reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.145 - Bidding and procurement

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 county/joinder shall obtain supplies and services at the lowest practicable
					 cost and use a system of competitive bidding or written estimates as required
					 by the applicable County Code (16 P.S. §§
												1802,
					 5001 and
					 7377).
(b) Fixed assets for which the county/joinder
					 will hold the title shall be obtained at the lowest practicable cost using a
					 system of competitive bidding or written estimates as required by the
					 applicable county code.
(c) Fixed
					 assets for which the contracted agency will hold the title shall be obtained at
					 the lowest practicable cost. Provisions for accomplishing this objective, such
					 as competitive bidding, written estimates, sole source purchases and required
					 justifications, shall be included in the contract under §
											4300.139(a)(10)
					 (relating to contracting requirements).
(d) Purchases made by the county through the
					 Commonwealth shall be acceptable. The purchase of items through this mechanism
					 is encouraged by the Department.
This section cited in 55 Pa. Code §
													4300.66 (relating to equipment and
						  furnishings); 55 Pa. Code §
													4300.67 (relating to motor
						  vehicles); 55 Pa. Code §
													4300.103 (relating to equipment
						  and furnishings); and 55 Pa. Code §
													4300.104 (relating to motor
						  vehicles).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.146 - General accounting and reporting

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Generally accepted accounting principles
					 shall be followed by counties, county joinders and contracted agencies in
					 reporting for the county program. Counties and county joinders shall adhere to
					 the accepted concepts of governmental accounting and establish those funds,
					 account groups or crosswalks necessary for proper reporting to the Department.
					 If there are conflicts between applicable regulations and generally accepted
					 accounting principles, counties, county joinders and contracted agencies shall
					 comply with the regulations.
(b)
					 The accrual basis of accounting requires the reporting of expenses, purchases
					 and other bills in the period when incurred-regardless of when paid-and the
					 reporting of revenues, fees and contributions in the period when
					 earned-regardless of when received. The account structure and reporting to the
					 Department for the county program, including contracted agencies, are based on
					 accrual accounting with the following modifications:
(1) Revenue is recognized when received in
					 cash, except those revenues that are susceptible to accrual. Revenue shall be
					 measurable and available to pay current liabilities to be susceptible to
					 accrual. Revenue is measurable if there is sufficient information to provide a
					 reasonable estimate of the amount of revenue to be received. Available revenue
					 means earned revenue collectible within the fiscal period or within 60 days
					 thereafter to pay liabilities of the current period, except that contract
					 agencies shall consider receivables from the county as revenues regardless of
					 when collected.
(2) Expenditures
					 for employe leave are recognized in the fiscal period in which they are
					 actually paid.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.147 - Deficits

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When a county
					 program reports a deficit at the end of the year, the county shall be
					 responsible for providing the necessary funds. The Department is not
					 responsible for an incurred deficit on the part of the county
					 program.
(b) Departmental funds
					 allocated for a county program in the current fiscal year may not be used to
					 pay for a deficit incurred during the prior year without the approval of the
					 Secretary.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.148 - Uncollected revenue

Current through Register Vol. 54, No. 28, July 13, 2024
Income referred to as accounts receivable may be adjusted
						for uncollected revenues when a request for abatement or write-off has been
						approved under Chapter 4305 (relating to liability for community mental health
						and intellectual disability services).
The provisions of this §
													4300.148 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.149 - Encumbrances

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Funds may not
					 be encumbered out of a current fiscal year's allocation for purchases in the
					 succeeding fiscal year. This applies to purchases and services supported in
					 part or in whole by Department funds on the part of the county/joinder or its
					 providers.
(b) If a contractual
					 agreement is entered into which extends beyond the end of one funding period,
					 the time portion of the agreement after the end of the funding period shall be
					 treated as a charge against the next funding period.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.150 - Advancements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) It is the
					 Department's intent that its advances to counties/joinders be used to meet the
					 specific cash flow requirements of program funded and unit of service funded
					 providers. Advanced money may not be considered an expenditure of the county
					 program and subsequent payments to the provider shall be adjusted to reflect
					 the previous advance.
(b)
					 Adjustments shall occur within 30-calendar days of the end of the fiscal year
					 for which the advance was given. Funds unexpended at the end of the year are
					 considered unexpended allocation.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.151 - Unexpended allocation

Current through Register Vol. 54, No. 28, July 13, 2024
Money not expended at the end of the fiscal year shall be
						considered unexpended funds available for consideration by the Department in
						the computation of the allocation for the next fiscal year.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.152 - Invoicing

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Invoices for
					 expenses or services performed shall be submitted by a facility to the county
					 authority for payment. The invoices shall be maintained for auditing and
					 accountability purposes by the county authority.
(b) For program-funded services payment shall
					 be based on invoices for the actual allowable costs of the services. Facilities
					 shall report total costs and revenues to the county authority and shall be
					 reimbursed on net expenditures. Allowable costs shall be determined within the
					 context of Departmental regulations and policies.
(c) For facilities reimbursed on a unit of
					 service basis, payment to the facility shall be based on invoices for the units
					 of service provided according to the contractual rate.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.153 - Fiscal year

Current through Register Vol. 54, No. 28, July 13, 2024
The county program shall comply with the fiscal year
						utilized by the Department in its financial administration. The fiscal year
						begins on July 1 and continues through June 30 of the next
						year.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.154 - Base allocation

Current through Register Vol. 54, No. 28, July 13, 2024
This allocation represents the annual grant to defray the
						cost of operating the county program authorized by the act and approved by the
						Department. This allocation includes the funds to meet the Commonwealth's
						obligation for the provision of the services specified by the act and approved
						by the Department.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.155 - Categorical funding

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Categorical funding is the identification of a certain dollar amount in a
					 county mental health and intellectual disability allocation to be used for a
					 specific component of the county program. The funding may occur as the result
					 of an authorization by the Secretary. The funds shall be considered restricted
					 and available for the stated purpose only. This also applies to the base
					 program allocation as a whole.
(b)
					 Unexpended categorical funds may not be used to offset a deficit incurred in
					 the base program or another categorical program unless approved by the
					 Secretary.
(c) Unexpended
					 categorical funds are carried over into the next fiscal year and considered by
					 the Department in the computation of the allocation for the next fiscal
					 year.
The provisions of this §
													4300.155 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.156 - County matching funds

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Funds which are restricted or obligated for the county program are income to
					 that program and are used to reduce gross approved expenditures prior to the
					 computation of the State-county shares.
(b) General county revenue, regardless of
					 source, may be used to meet the 10% county match. Funds entering the general
					 county treasury, which lose their separate identity which may be used at the
					 discretion of the local authorities for appropriate county obligations, are
					 considered general county revenue.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.157 - County coverage

Current through Register Vol. 54, No. 28, July 13, 2024
Expenditures above the level of Departmental
						participation and services funded without Department approval shall be the
						fiscal responsibility of the county authorities. The allowable expenditure
						requirements included in this chapter refer to maximum levels of reimbursement
						in which the Department will participate. The county may fund programs,
						services and facilities at a rate they elect. Expenditures above the approved
						levels shall be the responsibility of the county.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.159 - Restricted receipt account

Current through Register Vol. 54, No. 28, July 13, 2024
The funds for the county mental health/intellectual
						disability program shall be used for this specific purpose and accounted for
						separately from other monies. This may be accomplished by maintaining separate
						bank accounts or by fund accounting. Monies may be combined if the following
						exist:
(1) Clear audit trails are
					 established.
(2) Earnings for each
					 account are individually computed, credited and recorded.
(3) Receipts, disbursements and transfers are
					 processed through separate accounts.
(4) The general principles of fund accounting
					 are observed.
The provisions of this §
													4300.159 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.160 - County and county joinder audits

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The county or county joinder is subject
					 to audit by Federal or Commonwealth agencies or their authorized
					 representatives.
(b) The county or
					 county joinder shall be audited by an independent auditor under the Single
					 Audit Act of 1984 (31
					 U.S.C.A. §§
												7501-7507),
					 United States Office of Management and Budget (OMB) Circular No. A-128 and
					 applicable Federal and Commonwealth regulations.
(c) The Department will accept an audit made
					 in accordance with the Single Audit Act, OMB Circular No. A-128 and applicable
					 Department audit supplements in lieu of another Federal or Commonwealth
					 requirement to conduct an audit. The Department reserves the right for Federal
					 and Commonwealth agencies or their authorized representatives to perform
					 additional audits of a financial/compliance, economy/efficiency or program
					 results nature, if deemed necessary.
(d) The requirements of this section do not
					 exempt a county or county/joinder from maintaining records or from providing
					 access to records to Federal or Commonwealth agencies or their authorized
					 representatives, upon request.
(e)
					 The county or county/joinder shall provide written notification to the
					 Commonwealth as to its intent to perform a single audit or other audit as
					 required by the Single Audit Act and OMB Circular No. A-128. The written
					 notification shall include the specific auditor selection, audit starting date
					 and a schedule of Federal and Commonwealth financial assistance to be audited.
					 If a single audit or other audit will not be performed as required, written
					 justification shall be provided to the Commonwealth. Written notification shall
					 be transmitted to the Governor's Office of the Budget, Bureau of Audits, on a
					 timely basis, immediately upon determination, but prior to the initiation of
					 audit performance. A copy of the written notification shall also be transmitted
					 to the county's or county/joinder's cognizant Federal agencies.
(f) Within 30 days after completion of the
					 single audit-or another audit performed in compliance with the Single Audit Act
					 and the OMB Circular No. A-128-copies of the single audit report (or other
					 audit report) shall be distributed under the Single Audit Act, OMB Circular No.
					 A-128, or other relevant Federal and Commonwealth policy and regulations. The
					 Department will periodically publish detailed distribution instructions in a
					 Department bulletin.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4300 - COUNTY MENTAL HEALTH AND INTELLECTUAL DISABILITY FISCAL MANUAL › FISCAL MANAGEMENT OF THE COUNTY PROGRAM › Section 4300.161 - Contracted agency audits

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The audits performed on contracted agencies shall contribute to the county
					 audit. The county may require the agency to retain an independent
					 certified/registered public accountant to perform the audit, contract for an
					 independent certified/registered public accountant directly to perform the
					 audit, perform the audit using qualified county auditors who meet the
					 independence requirements and professional standards in the "Standards for
					 Audit of Governmental Organizations, Programs, Activities and Functions"
					 promulgated by the Comptroller General of the United States, General Accounting
					 Office. Under generally accepted auditing standards, contracted agency audits
					 will be evaluated for the rendering of an opinion on total county
					 funding.
(b) The purpose of the
					 provider audit is to ensure that reimbursement is based on the reasonable costs
					 of contracted services, to provide verified financial information for making a
					 final determination of allowable costs, and to develop other information as
					 counties/joinders may need to fulfill their responsibilities. It shall include
					 an examination of financial transactions, accounts and reports, an evaluation
					 of the adequacy of accounting and administrative controls and an evaluation of
					 compliance with provisions of the contract, including applicable statutes and
					 regulations. It shall be of sufficient depth and detail for the auditor to
					 render an opinion that invoicing is based upon the terms and conditions
					 negotiated by the county/joinder and provider in developing the contract budget
					 or unit costs, or both.
(c) This
					 chapter may not be construed to limit the authority of the Department, the
					 Department's Comptroller's Office, the Auditor General, Federal auditors or
					 other authorized agencies to perform audits of contracted agencies. The county
					 or its agents shall have access to and the right to examine records of
					 contracted agencies involving transactions related to mental health and
					 intellectual disability funding.
The provisions of this §
													4300.161 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
This section cited in 55 Pa. Code §
													4300.116 (relating to county
						  negotiated fees).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL PROVISIONS › Section 4305.1 - General

Current through Register Vol. 54, No. 28, July 13, 2024
One of the primary goals of the public mental health and
						intellectual disability program is to provide easy access to treatment or
						habilitation services and to encourage people to seek help.
The provisions of this §
													4305.1 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL PROVISIONS › Section 4305.2 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
The purpose of this chapter is to specify the liability
						and describe the procedures for establishing and collecting liability for
						clients receiving community mental health or intellectual disability services
						funded in whole or in part through the county mental health and intellectual
						disability program.
The provisions of this §
													4305.2 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL PROVISIONS › Section 4305.3 - Applicability

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This chapter
					 applies to county mental health and intellectual disability programs.
(b) This chapter does not apply to a client
					 who is receiving services covered by Medical Assistance under the
					 Commonwealth's Medical Assistance Program.
The provisions of this §
													4305.3 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL PROVISIONS › Section 4305.5 - Legal base

Current through Register Vol. 54, No. 28, July 13, 2024
The legal authority for this chapter is sections 201(2)
						and 504(d) of the Mental Health and Intellectual Disability Act of 1966
						(50
						P.S. §§
												4201(2)
						and 4504(d)).
The provisions of this §
													4305.5 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.11 - Exempt services

Current through Register Vol. 54, No. 28, July 13, 2024
The following mental health and intellectual disability
						community services are exempt from liability requirements specified in the
						chapter:
(1) Vocational, as defined in
					 Chapter 2390 (relating to vocational facilities).
(2) Early intervention, as defined in Chapter
					 4226 (relating to early intervention services).
(3) Adult day care, as defined in Chapter
					 2380 (relating to adult training facilities).
(4) Respite care, as defined in Chapters 6350
					 and 6400 (relating to family resource services; and community homes for
					 individuals with an intellectual disability).
(5) Family aid services, as defined in
					 Chapter 6350.
(6) In-home therapy,
					 as defined in Chapter 6350.
(7)
					 Homemaker services, as defined in Chapter 6350.
(8) Family education and training, as defined
					 in Chapter 6350.
(9)
					 Recreation/leisure activities, as defined in Chapter 6350.
(10) Specialized vocational training services
					 that are outside the scope of Chapter 2390.
(11) Other intellectual disability family
					 support services including and limited to sitter and companionship services,
					 parent and family training, speech therapy, aural rehabilitation, hearing aid
					 evaluations, dactylogic therapy, physical therapy, occupational therapy,
					 mobility training, behavioral programming, adaptive appliances, special diets
					 and home rehabilitation.
The provisions of this §
													4305.11 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
This section cited in 55 Pa. Code §
													4305.13 (relating to nonexempt
						  service); 55 Pa. Code §
													4305.31 (relating to
						  determinations); and 55 Pa. Code §
													4305.32 (relating to exemptions
						  from determinations).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.12 - Exemptions from liability

Current through Register Vol. 54, No. 28, July 13, 2024
(a) No
					 liability may be charged for the initial contact. The initial contact is
					 defined as the face-to-face interview or another contact made with a person
					 authorized to determine the need for diagnostic and treatment services, to make
					 arrangements for services and to complete the initial liability determination
					 process.
(b) In addition to the
					 initial contact, six psychiatric outpatient or five partial hospitalization
					 units of service to children and adolescents will be exempt from liability. One
					 exemption period will be allowed for each 3 years from the date of first entry
					 into the service until the age of 18, if the following conditions are met:
(1) The liable person has no third party
					 coverage for psychiatric outpatient or partial hospitalization
					 services.
(2) The liable person has
					 an adjusted family income liability of $100 or less per month.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.13 - Nonexempt service

Current through Register Vol. 54, No. 28, July 13, 2024
Liability requirements specified in this chapter apply to
						a mental health and intellectual disability community service not listed in
						§
											4305.11 (relating to exempt
						services).
The provisions of this §
													4305.13 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.14 - Application of Internal Revenue Service regulations

Current through Register Vol. 54, No. 28, July 13, 2024
Internal Revenue Service statutes, regulations or
						standards in this chapter are defined as those in effect in calendar year 1986.
						Subsequent changes in those statutes, regulations or standards are not
						incorporated by reference. Changes will be incorporated by amendment to this
						chapter.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.15 - Delegation of authority

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 county administrator has the authority to delegate the functions required in
					 this chapter to base service units or providers of community mental health and
					 intellectual disability services, except for the functions of adjusting
					 liability amounts specified in §§
											4305.61-4305.69 (relating to adjustment of
					 liability) and write-off of past due accounts specified in §§
											4305.91-4305.94 (relating to write-off of
					 past due account).
(b) If functions
					 required in this chapter are delegated to providers of community mental health
					 and intellectual disability services, the county administrator shall retain
					 responsibility for compliance with the requirements of this chapter.
The provisions of this §
													4305.15 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.16 - Copy of this chapter to client

Current through Register Vol. 54, No. 28, July 13, 2024
The county administrator shall offer the liable person a
						copy of this chapter during the initial liability determination meeting and
						advise of the right to appeal a liability determination.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.17 - Eligibility of expenditures

Current through Register Vol. 54, No. 28, July 13, 2024
Expenditures by a county mental health and intellectual
						disability program on behalf of a client are eligible for reimbursement by the
						Department only if a liability has been billed and collection has been pursued
						according to the requirements specified in this chapter.
The provisions of this §
													4305.17 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.18 - Review and audit by the Department

Current through Register Vol. 54, No. 28, July 13, 2024
The liability determination, billing and collection
						process and forms and documents required in this chapter, are subject to review
						and audit by the Department.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.19 - Quarterly reports

Current through Register Vol. 54, No. 28, July 13, 2024
The county administrator shall submit a summary of
						adjustments of liability and write-offs of liability to the Department on a
						quarterly basis. The summary shall be submitted on forms prescribed by the
						Department.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.19a - Quarterly liability summaries-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Form MH/MR 877, titled "Liability
					 Decision Summary Face Sheet" and Form MH/MR 883, titled "Summary of Write-Offs"
					 shall be submitted by counties to the following addresses:
Office of Mental Health
:
Office of Community Programs Liability Write-Off Reports
						Room 308, Health and Welfare Building Harrisburg, Pennsylvania 17120
Office of Mental Retardation
:
The following appropriate Regional Mental Retardation
						Program Manager:
Regional Mental Retardation Program Manager Southeast
						Region 306 State Office Building 1400 Spring Garden Street Philadelphia,
						Pennsylvania 19130
Regional Mental Retardation Program Manager Northeast
						Region 100 Lackawanna Avenue Third Floor, Room 315 Scranton, Pennsylvania 18503
Regional Mental Retardation Program Manager Central
						Region 2330 Ararat Boulevard Post Office Box 2675 Harrisburg, Pennsylvania
						17105
Regional Mental Retardation Program Manager Western
						Region 1403 State Office Building 300 Liberty Avenue Pittsburgh, Pennsylvania
						15222
(b) Forms MH/MR 877
					 and MH/MR 883 are due on a quarterly basis on July 10, October 10, January 10
					 and April 10 of each year. If there are no write-offs or adjustments, reports
					 indicating "none" shall be submitted.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.20 - Missed mental health appointments

Current through Register Vol. 54, No. 28, July 13, 2024
If there is failure to give 24-hour notice of
						cancellation of a mental health service appointment, the service provider has
						the authority to bill the liable person the client fee schedule amount for the
						mental health service. This billing may not be deducted from the
						liability.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › GENERAL REQUIREMENTS › Section 4305.21 - Contributions

Current through Register Vol. 54, No. 28, July 13, 2024
Contributions made to the county mental health and
						intellectual disability program or the provider by charitable organizations,
						friends or neighbors on behalf of the client toward the cost of care shall be
						treated as payment by the liable person. Contributions may not be counted as
						income to the client as part of the total family income.
The provisions of this §
													4305.21 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.31 - Determinations

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The county
					 administrator shall determine a liability for clients receiving a community
					 mental health or intellectual disability service funded in whole or in part
					 through the county mental health or intellectual disability program that is not
					 listed as an exempt service in §
											4305.11 (relating to exempt
					 services).
(b) The liability shall
					 be determined prior to client referral to or placement into community mental
					 health and intellectual disability services, except for emergency referrals or
					 placements in which the liability shall be determined within 15 days after
					 emergency referral or placement.
The provisions of this §
													4305.31 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.32 - Exemptions from determinations

Current through Register Vol. 54, No. 28, July 13, 2024
The county administrator may not determine a liability if
						a client is receiving or is expected to receive only services listed as exempt
						services in §
											4305.11 (relating to exempt
						services).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.34 - Income not considered

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Income
					 that is not specified in §
											4305.33 (relating to income to be
					 considered) may not be considered as part of the total family income.
(b) Income of the financial guardian or
					 representative payee may not be considered as part of the total family income
					 unless the financial guardian or representative payee is the spouse of the
					 client or the parent of a client under 18 years of age.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.35 - Income

Current through Register Vol. 54, No. 28, July 13, 2024
The following income from the previous calendar year
						shall be combined to determine the total family income.
(1) Wages, salaries, fees, commissions, tips,
					 bonuses, net rental income, net business income and other income subject to
					 Federal income taxation.
(2)
					 Interest income including, but not limited to, interest received from accounts
					 with banks, savings and loan associations, money market funds, credit unions or
					 bonds.
(3) Dividends received from
					 corporate stock holdings or cash dividends from life insurance
					 policies.
(4) Benefits, including
					 but not limited to unemployment compensation, Social Security payments,
					 Supplemental Security Income received by clients 18 years or older, public
					 assistance, pensions, black lung benefits and railroad retirement pensions.
					 Restricted benefits are counted as income only if the benefit is paid on behalf
					 of the client. Food Stamps are not counted as income.
(5) Alimony payments.
(6) One hundred percent of a net capital
					 gain. The net capital gain is considered as the total capital gain less the
					 total capital loss for the year.
This section cited in 55 Pa. Code §
													4305.37 (relating to adjusted
						  family income).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.36 - Deductions

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The following
					 amounts from the previous calendar year shall be deducted from the total family
					 income.
(1) Actual Federal, State and local
					 taxes paid.
(2) Mandatory payroll
					 deductions.
(3) Real estate taxes
					 on the principal residence.
(4)
					 Health insurance premiums.
(5)
					 Verified medical expenses exceeding 5.0% of total family income.
(6) Verified child care costs, up to Internal
					 Revenue Service limits.
(7) Child
					 support payments for the client made directly to the facility in which the
					 child is in residence.
(8) Net
					 business losses claimed on the previous year's Internal Revenue Service
					 form.
(9) A family living allowance
					 of $9,000.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.37 - Adjusted family income

Current through Register Vol. 54, No. 28, July 13, 2024
The adjusted family income shall be the total family
						income specified in §
											4305.35 (relating to income) minus
						the deductions specified in §
											4305.36 (relating to
						deductions).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.38 - Verification

Current through Register Vol. 54, No. 28, July 13, 2024
Income and deductions shall be verified by written
						documentation, such as income tax statements, pay stubs, written employer
						statements or by affidavit. Copies of these verification documents shall be
						kept on file.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.39 - Failure to provide verification

Current through Register Vol. 54, No. 28, July 13, 2024
If the liable person fails to provide written
						verification of income and deductions, the county administrator shall bill for
						the full cost of service.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.40 - Redeterminations

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The county
					 administrator shall inform the liable person in writing that increases or
					 decreases in monthly income of greater than 5.0% shall be reported by the
					 liable person to the county within 30 days of the income change.
(b) The county administrator shall complete a
					 redetermination of the liability for a client at least once every 12
					 months.
(c) The county
					 administrator shall complete a redetermination of the liability for a client
					 more frequently than every 12 months if the adjusted family income amount
					 increases or decreases by more than 5.0% on an annualized basis. The
					 redetermination shall be based upon the revised adjusted family income. The
					 liability resulting from redetermination shall be retroactive to the date of
					 the income change.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.41 - Liability

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The liability
					 shall be the amount listed in Appendixes A and B based on the adjusted family
					 income.
(b) If the liability amount
					 listed in Appendixes A or B-nonresidential services or residential and
					 short-term inpatient services-exceeds 12.5% of the total monthly family income,
					 the liability shall be 12.5% of the total monthly income. Total monthly family
					 income shall be determined on an annualized basis.
(c) The amount billed may not exceed the
					 actual cost of the service provided.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.42 - More than one client receiving service

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If more than one client in the family is
					 receiving services, only one liability shall be determined and
					 billed.
(b) If at least one client
					 in the family is receiving community mental health or intellectual disability
					 residential services or short-term inpatient services, the liability shall be
					 the amount listed in Appendix B.
(c) If clients in the family are receiving
					 only community mental health or intellectual disability nonresidential
					 services, the liability shall be the amount listed in Appendix A.
The provisions of this §
													4305.42 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4305 - LIABILITY FOR COMMUNITY MENTAL HEALTH AND INTELLECTUAL DISABILITY SERVICES › DETERMINATION OF LIABILITY › Section 4305.43 - Client receiving more than one service

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If services received by the client in a
					 calendar month are community mental health and intellectual disability
					 nonresidential services or noninpatient services, the liability shall be the
					 amount listed in Appendix A.
(b) If
					 services received by the client in a calendar month are community mental health
					 and intellectual disability residential services or short-term inpatient
					 services, even if community mental health and intellectual disability
					 nonresidential services or short-term inpatient services are also provided, the
					 liability shall be the amount listed in Appendix B.
The provisions of this §
													4305.431 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).