A. Directive - Issuance of Aging Service Policy & Procedure Manual Chapter I: Administration (PDF)
B. Chapter - Chapter I: Administration (PDF)
C. Definitions and Service Standards
Appendix A. Definitions (PDF)
D. Documentation Requirements
N/A
E. Forms
F. SAMS Data Entry Requirements
G. Regulations and Citations
H. Resources
Frequently Asked Questions (PDF)
A. Directive - Issuance of Aging Service Policy & Procedure Manual Chapter II: Hearings & Appeals (PDF)
B. Chapter - Chapter II: Hearings and Appeals (PDF)
Notice of Appeal Rights (PDF) Consumer - Adverse Action Notice and Appeal Instructions Provider - Adverse Action Notice and Appeal Instructions
Notice of Appeal Rights (PDF)
Consumer - Adverse Action Notice and Appeal Instructions
Provider - Adverse Action Notice and Appeal Instructions
Appendix C.1 - 6 PA Code Chapter 3 - Hearings and Appeals Appendix C.3 - 6 PA Code Chapter 21 - Domiciliary Care Services for Adults
Appendix C.1 - 6 PA Code Chapter 3 - Hearings and Appeals
Appendix C.3 - 6 PA Code Chapter 21 - Domiciliary Care Services for Adults
A. Directive - Issuance of Aging Service Policy & Procedure Manual Chapter IX: Assessment (PDF)
B. Chapter - Chapter IX: Assessment (PDF)
Appendix A. LCD Instructions (PDF)
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)
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)
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)
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)
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)
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)
A. Directive - Issuance of Aging Service Policy and Procedure Manual Chapter IV: OPTIONS Program (PDF)
B. Chapter - Chapter IV: OPTIONS Program (PDF)
Appendix A.1 OPTIONS Service Standards (PDF)
Appendix B.1 OPTIONS Service Order Documentation Requirements (PDF)
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)
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)
Appendix D.1 SAMS Data Entry Requirements (PDF)
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)
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)
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.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)
A. Directive - Coming Soon
B. Chapter - Coming Soon
Coming Soon
A. Directive - Issuance of Aging Service Policy and Procedure Manual Chapter VI: Caregiver Support Program (PDF)
B. Chapter - Chapter VI: Caregiver Support Program (PDF)
Appendix A.1 CSP Eligibility Quick Reference Chart (PDF) Appendix A.2 CSP Program Service Standards (PDF)
Appendix A.1 CSP Eligibility Quick Reference Chart (PDF)
Appendix A.2 CSP Program Service Standards (PDF)
Appendix C.1 CSP Conditions of Participation/Certificate of Accountability Form (PDF)
Appendix C.2 CSP Self-Employed/Independent Contractor Declaration Form (PDF)
Appendix C.3 Caregiver Reimbursement for Services and Supplies Form (PDF)
Appendix C.4 Caregiver Reimbursement for Personal Care and In-Home Respite Form (PDF)
Appendix E.1 PA Caregiver Support Program Regulations (PDF), E.2 Older American's Act (PDF), & E.3 PA Caregiver Support Act of 2011 (PDF)
Appendix F.1 Acceptable Proof of PA Residency (PDF) Appendix F.2 CSP Reimbursement Percentage Guide (PDF)
Appendix F.1 Acceptable Proof of PA Residency (PDF)
Appendix F.2 CSP Reimbursement Percentage Guide (PDF)
Appendix F.3 Resources for Caregivers of Children (PDF)