reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › RESTRICTIVE PROCEDURES › Section 6100.345 - Behavior support component of the individual plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) For each individual for whom a
					 restrictive procedure may be used, the individual plan shall include a
					 component addressing behavior support that is reviewed and approved by the
					 human rights team in §
											6100.344 (relating to human rights
					 team), prior to use of a restrictive procedure.
(b) The behavior support component of the
					 individual plan shall be reviewed and revised as necessary by the human rights
					 team, according to the time frame established by the team, not to exceed 6
					 months between reviews.
(c) The
					 behavior support component of the individual plan shall include:
(1) The specific behavior to be
					 addressed.
(2) An assessment of the
					 behavior, including the suspected reason for the behavior.
(3) The outcome desired.
(4) A target date to achieve the
					 outcome.
(5) Methods for
					 facilitating positive behaviors such as changes in the individual's physical
					 and social environment, changes in the individual's routine, improving
					 communications, recognizing and treating physical and behavioral health
					 conditions, voluntary physical exercise, redirection, praise, modeling,
					 conflict resolution, de-escalation and teaching skills.
(6) Types of restrictive procedures that may
					 be used and the circumstances under which the procedures may be used.
(7) The amount of time the restrictive
					 procedure may be applied.
(8) The
					 name of the staff person responsible for monitoring and documenting progress
					 with the behavior support component of the individual plan.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › RESTRICTIVE PROCEDURES › Section 6100.346 - Staff training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 staff person who implements or manages a behavior support component of an
					 individual plan shall be trained in the use of the specific techniques or
					 procedures that are used.
(b) If a
					 physical restraint will be used, the staff person who implements or manages the
					 behavior support component of the individual plan shall have experienced the
					 use of the physical restraint directly on the staff person.
(c) Documentation of the training provided,
					 including the staff persons trained, dates of training, description of training
					 and training source, shall be kept.
This section cited in 55 Pa. Code §
													6100.43 (relating to regulatory
						  waiver); 55 Pa. Code §
													6100.801 (relating to agency with
						  choice); 55 Pa. Code §
													6100.804 (relating to
						  base-funding); and 55 Pa. Code §
													6100.805 (relating to vendor goods
						  and services).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › RESTRICTIVE PROCEDURES › Section 6100.347 - Prohibited procedures

Current through Register Vol. 54, No. 28, July 13, 2024
The following procedures are prohibited:
(1) Seclusion, defined as involuntary
					 confinement of an individual in a room or area from which the individual is
					 physically prevented or verbally directed from leaving. Seclusion includes
					 physically holding a door shut or using a foot pressure lock.
(2) Aversive conditioning, defined as the
					 application of startling, painful or noxious stimuli.
(3) Pressure-point techniques, defined as the
					 application of pain for the purpose of achieving compliance. A pressure-point
					 technique does not include a clinically-accepted bite release technique that is
					 applied only as long as necessary to release the bite.
(4) A chemical restraint, defined as use of a
					 drug for the specific and exclusive purpose of controlling acute or episodic
					 aggressive behavior. A chemical restraint does not include a drug ordered by a
					 health care practitioner or dentist for the following use or event:
(i) Treatment of the symptoms of a specific
					 mental, emotional or behavioral condition.
(ii) Pretreatment prior to a medical or
					 dental examination or treatment.
(iii) An ongoing program of
					 medication.
(iv) A specific,
					 time-limited stressful event or situation to assist the individual to control
					 the individual's own behavior.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › RESTRICTIVE PROCEDURES › Section 6100.348 - Physical restraint

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 physical restraint, defined as a manual method that restricts, immobilizes or
					 reduces an individual's ability to move the individual's arms, legs, head or
					 other body parts freely, may only be used in the case of an emergency to
					 prevent an individual from immediate physical harm to the individual or
					 others.
(b) Verbal redirection,
					 physical prompts, escorting and guiding an individual are permitted.
(c) A prone position physical restraint is
					 prohibited.
(d) A physical
					 restraint that inhibits digestion or respiration, inflicts pain, causes
					 embarrassment or humiliation, causes hyperextension of joints, applies pressure
					 on the chest or joints or allows for a free fall to the floor is
					 prohibited.
(e) A physical
					 restraint may not be used for more than 30 cumulative minutes within a 2-hour
					 period.
This section cited in 55 Pa. Code §
													6100.43 (relating to regulatory
						  waiver); 55 Pa. Code §
													6100.801 (relating to agency with
						  choice); 55 Pa. Code §
													6100.804 (relating to
						  base-funding); and 55 Pa. Code §
													6100.805 (relating to vendor goods
						  and services).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › RESTRICTIVE PROCEDURES › Section 6100.349 - Emergency use of a physical restraint

Current through Register Vol. 54, No. 28, July 13, 2024
If a physical restraint is used on an unanticipated,
						emergency basis, §§
											6100.344 and
						6100.345 (relating to human rights
						team; and behavior support component of the individual plan) do not apply until
						after the restraint is used for the same individual twice in a 6-month
						period.
This section cited in 55 Pa. Code §
													6100.43 (relating to regulatory
						  waiver); 55 Pa. Code §
													6100.801 (relating to agency with
						  choice); 55 Pa. Code §
													6100.804 (relating to
						  base-funding); and 55 Pa. Code §
													6100.805 (relating to vendor goods
						  and services).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › RESTRICTIVE PROCEDURES › Section 6100.350 - Access to or the use of an individual's personal property

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Access to or the use of an individual's
					 personal funds or property may not be used as a reward or punishment.
(b) An individual's personal funds or
					 property may not be used as payment for damages unless the individual consents
					 to make restitution for the damages. The following consent provisions apply
					 unless there is a court-ordered restitution:
(1) A separate written consent is required
					 for each incidence of restitution.
(2) Consent shall be obtained in the presence
					 of the individual or a person designated by the individual and in the presence
					 of and with the assistance of the support coordinator, base-funding support
					 coordinator or targeted support manager.
(3) The provider may not coerce the
					 individual to provide consent.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › INCIDENT MANAGEMENT › Section 6100.401 - Types of incidents and timelines for reporting

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The provider shall report the following
					 incidents, alleged incidents and suspected incidents through the Department's
					 information management system within 24 hours of discovery by a staff person:
(1) Death.
(2) A physical act by an individual in an
					 attempt to complete suicide.
(3)
					 Inpatient admission to a hospital.
(4) Abuse, including abuse to an individual
					 by another individual.
(5)
					 Neglect.
(6)
					 Exploitation.
(7) An individual who
					 is missing for more than 24 hours or who could be in jeopardy if missing for
					 any period of time.
(8) Law
					 enforcement activity that occurs during the provision of a service or for which
					 an individual is the subject of a law enforcement investigation that may lead
					 to criminal charges against the individual.
(9) Injury requiring treatment beyond first
					 aid.
(10) Fire requiring the
					 services of the fire department. This provision does not include false
					 alarms.
(11) Emergency
					 closure.
(12) Theft or misuse of
					 individual funds.
(13) A violation
					 of individual rights.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › INCIDENT MANAGEMENT › Section 6100.402 - Incident investigation

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The provider shall take immediate action to protect the health, safety and
					 well-being of the individual following the initial knowledge or notice of an
					 incident, alleged incident or suspected incident.
(b) The provider shall initiate an
					 investigation of an incident, alleged incident or suspected incident within 24
					 hours of discovery by a staff person.
(c) A Department-certified incident
					 investigator shall conduct the investigation of the following incidents:
(1) Death that occurs during the provision of
					 a service.
(2) Inpatient admission
					 to a hospital as a result of an accidental or unexplained injury or an injury
					 caused by a staff person, another individual or during the use of a
					 restraint.
(3) Abuse, including
					 abuse to an individual by another individual.
(4) Neglect.
(5) Exploitation.
(6) Injury requiring treatment beyond first
					 aid as a result of an accidental or unexplained injury or an injury caused by a
					 staff person, another individual or during the use of a restraint.
(7) Theft or misuse of individual
					 funds.
(8) A violation of
					 individual rights.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › INCIDENT MANAGEMENT › Section 6100.403 - Individual needs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) In
					 investigating an incident, the provider shall review and consider the following
					 needs of the affected individual:
(1)
					 Potential risks.
(2) Health care
					 information.
(3) Medication history
					 and current medication.
(4)
					 Behavioral health history.
(5)
					 Incident history.
(6) Social
					 needs.
(7) Environmental
					 needs.
(8) Personal
					 safety.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › INCIDENT MANAGEMENT › Section 6100.404 - Final incident report

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The provider shall finalize the incident report through the Department's
					 information management system within 30 days of discovery of the incident by a
					 staff person, unless the provider notifies the Department in writing that an
					 extension is necessary and the reason for the extension.
(b) The provider shall provide the following
					 information to the Department as part of the final incident report:
(1) Additional detail about the
					 incident.
(2) The results of the
					 incident investigation.
(3) Action
					 taken to protect the health, safety and well-being of the individual.
(4) A description of the corrective action
					 taken in response to an incident and to prevent recurrence of the
					 incident.
(5) The person
					 responsible for implementing the corrective action.
(6) The date the corrective action was
					 implemented or is to be implemented.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › INCIDENT MANAGEMENT › Section 6100.405 - Incident analysis

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 provider shall complete the following for each confirmed incident:
(1) Analysis to determine the cause of the
					 incident.
(2) Corrective action, if
					 indicated.
(3) A strategy to
					 address the potential risks to the individual.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › PHYSICAL ENVIRONMENT OF HCBS › Section 6100.441 - Request for and approval of changes

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A provider shall submit a written request
					 to the Department on a form specified by the Department and receive written
					 approval from the Department prior to increasing or decreasing the
					 Department-approved program capacity of a service location.
(b) To receive written approval from the
					 Department as specified in subsection (a), the provider shall submit a
					 description of the following:
(1) The
					 circumstances surrounding the change.
(2) How the change will meet the service
					 location size, staffing patterns, assessed needs and outcomes for the
					 individuals.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › PHYSICAL ENVIRONMENT OF HCBS › Section 6100.442 - Physical accessibility

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The provider shall provide or arrange for physical site accommodations and
					 assistive equipment to meet the health, safety and mobility needs of the
					 individual.
(b) Mobility equipment
					 and other assistive equipment shall be maintained in working order, clean, in
					 good repair and free from hazards.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › PHYSICAL ENVIRONMENT OF HCBS › Section 6100.443 - Integration

Current through Register Vol. 54, No. 28, July 13, 2024
A service location shall be integrated in the community
						and the individual shall have the same degree of community access and choice as
						an individual who is similarly situated in the community who does not have a
						disability and who does not receive an HCBS.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › PHYSICAL ENVIRONMENT OF HCBS › Section 6100.444 - Size of service location

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A residential service location that
					 serves primarily persons with a disability, which was funded in accordance with
					 Chapter 51 prior to February 1, 2020, may not exceed a program capacity of
					 eight.
(1) A duplex, two bilevel units and two
					 side-by-side apartments are permitted as long as the total in both units does
					 not exceed a program capacity of eight.
(2) With the Department's written approval, a
					 residential service location with a program capacity of eight may move to a new
					 location and retain the program capacity of eight.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › PHYSICAL ENVIRONMENT OF HCBS › Section 6100.445 - Locality of service location

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A residential or day service location,
					 which is newly-funded in accordance with this chapter on or after February 1,
					 2020, notwithstanding the exceptions in §
											6100.444(a)(1) and
					 (b)(1) (relating to size of service location)
					 may not be located adjacent to the following:
(1) Another human service residential service
					 location.
(2) Another human service
					 day service location serving primarily persons with a
					 disability.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › PHYSICAL ENVIRONMENT OF HCBS › Section 6100.446 - Facility characteristics relating to size of facility

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A residential facility that serves
					 primarily persons with a disability, which was funded in accordance with
					 Chapter 51 prior to________(
Editor's Note
: The blank refers to
					 the effective date of adoption of this proposed rulemaking.), may not exceed a
					 program capacity of eight.
(1) A duplex, two
					 bilevel units and two side-by-side apartments are permitted as long as the
					 total in both units does not exceed a program capacity of eight.
(2) With the Department's written approval, a
					 residential facility with a program capacity of eight may move to a new
					 location and retain the program capacity of eight.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › PHYSICAL ENVIRONMENT OF HCBS › Section 6100.447 - Facility characteristics relating to location of facility

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A residential
					 or day facility, which is newly-funded in accordance with this chapter on or
					 after__________ (
Editor's Note
: The blank refers to the
					 effective date of adoption of this proposed rulemaking.), may not be located
					 adjacent or in close proximity to the following:
(1) Another human service residential
					 facility.
(2) Another human service
					 day facility serving primarily persons with a disability.
(3) A hospital.
(4) A nursing facility.
(5) A health or human service public or
					 private institution.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › MEDICATION ADMINISTRATION › Section 6100.461 - Self-administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The provider
					 shall provide an individual who has a prescribed medication with assistance, as
					 needed, for the individual's self-administration of the medication.
(b) Assistance in the self-administration of
					 medication includes helping the individual to remember the schedule for taking
					 the medication, offering the individual the medication at the prescribed times,
					 opening a medication container and storing the medication in a secure place.
(c) The provider shall provide or
					 arrange for assistive technology to assist the individual to self-administer
					 medications.
(d) The individual
					 plan must identify if the individual is unable to self-administer
					 medications.
(e) To be considered
					 able to self-administer medications, an individual shall do all of the
					 following:
(1) Recognize and distinguish the
					 individual's medication.
(2) Know
					 how much medication is to be taken.
(3) Know when the medication is to be taken.
					 Assistance may be provided by staff persons to remind the individual of the
					 schedule and to offer the medication at the prescribed times as specified in
					 subsection (b).
(4) Take or apply
					 the individual's own medication with or without the use of assistive
					 technology.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › MEDICATION ADMINISTRATION › Section 6100.462 - Medication administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 provider whose staff persons or others are qualified to administer medications
					 as specified in subsection (b) may provide medication administration for an
					 individual who is unable to self-administer the individual's prescribed
					 medication.
(b) A prescription
					 medication that is not self-administered shall be administered by one of the
					 following:
(1) A licensed physician, licensed
					 dentist, licensed physician's assistant, registered nurse, certified registered
					 nurse practitioner, licensed practical nurse, licensed paramedic or other
					 health care professional who is licensed, certified or registered by the
					 Department of State to administer medications.
(2) A person who has completed the medication
					 administration course requirements as specified in §
												6100.468 (relating to medication
					 administration training) for the medication administration of the following:
(i) Oral medications.
(ii) Topical medications.
(iii) Eye, nose and ear drop
					 medications.
(iv) Insulin
					 injections.
(v) Epinephrine
					 injections for insect bites or other allergies.
(vi) Medications, injections, procedures and
					 treatments as permitted by applicable statutes and regulations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › MEDICATION ADMINISTRATION › Section 6100.463 - Storage and disposal of medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Prescription and nonprescription
					 medications shall be kept in their original labeled containers. Prescription
					 medications shall be labeled with a label issued by a pharmacy.
(b) A prescription medication may not be
					 removed from its original labeled container in advance of the scheduled
					 administration, except for the purpose of packaging the medication for the
					 individual to take with the individual to a community activity for
					 administration the same day the medication is removed from its original
					 container.
(c) If insulin or
					 epinephrine is not packaged in an individual dose container, assistance with or
					 the administration of the injection shall be provided immediately upon removal
					 of the medication from its original labeled container.
(d) Prescription medications and syringes,
					 with the exception of epinephrine and epinephrine auto-injectors, shall be kept
					 in an area or container that is locked.
(e) Epinephrine and epinephrine
					 auto-injectors shall be stored safely and kept easily accessible at all times.
					 The epinephrine and epinephrine auto-injectors shall be easily accessible to
					 the individual if the epinephrine is self-administered or to the staff person
					 who is with the individual if a staff person will administer the
					 epinephrine.
(f) Prescription
					 medications stored in a refrigerator shall be kept in an area or container that
					 is locked.
(g) Prescription
					 medications shall be stored in an organized manner under proper conditions of
					 sanitation, temperature, moisture and light and in accordance with the
					 manufacturer's instructions.
(h)
					 Prescription medications that are discontinued or expired shall be destroyed in
					 a safe manner according to applicable Federal and State statutes and
					 regulations.
(i) This section does
					 not apply for an individual who self-administers medication and stores the
					 medication in the individual's private bedroom or personal
					 belongings.
This section cited in 55 Pa. Code §
													6100.469 (relating to exceptions);
						  55 Pa. Code §
													6100.802 (relating to support
						  coordination, targeted support management and base-funding support
						  coordination); 55 Pa. Code §
													6100.803 (relating to organized
						  health care delivery system); and 55 Pa. Code §
													6100.804 (relating to
						  base-funding).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › MEDICATION ADMINISTRATION › Section 6100.464 - Prescription medications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 prescription medication shall be prescribed in writing by an authorized
					 prescriber.
(b) A prescription
					 order shall be kept current.
(c) A
					 prescription medication shall be administered as prescribed.
(d) A prescription medication shall be used
					 only by the individual for whom the prescription was prescribed.
(e) Changes in medication may only be made in
					 writing by the prescriber or, in the case of an emergency, an alternate
					 prescriber, except for circumstances in which oral orders may be accepted by a
					 health care professional who is licensed, certified or registered by the
					 Department of State to accept oral orders. The individual's medication record
					 shall be updated as soon as a written notice of the change is
					 received.
This section cited in 55 Pa. Code §
													6100.469 (relating to exceptions);
						  55 Pa. Code §
													6100.802 (relating to support
						  coordination, targeted support management and base-funding support
						  coordination); 55 Pa. Code §
													6100.803 (relating to organized
						  health care delivery system); and 55 Pa. Code §
													6100.804 (relating to
						  base-funding).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › MEDICATION ADMINISTRATION › Section 6100.465 - Medication record

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 medication record shall be kept, including the following for each individual
					 for whom a prescription medication is administered:
(1) Individual's name.
(2) Name of the prescriber.
(3) Drug allergies.
(4) Name of medication.
(5) Strength of medication.
(6) Dosage form.
(7) Dose of medication.
(8) Route of administration.
(9) Frequency of administration.
(10) Administration times.
(11) Diagnosis or purpose for the medication,
					 including pro re nata.
(12) Date
					 and time of medication administration.
(13) Name and initials of the person
					 administering the medication.
(14)
					 Duration of treatment, if applicable.
(15) Special precautions, if
					 applicable.
(16) Side effects of
					 the medication, if applicable.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › MEDICATION ADMINISTRATION › Section 6100.466 - Medication errors

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Medication errors include the following:
(1)
					 Failure to administer a medication.
(2) Administration of the wrong
					 medication.
(3) Administration of
					 the wrong dose of medication.
(4)
					 Failure to administer a medication at the prescribed time, which exceeds more
					 than 1 hour before or after the prescribed time.
(5) Administration to the wrong
					 person.
(6) Administration through
					 the wrong route.
(7) Administration
					 while the individual is in the wrong position.
(8) Improper preparation of the
					 medication.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › MEDICATION ADMINISTRATION › Section 6100.467 - Adverse reaction

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If an
					 individual has a suspected adverse reaction to a medication, the provider shall
					 immediately consult a health care practitioner or seek emergency medical
					 treatment.
(b) An adverse reaction
					 to a medication, the health care practitioner's response to the adverse
					 reaction and the action taken shall be documented.
This section cited in 55 Pa. Code §
													6100.469 (relating to exceptions);
						  55 Pa. Code §
													6100.802 (relating to support
						  coordination, targeted support management and base-funding support
						  coordination); 55 Pa. Code §
													6100.803 (relating to organized
						  health care delivery system); and 55 Pa. Code §
													6100.804 (relating to
						  base-funding).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › MEDICATION ADMINISTRATION › Section 6100.468 - Medication administration training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A person who has successfully completed a
					 Department-approved medication administration course, including the course
					 renewal requirements, may administer the medications, injections, procedures
					 and treatments as specified in §
											6100.462(b)(2)
					 (relating to medication administration).
(b) A person may administer insulin
					 injections following successful completion of both:
(1) The medication administration course
					 specified in subsection (a).
(2) A
					 Department-approved diabetes patient education program within the past 12
					 months.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › MEDICATION ADMINISTRATION › Section 6100.469 - Exceptions

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Sections
					 6100.461-6100.468 do not apply to the
					 following:
(1) Respite care provided for fewer
					 than 30 days in a 12-month period.
(2) Job coaching provided for fewer than 30
					 days in a 12-month period.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › GENERAL PAYMENT PROVISIONS › Section 6100.481 - Departmental rates and classifications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An HCBS will be paid based on one of the
					 following:
(1) Fee schedule rates.
(2) Cost-based rates.
(3) Department-established fees for the
					 ineligible portion of residential service.
(4) Managed care or other capitated payment
					 methods.
(5) Vendor goods and
					 services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › GENERAL PAYMENT PROVISIONS › Section 6100.482 - Payment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Department
					 will only pay for an HCBS in accordance with this chapter and Chapter 1101
					 (relating to general provisions).
(b) When a provision in Chapter 1101 is
					 inconsistent with this chapter, this chapter applies.
(c) The Department will only pay for a
					 reimbursable HCBS up to the maximum amount, duration and frequency as specified
					 in the approved and documented individual plan and as delivered by the
					 provider.
(d) If an HCBS is payable
					 under a third-party medical resource, the provider shall bill the third-party
					 medical resource in accordance with §
											1101.64 (relating to third-party
					 medical resources (TPR)) before billing a Federal or State-funded
					 program.
(e) If the HCBS is
					 eligible for payment under the State plan, the provider shall bill the program
					 under the State plan before billing the HCBS waiver or State-funded
					 programs.
(f) The provider shall
					 document a third-party medical resource claim submission and denial for an HCBS
					 under the State plan or a third-party medical resource agency.
(g) Medical Assistance payment, once accepted
					 by the provider, constitutes payment in full.
(h) A provider who receives a supplemental
					 payment for a service that is included as a service in the individual plan, or
					 that is eligible for payment as an HCBS, shall return the supplemental payment
					 to the payer. If the payment is for an activity that is beyond the services
					 specified in the individual plan or for an activity that is not eligible as an
					 HCBS, the private payment from the individual or another person is
					 permitted.
This section cited in 55 Pa. Code §
													6100.805 (relating to vendor goods
						  and services).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › GENERAL PAYMENT PROVISIONS › Section 6100.483 - Provider billing

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 provider shall submit claims in accordance with §
											1101.68 (relating to invoicing for
					 services).
(b) The provider shall
					 use the Department's information system, and forms specified by the Department,
					 to submit claims.
(c) The provider
					 shall only submit claims that are substantiated by documentation as specified
					 in §
											6100.226 (relating to
					 documentation of claims).
(d) The
					 provider may not submit a claim for a service that is inconsistent with this
					 chapter, inappropriate to an individual's needs or inconsistent with the
					 individual plan.
This section cited in 55 Pa. Code §
													6100.805 (relating to vendor goods
						  and services).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › GENERAL PAYMENT PROVISIONS › Section 6100.484 - Audits

Current through Register Vol. 54, No. 28, July 13, 2024
The provider shall comply with the following audit
						requirements:
(1) 2 CFR Part 200
					 (relating to uniform administrative requirements, cost principles, and audit
					 requirements for Federal awards).
(2) The Single Audit Act of 1984
					 (31 U.S.C.A. §§
												7501-7507).
(3) Applicable Office of Management and
					 Budget Circulars and related applicable guidance issued by the United States
					 Office of Management and Budget.
This section cited in 55 Pa. Code §
													6100.805 (relating to vendor goods
						  and services).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › GENERAL PAYMENT PROVISIONS › Section 6100.485 - Loss or damage to property

Current through Register Vol. 54, No. 28, July 13, 2024
If an individual's personal property is lost or damaged
						during the provision of an HCBS as a result of the provider's action or
						inaction, the provider shall repair or replace the lost or damaged property or
						pay the individual the replacement value for the lost or damaged property.
This section cited in 55 Pa. Code §
													6100.805 (relating to vendor goods
						  and services).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › GENERAL PAYMENT PROVISIONS › Section 6100.486 - Bidding

Current through Register Vol. 54, No. 28, July 13, 2024
(a) For a supply or
					 equipment over $10,000, the provider shall obtain the supply or equipment using
					 a process of competitive bidding or written estimates.
(b) The cost must be the best price made by a
					 prudent buyer.
(c) If a sole source
					 purchase is necessary, the provider shall keep records supporting the
					 justification for the sole source purchase.
(d) As used in this section, a "sole source
					 purchase" is one for which only one bid is obtained.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › GENERAL PAYMENT PROVISIONS › Section 6100.487 - Loss or damage to property

Current through Register Vol. 54, No. 28, July 13, 2024
If an individual's personal property is lost or damaged
						during the provision of an HCBS, the provider shall replace the lost or damaged
						property, or pay the individual the replacement value for the lost or damaged
						property, unless the damage or loss was the result of the individual's
						actions.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › FEE SCHEDULE › Section 6100.571 - Fee schedule rates

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 Department will establish fee schedule rates, based on the factors in
					 subsection (b), using a market-based approach so that payments are consistent
					 with efficiency, economy and quality of care and sufficient to enlist enough
					 providers so that services are available to at least the extent that such
					 services are available to the general population in the geographic
					 area.
(b) In establishing the fee
					 schedule rates in subsection (a), the Department will examine and use data
					 relating to the following factors:
(1) The
					 service needs of the individuals.
(2) Staff wages, including education,
					 experience, licensure requirements and certification requirements.
(3) Staff-related expenses, including
					 benefits, training, recruitment and supervision.
(4)
Productivity
.
					 Productivity is the amount of service delivered relative to the level of
					 staffing provided.
(5)
Occupancy
. Occupancy is the cost related to occupying a space,
					 including rent, taxes, insurance, depreciation and amortization
					 expenses.
(6) Direct and indirect
					 program and administration-related expenses.
(7) Geographic costs based on the location
					 where the HCBS is provided.
(8)
					 Federally-approved HCBS definitions in the waiver and determinations made about
					 cost components that reflect reasonable and necessary costs related to the
					 delivery of each HCBS.
(9) The cost
					 of implementing applicable Federal and State statutes and regulations and local
					 ordinances.
(10) Other factors that
					 impact costs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › COST-BASED RATES AND ALLOWABLE COSTS › Section 6100.641 - Cost-based rate

Current through Register Vol. 54, No. 28, July 13, 2024
Sections
						6100.642 -6100.672 apply to
						cost-based rates.
This section cited in 55 Pa. Code §
													6100.802 (relating to support
						  coordination, targeted support management and base-funding support
						  coordination); and 55 Pa. Code §
													6100.803 (relating to organized
						  health care delivery system).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › COST-BASED RATES AND ALLOWABLE COSTS › Section 6100.642 - Assignment of rate

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The provider
					 will be assigned a cost-based rate for an existing HCBS at the location where
					 the HCBS is delivered, with an approved cost report and audit, as
					 necessary.
(b) If the provider
					 seeks to provide a new HCBS, the provider will be assigned the area adjusted
					 average rate of approved provider cost-based rates.
(c) A new provider with no historical
					 experience will be assigned the area adjusted average rate of approved provider
					 cost-based rates.
(d) If the
					 provider fails to comply with the cost reporting requirements specified in this
					 chapter after consultation with the Department, the provider will be assigned
					 the lowest rate calculated Statewide based on all provider cost-based rates for
					 an HCBS.
(e) Compliance with cost
					 reporting requirements will be verified by the Department through a designated
					 managing entity review or an audit, as necessary.
This section cited in 55 Pa. Code §
													6100.641 (relating to cost-based
						  rate); 55 Pa. Code §
													6100.802 (relating to support
						  coordination, targeted support management and base-funding support
						  coordination); and 55 Pa. Code §
													6100.803 (relating to organized
						  health care delivery system).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › COST-BASED RATES AND ALLOWABLE COSTS › Section 6100.643 - Submission of cost report

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 provider shall submit a cost report on a form specified by and in accordance
					 with the instructions provided by the Department.
(b) Unless a written extension is granted by
					 the Department, the cost report or the cost report addenda shall be submitted
					 to the Department on or before the last Thursday in October or on or before the
					 last business day in the third week of February for transportation.
(c) A provider with one master provider index
					 number shall submit one cost report for the master provider index
					 number.
(d) A provider with
					 multiple master provider index numbers may submit one cost report for all of
					 its master provider index numbers or separate cost reports for each master
					 provider index number.
(e) The
					 provider shall submit a revised cost report if the provider's audited financial
					 statement is materially different from a provider's cost report by more than
					 1%.
This section cited in 55 Pa. Code §
													6100.641 (relating to cost-based
						  rate); 55 Pa. Code §
													6100.802 (relating to support
						  coordination, targeted support management and base-funding support
						  coordination); and 55 Pa. Code §
													6100.803 (relating to organized
						  health care delivery system).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM › COST-BASED RATES AND ALLOWABLE COSTS › Section 6100.644 - Cost report

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 provider shall complete the cost report to reflect the actual cost and the
					 allowable administrative cost of the HCBS provided.
(b) The cost report must contain information
					 for the development of a cost-based rate as specified on the Department's
					 form.
(c) A provider of a
					 cost-based service shall allocate eligible and ineligible allowable costs in
					 accordance with the applicable Office of Management and Budget Circulars and
					 related applicable guidance as issued by the United States Office of Management
					 and Budget.
This section cited in 55 Pa. Code §
													6100.641 (relating to cost-based
						  rate); 55 Pa. Code §
													6100.802 (relating to support
						  coordination, targeted support management and base-funding support
						  coordination); and 55 Pa. Code §
													6100.803 (relating to organized
						  health care delivery system).