Begin Main Content Area

Policy & Procedure Manual


I. Administration

A. DirectiveIssuance of Aging Service Policy & Procedure Manual Chapter I: Administration (PDF)

B. ChapterChapter I: Administration (PDF)

C. Definitions and Service Standards

Appendix A. Definitions (PDF)

D. Documentation Requirements

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E. Forms

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F. SAMS Data Entry Requirements

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G. Regulations and Citations

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H. Resources

Frequently Asked Questions (PDF)


 

II. Hearings and Appeals

A. Directive - Issuance of Aging Service Policy & Procedure Manual Chapter II: Hearings &  Appeals (PDF)

B. Chapter - Chapter II: Hearings and Appeals (PDF)

C. Definitions and Service Standards

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D. Documentation Requirements

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E. Forms

Notice of Appeal Rights (PDF)

Consumer - Adverse Action Notice and Appeal Instructions

Provider - Adverse Action Notice and Appeal Instructions

F. SAMS Data Entry Requirements

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G. Regulations and Citations

Appendix C.1 - 6 PA Code Chapter 3 - Hearings and Appeals

Appendix C.3 - 6 PA Code Chapter 21 - Domiciliary Care Services for Adults

H. Resources

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III. Assessment

A. Directive - Issuance of Aging Service Policy & Procedure Manual Chapter IX: Assessment (PDF)

B. Chapter - Chapter IX: Assessment (PDF)

C. Definitions and Service Standards

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D. Documentation Requirements

Appendix A. LCD Instructions (PDF)

E. Forms

Level of Care Determination (PDF)

Needs Assessment Tool (PDF)

Appendix B. Physician Certification Form (PDF)

Appendix B. Level of Care Determination Notice (PDF)

Appendix B. OBRA Documentation Checklist for AAA (PDF)

Appendix B. OBRA Form Level II - MA 0376 (PDF)

Appendix B. OBRA Form Level I - MA 0376 (PDF)

Appendix B. OBRA Form - MA 408 (PDF)

F. SAMS Data Entry Requirements

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G. Regulations and Citations

Appendix C. OLTL Bulletin 01-14-13 (PDF), 03-14-10 (PDF), 07-14-01 (PDF), 55-14-01 (PDF)

Appendix C. OLTL Bulletin 03-14-12 (PDF)

Appendix C. OLTL Bulletin 55-14-02 (PDF)

H. Resources

Disruptive Mood Dysregulation Disorder Fact Sheet (PDF)

Intellectual Disability Fact Sheet (PDF)

Obsessive Compulsive Disorder Fact Sheet (PDF)

PTSD Fact Sheet (PDF)

Schizophrenia Fact Sheet (PDF)

Somatic Symptom Disorder Fact Sheet (PDF)



IV. OPTIONS Program 

A. DirectiveIssuance of Aging Service Policy and Procedure Manual Chapter IV: OPTIONS Program (PDF)

B. Chapter - Chapter IV: OPTIONS Program (PDF)

C. Definitions and Service Standards

Appendix A.1 OPTIONS Service Standards (PDF)

D. Documentation Requirements

Appendix B.1 OPTIONS Service Order Documentation Requirements (PDF)

E. Forms

Appendix C.1 OPTIONS Consumer Reimbursement: Self-Employed/Independent Contractor Declaration (PDF)

Appendix C.2 OPTIONS Consumer Reimbursement Form: Personal Care and Home Support (PDF)

Appendix C.3 OPTIONS Consumer Reimbursement Form: Other (PDF)

F. SAMS Data Entry Requirements

Appendix D.1 SAMS Data Entry Requirements (PDF)

G. Regulations and Citations

Appendix E.1 28 PA Code Chapter 601: Home Health Care Agencies (PDF)

Appendix E.2 28 PA Code Chapter 611: Home Care Agencies and Home Care Registries (PDF)

H. Resources

Appendix F.1 U.S. Citizen and Lawful Permanent Resident Requirements (PDF)

Appendix F.2 OPTIONS to MA Long-Term Services and Supports Transfer Process (PDF)

Appendix F.3 OPTIONS Cost Share Scale (PDF)

Appendix F.4 Financial Thresholds for Mandatory Medical Assistance Eligibility Determination Process (PDF)



V. Care Management

A. Directive - Coming Soon                                 

B. Chapter - Coming Soon

C. Definitions and Service Standards

Coming Soon

D. Documentation Requirements

Coming Soon

E. Forms
Coming Soon
F. SAMS Data Entry Requirements
Coming Soon

G. Regulations and Citations

Coming Soon

H. Resources

Coming Soon