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 PROVISIONS › Section 6100.3 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
						have the following meanings, unless the context clearly indicates
						otherwise:
Allowable cost-
Expenses considered
						reasonable, necessary and related to the service provided.
Applicant
-An entity that is in the
						process of enrolling in the Medical Assistance program as a provider of
						HCBS.
Base-funding-
Reimbursement provided
						exclusively by a grant to a county under the Mental Health and Intellectual
						Disability Act of 1966 (50 P.S. §§
												4101-4704) or Article XIV-B of the Human
						Services Code (62 P.S. §§
												1401-B-1410-B).
Corrective action plan
-A document that
						specifies the following:
(i) Action
					 steps to be taken to achieve and sustain regulatory compliance.
(ii) The time frame by which corrections will
					 be made.
(iii) The person
					 responsible for taking the action step.
(iv) The person responsible for monitoring
					 compliance with the corrective action plan.
Cost report-
A data collection tool
						issued by the Department to collect expense and utilization information from a
						provider that may include supplemental schedules or addenda as requested by the
						Department.
Department
-The Department of Human
						Services of the Commonwealth.
Designated managing entity
-An entity
						that enters into an agreement with the Department to perform administrative
						functions delegated by the Department, as the Department's designee. For
						base-funding, this includes the county mental health and intellectual
						disability program.
Fixed asset
-A major item, excluding real
						estate, which is expected to have a useful life of more than 1 year or that can
						be used repeatedly without materially changing or impairing its physical
						condition through normal repairs, maintenance or replacement of
						components.
HCBS-Home and community-based service-
An activity, assistance or product provided to an individual that is funded
						through a Federally-approved waiver program or the State plan.
Health care practitioner
-A person who is
						authorized to prescribe medications under a license, registration or
						certification by the Department of State.
Individual
-A woman, man or child who
						receives a home and community-based service or base-funding service.
Individual plan-
A coordinated and
						integrated description of person-centered activities, including services and
						supports for an individual.
Life sharer
-An employee or a contracted
						person who shares a common home and daily life experience with an individual,
						providing service and support as needed in both the home and the
						community.
Provider-
The person, entity or agency
						that is contracted or authorized to deliver the service to the
						individual.
Restraint
-A physical, chemical or
						mechanical intervention used to control acute, episodic behavior that restricts
						the movement or function of the individual or a portion of the individual's
						body, including an intervention approved as part of the individual plan or used
						on an emergency basis.
SSI
-Supplemental security income.
State plan
-The Commonwealth's approved
						Title XIX State Plan.
Service
-An activity, assistance or
						product provided to an individual and paid through a Federally-approved waiver
						program, the State plan or base-funding. A service includes an HCBS, support
						coordination, TSM, agency with choice, organized health care delivery system,
						and vendor goods and services, unless specifically exempted in this
						chapter.
Support
-An unpaid activity or assistance
						provided to an individual that is not planned or arranged by a provider.
TSM
-Targeted support management.
Vacancy factor
-An adjustment to the full
						capacity rate to account for days when the residential service provider cannot
						bill due to an individual not receiving services.
Volunteer
-A person who is an organized
						and scheduled component of the service system and who does not receive
						compensation, but who provides a service through the provider that recruits,
						plans and organizes duties and assignments.
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).