring and Evaluation Visit 11/06/91 29-91-07
1153-91-011992 Ch. 1221 Billing for Emergency Room Services for Recipients Who are Hospitalized On the Same Day 01/17/92 11-92-02
13-92-01
12-92-01
53-92-01Ch. 1147 Increased Fees for Vision Services 01/31/92 01-92-02
05-92-01
15-92-01
19-92-02*Ch. 1141
*Ch. 1153Clozapine Support Services 01/31/92 1141-92-01
1153-92-01
01-92-04
29-92-02
33-92-04— Independent Team—Certification of Need—Medical Assistance Patients Under the Age 21 02/21/92 13-92-03 Ch. 1149 Dental Management Fee Guidelines 02/21/92 03-92-03 Ch. 1147 Clarification of Vision Services 04/17/92 01-92-05
05-92-02
15-92-03
19-92-04Ch. 1181 Reimbursement for Hospital Reserved Bed Days During A Medicare Benefit Period 05/01/92 1181-92-04 — Qualified Medicare Beneficiary Healthy Horizons Program 06/19/92 99-92-03 Ch. 1163 Inpatient Hospital Services Retrospective Review Findings 07/03/92 11-92-11
12-92-11
13-92-07
53-92-05Ch. 1163 Automated Admission Certification 07/22/92 01-92-12
03-92-05
04-92-04Ch. 1163 Hospital Utilization Review Changes 07/22/92 06-92-01
08-92-01
11-92-12
12-92-12
13-92-08
53-92-06Ch. 1126 Increase in Hospital Special Treatment Room Support Component—Payment For Observation and Monitoring in ASC's and SPU's 08/11/92 06-92-02
08-92-02
11-92-13Ch. 1121 Norplant Coverage 12/07/92 01-92-20
10-92-10
11-92-21
30-92-06Ch. 1101 Basic Health Care for Adult General Assistance Recipients 12/23/92 99-92-07 Ch. 1121 Changes in Medical Assistance Pharmaceutical Benefits 12/23/92 01-92-19
02-92-03
03-92-08
04-92-09
10-92-09
11-92-20
12-92-16
19-92-15
26-92-05
28-92-03
29-92-03
30-92-05
33-92-04
49-92-081993 — Accessing Mental Health Services Not Currently Included in the Medical Assistance Fee Schedule for Eligible Children and Adolescents Under 21 Years Of Age 01/19/93 01-93-03
29-93-02
33-93-02
41-93-01
48-93-01— Payment for Mental Health Services Provided in a Residential Treatment Facility for Eligible Individuals Under 21 Years of Age 01/19/93 01-93-04
11-93-02
13-93-02
41-93-02
53-93-02
1165-93-07— Enrollment Procedure Changes 01/22/93 29-93-01
33-93-01Ch. 1101 Interim Agreement Felix et al. v. Casey et al. 01/28/93 99-93-01
1101-93-02Ch. 1123 Reminder that Medical Equipment And Supplies Must be Prescribed 01/29/93 01-93-02
03-93-01
04-93-01
05-93-01
07-93-01
19-93-02Ch. 1101 Additional Copayment Expenses 02/17/93 01-93-01
19-93-01
1101-93-01Ch. 1123 Prior Authorization Rental of Nebulizers 04/09/93 01-93-06
05-93-03
19-93-04Ch. 1121 Intrauterine Devices 05/13/93 01-93-09
10-93-01
11-93-04Ch. 1101
1150Voucher System For the General Assistance Basic Health Care Package Update 06/30/93 01-93-12
04-93-04
07-93-03
10-93-04
11-93-07
15-93-02
19-93-09
26-93-04
30-93-03
49-93-04*CH. 1121 CHANGES IN THE MEDICAL ASSISTANCE PHARMACEUTICAL BENEFITS 07/09/93 1121-93-01 *CH. 1149 DENTAL SERVICES FOR ADULTS 07/09/93 1149-93-01 Ch. 1150 Revised Definition for Established Patient Evaluation and Management Visit and Consultation 07/13/93 01-93-14
04-93-05*CH. 1101 BASIC HEALTH CARE FOR ADULT GENERAL ASSISTANCE RECIPIENTS (FELIX ET. AL. V. CASEY ET. AL.) STIPULATION OF SETTLEMENT 07/21/93 1101-93-03 *CH. 1101 UPDATE TO EXCEPTIONS PROCESS AND CRITERIA UNDER THE GENERAL ASSISTANCE BASIC HEALTH CARE PACKAGE 07/21/93 1101-93-04 Ch. 1147 Specific Procedure Code for Deluxe Eyeglass Frames 08/02/93 01-93-16
05-93-05
15-93-04
19-93-12Ch. 1163 Change in Automated Utilization Review Toll-Free Telephone Number 08/04/93 01-93-17
03-93-06
04-93-07
06-93-01
08-93-01
11-93-10
12-93-05
13-93-04
26-93-05
53-93-03Ch. 1241 Centers for Disease Control Blood Lead Testing 09/03/93 1241-93-01
01-93-18
10-93-06
11-93-12
17-93-02
26-93-06
49-93-06Ch. 1101 Business Arrangements Between Nursing Facilities and Pharmacy Providers 10/08/93 1101-93-05
19-93-16
25-93-01
35-93-03
36-93-03Ch. 1101
1150Payment Policy for the Professional Component of Radiology Services And Electrocardiograms 10/29/93 01-93-19
11-93-13
12-93-06
13-93-05
53-93-04Ch. 1101
1150Procedures for Submitting Invoices For Services Provided to Retroactively Eligible Newborns 12/06/93 99-93-11 Ch. 1101
1150Newborn Eligibility Update and Corrections to Previous Bulletins 12/20/93 09-93-02
11-93-15
31-93-02Ch. 1101
1150Newborn Eligibility Update 12/20/93 99-93-14 Ch. 1245 Payment for Non-emergency Transportation for Nursing Home Patients 12/27/93 18-93-01 — OBRA Procedures for Individuals with Mental retardation 12/30/93 00-93-30 1994 EVS Response Worksheet (MA 464) 01/20/94 99-94-01 Ch. 1101 General Assistance (GA) Basic Health Care Package Voucher System and Rejected Invoices 03/02/94 01-94-03
04-94-01
07-94-01
10-94-01
11-94-02
15-94-01
19-94-02
26-94-01
30-94-01
49-94-02Ch. 1101 General Assistance (GA) Basic Health Care Package Voucher System and Rejected Invoices 03/02/94
04-49-01
07-94-01
10-94-01
11-94-02
15-94-01
19-94-02
26-94-01
30-94-01
49-94-02— 1. ACCESS to Medical Assistance for Children, Pregnant Women and Their Families (PA 600C)
2. Provider Application For Benefits (PA 600P)03/31/94 99-94-05 — Implementation of the Family Care Network: A Primary Care Case Management Program for Children and Adolescents 04/01/94 99-94-06 — Plan of Care Summary 04/01/94 01-94-05
41-94-02
48-94-02
49-94-03
50-94-02Ch. 1241 Update to Blood Lead Testing Guidelines 04/08/94 1241-94-01 Ch. 1123 Audiological Services 04/28/94 01-94-08
05-94-03
11-94-06
19-94-04
50-94-03— Billing Procedures for Partial Hospitalization Services that Exceed The Total Number of Hours 04/29/94 33-94-01 Ch. 1149 Provider Training on Completing The Dental Services Invoice (MA 300D) 05/05/94 03-94-02 — Medicare Part B Crossover 05/05/94 99-94-07 *CH. 1239 MA CASE MANAGEMENT SERVICES FOR RECIPIENTS UNDER THE AGE OF 21 05/17/94 1239-94-01
99-94-08Ch. 1249 Procedures for Prior Authorization Of Home Health Services 06/10/94 23-94-04 Ch. 1121 Discontinuance of Pharmacy Vouchers For General Assistance Recipients and Enforcement of Limits 06/24/94 01-94-13
19-94-09*CH. 1121 PHARMACEUTICAL SERVICES DRUG COVERAGE FOR MEDICALLY NEEDY IN NURSING FACILITIES 06/24/94 1121-94-01 Ch. 1121 Brand Medically Necessary Drugs Prior Authorization Billing Procedure And Drug List 07/01/94 19-94-10 Ch. 1121 Brand Medically Necessary Drugs Prior Authorization Request Procedure And Drug List 07/01/94 01-94-15
03-94-03
04-94-04— Medical Case Management Recordkeeping Forms 07/06/94 99-94-11 Ch. 1147 Proper Billing of Tonography and Provocative Test for Glaucoma 07/14/94 01-94-14
15-94-03*CH. 1121 PHARMACEUTICAL SERVICES PRIOR AUTHORIZATION REQUIREMENT MULTISOURCE BRAND NAME DRUGS 08/26/94 1121-94-02
01-94-17
03-94-04
04-94-05
19-94-11*CH. 1121
CH. 1126
CH. 1129
CH. 1141
CH. 1163
CH. 1221
CH. 1225
CH. 1242TREATMENT OF INFERTILITY—DISCONTINUED COVERAGE FOR DRUGS AND RELATED SERVICES 08/30/94 1121-94-03
1126-94-01
1129-94-01
1141-94-01
1163-94-01
1221-94-01
1225-94-01
1242-94-01
99-94-13*CH. 1101 GENERAL ASSISTANCE RESTRUCTURE AS A RESULT OF ACT 49 09/02/94 1101-94-01
99-94-14Medicare Deductible and Coinsurance Amounts for Medical Supplies for Residents in a Nursing Home 09/02/94 05-94-07
19-94-13Ch. 1141
1143Selected Office Surgical Procedures Performed in the Office 09/02/94 01-94-19
04-94-06— Clarification Bulletin 18-93-01 09/23/94 18-94-01 Ch. 1150 Revised Billing Instructions for the HCFA1500 11/14/94 99-94-15 *CH. 1153 PRIOR AUTHORIZATION OF PARTIAL HOSPITALIZATION 12/30/94 1153-94-01 1995 — Signature Requirements 02/01/95 01-95-01
29-95-01
33-95-01
41-95-01
49-95-01
50-95-01— Payment of Partial Hospitalization Services After Medicare 02/14/95 33-95-02 — AIDS Waiver Program (0192 Waiver Program); the Physician's Role In Recipient Enrollment 02/23/95 01-95-02
02-95-01
10-95-01
11-95-01— Implementation of the Lancaster Community Health Plan 03/27/95 99-95-02 — Reimbursement of Nurse Aide Training And Testing Fees 04/06/95 34-95-01
35-95-01
36-95-01
1181-95-01— Nutritional Consultations under the AIDS Waiver Program (0192 Waive) 04/26/95 01-95-05
02-95-03
10-95-02
11-95-02
23-95-02
27-95-01
28-95-01
30-95-01
38-95-01
39-95-01— Changes to the Services Available Under the AIDS (0192) Waiver Program 05/12/95 01-95-06
02-95-05
05-95-02
10-95-03
11-95-03
17-95-01
19-95-03
23-95-03
27-95-02
28-95-02
30-95-02
38-95-02
39-95-02Ch. 1141 Mammography Quality Standards Act (MQSA) 06/02/95 01-95-09
10-95-05
11-95-06
12-95-02
20-95-02
30-95-05— 1. Announcement of New Forms Printing Contractor
2. Instructions on Ordering Medical Assistance (MA) Forms07/14/95 99-95-06 Ch. 1121 Prescription Payment Systems Revisions 09/22/95 01-95-14
19-95-05Ch. 1141 Payment for Cleft Palate Services For Individuals Under 21 Years of Age 10/06/95 01-95-16
03-95-03
41-95-05
50-95-05Ch. 1221 Non-Emergency Use of the Emergency Room 10/13/95 01-95-19
11-95-11
12-95-06— Announcement of the Pennsylvania Department of Aging (PDA) Waiver 10/16/95 01-95-17
05-95-04
18-95-01
19-95-06Changes to the Eligibility Verification System 11/22/95 99-95-08 — Additional Benefits Covered by the Special Pharmaceutical Benefits Program 11/30/95 01-95-22
02-95-07
05-95-06
11-95-14
13-95-03
14-95-03
19-95-08
23-95-10
26-95-03
27-95-03
29-95-06
32-95-09
33-95-07
35-95-08
36-95-08
49-95-03CH. 1163 Payment Policy For Abortion Services 12/15/95 1163-95-02 Ch. 1221 Change in Billing Procedure for Emergency Room Visits 12/28/95 01-95-23 1996 Ch. 1121 Brand Name Drugs Prior Authorization 0 Updated List 1/19/96 01-96-01
02-96-01
03-96-01
04-96-01
10-96-01
11-96-01
12-96-01
19-96-01
26-96-01
28-96-01
29-96-01
30-96-01
33-96-01
49-96-01— The Addition of Invirase to the Special Pharmaceutical Benefits Program Formulary 3/01/1996 01-96-06 02-96-04 11-96-05 19-96-06 23-96-02 26-96-05 28-96-04 30-96-04 35-96-03 36-96-03 37-96-01 45-96-01 49-96-05 Ch. 1141 Rate Change for Pediatric Office Visits 02/05/96 01-96-02
10-96-02
11-96-02
26-96-02
49-96-02
50-96-01— Continuity of Prior Authorized Services Between Fee-for-Service and Managed CarePlans for Individuals Under Age 21 02/29/96 99-96-01 — Revisions to Billing Instructions for the Pennsylvania Department of Aging (PDA) Waiver 04/01/96 01-96-07
05-96-02
18-96-01
19-96-07
23-96-03
28-96-05
29-96-04
33-96-04
39-96-01Ch. 1121 Procedure to Request Prior Authorization For Anti-Ulcer Drugs 04/02/96 01-96-05
02-96-03
03-96-03
04-96-03
10-96-04
11-96-04
12-96-03
26-96-04
28-96-03
29-96-03
30-96-03
33-96-03
49-96-04Ch. 1121 Procedure to Bill Anti-Ulcer Drugs Requiring Prior Authorization 04/02/96 19-96-05 Ch. 1121 Prior Authorization of Anti-Ulcer Drugs 04/02/96 01-96-08
02-96-05
03-96-04
04-96-04
10-96-05
11-96-07
12-96-05
19-96-08
26-96-06
28-96-06
29-96-05
30-96-06
33-96-05
49-96-06Ch. 1101
1150Hearing Aid Batteries Added to Medical Assistance Program Fee Schedule 04/02/96 03-96-09
05-96-03
11-96-08
19-96-09
50-96-02Procedure for Service Description 04/29/96 01-96-11
41-96-01
48-96-01
50-96-04— InterQual Intensity/Severity/Discharge (ISD) Criteria for Review of Hospital Admissions 05/22/96 01-96-13
11-96-12
13-96-01— Provider Billing Information for the Family Care Network (FCN) Program 05/23/96 99-96-04 — Implementation of Act No. 1996-35 06/14/96 99-96-05 Ch. 1141 Clarification of the Rate Change for Pediatric Office Visits Bulletin 07/19/96 01-96-16
10-96-08
11-96-15
26-96-09
49-96-08
50-96-06— HealthCare Benefits Package 12 Employability Assessment Procedure Code List 08/19/96 01-96-17
10-96-09
11-96-17
12-96-11
15-96-02
16-96-03
20-96-02
26-96-10
28-96-08
29-96-07
49-96-09— Additions to the Special Pharmaceutical Benefits Program Drug Formulary 09/03/96 01-96-18
02-96-06
05-96-05
11-96-18
13-96-04
14-96-03
19-96-15
23-96-06
26-96-11
27-96-01
29-96-08
32-96-01
33-96-06
35-96-08
36-96-08
49-96-10Ch. 1101 GA and GA-related Medical Assistance Deductible Procedures 09/30/96 06-96-03
08/96-03
11-96-20
12-96-13
13-96-06
53-95-02Ch. 1241 Statewide Implementation of the Vaccines for Children (VFC) Program 10/04/96 01-96-19
10-96-10
11-96-21
26-96-12Ch. 1149 Information on New Procedures for Submitting Evaluating Orthodontic Prior Authorization Requests 10/21/96 03-96-06 Ch. 1163
1141Neonatal Intensive Care Procedure Costs 10/25/96 01-96-20 — Healthcare Benefit Package 12 Employability Assessment Update 11/15/96 01-96-22
10-96-12
11-96-23
12-96-15
15-96-03
16-96-04
20-96-03
26-96-14
28-96-09
29-96-09
49-96-11— Implementation of the HealthChoices Program 11/18/96 99-96-08 Ch. 1141 Revision to Physician Assistant and Midwife Supervision Requirements 11/22/96 01-96-21
02-96-07
06-96-04
08-96-04
09-96-01
10-96-11
11-96-22
12-96-14
25-96-02
26-96-13
30-96-08
37-96-02
38-96-01
1141-96-01— Clarification of Act 35 Issues 12/04/96 01-96-23
10-96-13
11-96-24
12-96-16
13-96-07
14-96-04
26-96-15
28-96-10
29-96-10— Special Pharmaceutical Benefits Program Automated Claims Processing System 12/11/96 01-96-24
02-96-08
05-96-06
11-96-25
13-96-08
14-96-05
19-96-16
23-96-07
26-96-16
29-96-11
32-96-02
33-96-07
49-96-121997 Ch. 1145 Change in Recipient Access to Chiropractic Services in the Family Care Network (FCN) Program 02/12/97 99-97-02 Ch. 1121 HealthChoices Protease Inhibitors Special Billing Procedure 02/21/97 19-97-02 Ch. 1121 Prospective Drug Use Review Therapeutic Duplication Screening 02/21/97 19-97-01 — Expansion of the Pennsylvania Department of Aging (PDA) Waiver 02/28/97 23-97-01
28-97-01
29-97-01
33-97-01— Expansion of the Pennsylvania Department of Aging (PDA) Waiver 02/28/97 01-97-02
05-97-01
18-97-01
19-97-03
55-97-01— Pennsylvania Department of Aging (PDA) Waiver Program Handbook 02/28/97 35-97-03
36-97-03— Pennsylvania Department of Aging (PDA) Waiver Program Billing Instructions 02/28/97 23-97-03
28-97-03
29-97-03
33-97-03— Pennsylvania Department of Aging (PDA) Waiver Program Billing Instructions 02/28/97 01-97-03
05-97-02
18-97-02
19-97-04— Pennsylvania Department of Aging (PDA) Waiver Program Handbook 02/28/97 55-97-02 — Pennsylvania Department of Aging (PDA) Waiver Certification Process 02/28/97 23-97-02
28-97-02
29-97-02
33-97-02
35-97-02
36-97-02— Expansion of the Pennsylvania Department of Aging (PDA) Waiver 02/28/97 35-97-01
36-97-01Ch. 1121 Brand Name Drugs Prior Authorization Updated List 03/17/97 01-97-06
02-97-01
03-97-02
04-97-02
10-97-01
11-97-03
12-97-01
19-97-06
26-97-02
28-97-04
29-97-04
30-97-01
33-97-04
49-97-01Ch. 1121 Updates to State Maximum Allowable Cost (State MAC) List 03/21/97 01-97-04
19-97-05Ch. 1150
1141Discontinuance of the Mandatory Second Program (SOP) 03/25/97 01-97-05
03-97-01
04-97-01
06-97-01
08-97-01
11-97-02
12-97-02
26-97-01
1150-97-01Ch. 1101
1150Medical Assistance Program Fee Schedule Revision 1997 HCPCS Updates 04/10/97 05-97-03
19-97-07
23-97-04Ch. 1101
1150Medical Assistance Program Fee Schedule Revision 1997 HCPCS Updates 04/10/97 01-97-07
03-97-03
04-97-03
10-97-02
11-97-04
12-97-03
15-97-01
16-97-01
17-97-02
20-97-01
30-97-02
43-97-01
49-97-02
50-97-01Ch. 1221 Change in Billing Procedure for Emergency Room Visits 05/12/97 11-97-05
12-97-04
13-97-01Ch. 1141
1144
1241Diagnostic and Psychological Evaluations 05/28/97 01-97-08
17-97-03
41-97-01
48-97-01
49-97-03
50-97-02— Pennsylvania Department of Aging (PDA) Waiver Procedure Code Update 06/06/97 01-97-09
05-97-04
18-97-03
19-97-08
23-97-05
28-97-05
29-97-05
33-97-05
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