(b) This chapter applies to non-State operated ICFs/ORC. (a) This chapter applies to State operated and non-State operated ICFs/ID.
#PUBLIC UTILITIES CODE 6210 SERIAL#
Immediately preceding text appears at serial page (375733). The provisions of this § 6210.1 amended June 17, 2016, effective June 18, 2016, 46 Pa.B. The provisions of this § 6210.1 amended under section 443.1(2) and (3) of the Human Services Code (62 P.S. The purpose of this chapter is to specify the requirements for State operated and non-State operated ICFs/ID to receive payment for services through the MA Program. Code § 6211.2 (relating to applicability). The provisions of this chapter cited in 55 Pa. The provisions of this Chapter 6210 adopted October 28, 1994, effective immediately and apply retroactively to July 1, 1994, 24 Pa.B. The provisions of this Chapter 6210 issued under section 443.1(2) and (3) of the Public Welfare Code (62 P.S. Failure to comply with requirements of maintaining recipients funds. Failure to adhere to medical evaluation requirements. Failure to adhere to certification requirements. Recipient right of appeal of alternate care determinations. Auditing requirements related to recipient fund management. Auditing requirements related to cost reports. Services included in the interim per diem rate. Limitations on payment during strike or disaster situations requiring recipient evacuation. Limitations on payment for prescription drugs. Limitations on payment for reserved bed days. Attending physician decision on level of care.
Adverse decisions by the Inspection of Care Team. Reviews by the utilization review committee. Recertification of continued need for care. Budgets and cost reports for non-State operated facilities. Budgets and cost reports for State operated facilities. Categorically needy and medically needy recipients. CHAPTER 6210. PARTICIPATION REQUIREMENTS FOR THE INTERMEDIATE CARE FACILITIES FOR THE INTELLECTUAL DISABILITY PROGRAM GENERAL PROVISIONS