Information for Providers
On May 19, 2012, the Long-Term Living Home and Community-Based Service Regulation went into effect. The following documents contain the regulation as it appears in the Pennsylvania Bulletin and instructions on billing for services. The OLTL Billing Instructions Bulletin contains important information on quarter hour unit billing, billable and non-billable activities for service coordinators and on new rates.
HCBS Regulation - PA Bulletin
June 9, 2012 Rate Notice
June 30, 2012 Aging Waiver Enrollment Fee Rate Notice
July 14, 2012 Service Coordination Rate Notice
January 26, 2013 Rate Notice (Enrollment)
January 26, 2013 Rate Notice (Service Coordination)
OLTL Billing Instructions Bulletin
Crosswalk - Services and Procedure Codes
Conflict Free Service Coordination E-mail Explanation Conflict Free Choice Form
Service Coordination - Information on HCSIS
Service Plan Instructions
HCBS Regulation - Frequently Asked Questions
FAQs (updated as of 10/16/2012)
FINANCIAL MANAGEMENT SERVICES
Financial Management Services (FMS) are available to participants who receive participant-directed services in the Aging, Attendant Care, Community Care (Commcare), Independence and Omnibus Budget Reconciliation Act (OBRA) waivers or the Act 150 program.
For participants that choose to direct their services, a Vendor Fiscal Employer Agent (VF/EA) organization acts as the employer agent on behalf of the participant. The fiscal support services include administrative payroll functions such as the management of federal and state income tax withholding and employment taxes and locality taxes, processing direct care worker timesheets, brokering workers compensation insurance policies, and preparing and distributing financial reports.
The following are links to related material:
Mosley v Alexander Settlement Agreement
Draft of Provider Handbook
A Draft Provider Handbook has been prepared for Home and Community-Based Service Providers. It is intended to be used as a reference manual for providers. It is posted here for review and comment. Please use the accompanying Comment Sheet in preparing and submitting comments to the OLTL. Comments may be submitted to the following address: RAfirstname.lastname@example.org Comments are being accepted until May 28, 2013.
Draft Provider Handbook
Comment Sheet for Provider Handbook