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 › COST-BASED RATES AND ALLOWABLE COSTS › Section 6100.645 - Rate setting

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 Department will use the cost-based rate setting methodology to establish a rate
					 for cost-based services for each provider with a Department-approved cost
					 report.
(b) The approved cost
					 report will be used as the initial factor in the rate setting methodology to
					 develop the allowable costs for cost-based services.
(c) The provider shall complete the cost
					 report in accordance with this chapter.
(d) The cost data submitted by the provider
					 on the approved cost report will be used to set the cost-based rates.
(e) Prior to the effective date of the
					 cost-based rates, the Department will publish as a notice in the
Pennsylvania Bulletin
The cost-based rate setting methodology,
					 including the Statewide process used to review the cost reports, outlier
					 analysis, vacancy factor and rate assignment processes.
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 6100.646 - Cost-based rates for residential service

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Department will review unit costs
					 reported on a cost report.
(b) The
					 Department will identify a unit cost as an outlier when that unit cost is at
					 least one standard deviation outside the average unit cost as compared to other
					 cost reports submitted.
(c) The
					 Department will apply a vacancy factor to residential service rates.
(d) A provider may request additional
					 staffing costs above what is included in the Department-approved cost report
					 rate for current staffing if there is a new individual entering the program who
					 has above-average staffing needs or if an individual's needs have changed
					 significantly as specified in the individual plan.
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 6100.647 - Allowable costs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A cost must
					 be the best price made by a prudent buyer.
(b) A cost must relate to the administration
					 or provision of the HCBS.
(c) A
					 cost must be allocated and distributed to various HCBS or other lines of
					 business among cost categories in a reasonable and fair manner and in
					 proportion with the benefits provided to the HCBS or other lines of business
					 among cost categories.
(d)
					 Allowable costs must include costs specified in this chapter.
(e) To be an allowable cost, the cost must be
					 documented and comply with the following:
(1)
					 Applicable Federal and State statutes and regulations.
(2) Generally Accepted Government Auditing
					 Standards and applicable Departmental procedures.
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 6100.648 - 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 of the supply or equipment must
					 be the best price paid by a prudent buyer.
(c) If only one bid is obtained for a
					 purchase, the provider shall keep records justifying the cost-effectiveness of
					 the purchase.
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 6100.649 - Management fees

Current through Register Vol. 54, No. 28, July 13, 2024
A cost included in the provider's management fees must
						meet the standards in §
											6100.647 (relating to allowable
						costs).
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 6100.650 - Consultants

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The cost of an
					 independent consultant necessary for the administration or provision of an HCBS
					 is an allowable cost.
(b) The
					 provider shall have a written agreement with a consultant. The written
					 agreement must include the following:
(1) The
					 administration or provision of the HCBS to be provided.
(2) The rate of payment.
(3) The method of
					 payment.
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 6100.651 - Governing board

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Compensation
					 for governing board member duties is not an allowable cost.
(b) Allowable costs for a governing board
					 member include the following:
(1) Meals,
					 lodging and transportation while participating in a board meeting or
					 function.
(2) Liability insurance
					 coverage for a claim against a board member that was a result of the governing
					 board member performing official governing board duties.
(3) Training related to the delivery of 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 › COST-BASED RATES AND ALLOWABLE COSTS › Section 6100.652 - Compensation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Compensation
					 for staff persons, including pension, health care and accrued leave benefits,
					 is an allowable cost.
(b) A bonus
					 or severance payment that is not part of a compensation package is not an
					 allowable cost.
(c) Internal
					 Revenue Service statutes and regulations and applicable Office of Management
					 and Budget Circulars and related applicable guidance as issued by the United
					 States Office of Management and Budget apply regarding compensation, benefits,
					 bonuses and severance payments.
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 6100.653 - Training

Current through Register Vol. 54, No. 28, July 13, 2024
The cost of staff person training related to the delivery
						of an HCBS is an allowable cost.
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 6100.654 - Staff recruitment

Current through Register Vol. 54, No. 28, July 13, 2024
The cost relating to staff recruitment is an allowable
						cost.
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 6100.655 - Travel

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A travel cost,
					 including meals, lodging and transportation for staff persons, is
					 allowable.
(b) Allowable expenses
					 for meals, lodging and transportation, paid through HCBS funding, are limited
					 to the Commonwealth-established reimbursement limits applicable for
					 Commonwealth employees.
(1) Nothing in this
					 subsection restricts the amount a provider may supplement for staff person
					 travel.
(2) Nothing in this
					 subsection applies Commonwealth-established policies and practices beyond the
					 reimbursement limits for meals, lodging and transportation.
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 6100.656 - Supplies

Current through Register Vol. 54, No. 28, July 13, 2024
The purchase of a supply is an allowable cost if the
						supply is used in the normal course of business and purchased in accordance
						with 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).
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 6100.657 - Rental of administrative equipment and furnishing

Current through Register Vol. 54, No. 28, July 13, 2024
Rental of administrative equipment or furnishing is an
						allowable cost if the rental is more cost-efficient than purchasing.
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 6100.658 - Communication

Current through Register Vol. 54, No. 28, July 13, 2024
The following communication costs that relate to the
						administration or provision of an HCBS are allowable costs:
(1) Telephone.
(2) Internet connectivity.
(3) Digital imaging.
(4) Postage.
(5) Stationary.
(6) Printing.
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 6100.659 - Rental of administrative space

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The cost of rental of an administrative
					 space, from a related or unrelated party for a programmatic purpose for an
					 HCBS, is allowable, subject to the following:
(1) The cost of rent may not exceed the
					 rental charge for similar space in that geographical area.
(2) The rental cost under a sale-leaseback
					 transaction, as described in Financial Accounting Standards Board Accounting
					 Standards Codification Section 840-40, as amended, is allowable up to the
					 amount that would have been allowed had the provider continued to own the
					 property.
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 6100.660 - Occupancy expenses for administrative buildings

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The following expenses are allowable
					 costs for administrative buildings:
(1) The
					 cost of a required occupancy-related tax and payment made instead of a
					 tax.
(2) An associated occupancy
					 cost charged to a specified service location. The associated occupancy cost
					 shall be prorated in direct relation to the amount of space utilized by the
					 service location.
(3) The cost of
					 an occupancy-related tax or payment made instead of a tax, if it is stipulated
					 in a lease agreement.
(4) The cost
					 of a certificate of occupancy.
(5)
					 Maintenance costs.
(6) Utility
					 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 6100.661 - Administrative fixed assets

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 fixed asset cost used for administrative purposes is an allowable
					 cost.
(b) The provider shall
					 determine whether an allowable fixed asset shall be capitalized, depreciated or
					 expensed in accordance with the following conditions:
(1) The maximum allowable fixed asset
					 threshold as defined in applicable Office of Management and Budget Circulars
					 and related applicable guidance as issued by the United States Office of
					 Management and Budget.
(2)
					 Purchases below the maximum allowable fixed asset threshold shall be
					 expensed.
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 6100.662 - Motor vehicles

Current through Register Vol. 54, No. 28, July 13, 2024
The cost of the purchase or lease of motor vehicles and
						the operating costs of the vehicles is an allowable cost in accordance with the
						following:
(1) The cost of motor
					 vehicles through depreciation, expensing or amortization of loans for the
					 purchase of a vehicle is an allowable expense. Depreciation and lease payments
					 are limited in accordance with the annual limits established under section 280F
					 of the Internal Revenue Code (26 U.S.C.A. §
												280F).
(2) The provider shall keep a daily log
					 detailing the use, maintenance and service activities of vehicles.
(3) The provider shall analyze the cost
					 differences between leasing and purchase of vehicles and the most practicable
					 economic alternative shall be selected.
(4) The provider shall keep documentation of
					 the cost analysis.
(5) The personal
					 use of the provider's motor vehicles is prohibited unless a procedure for
					 payback is established and the staff person reimburses the program for the
					 personal use of the motor vehicle.
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 6100.663 - Administrative buildings

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 administrative building acquired prior to June 30, 2009, that is in use and for
					 which the provider has an outstanding original loan with a term of 15 years or
					 more is an allowable cost for the provider to continue to claim principal and
					 interest payments for the administrative or nonresidential building over the
					 term of the loan.
(b) The provider
					 shall ensure a down payment made as part of the asset purchase shall be
					 considered part of the cost of the administrative building or capital
					 improvement and depreciated over the useful life of the administrative building
					 or capital improvement.
(c) The
					 provider shall receive prior written approval from the Department for a planned
					 major renovation of an administrative building with a cost above 25% of the
					 current value of the administrative building being renovated.
(d) The provider shall use the depreciation
					 methodology in accordance with §
											6100.661 (relating to
					 administrative fixed assets).
(e)
					 The provider may not claim a depreciation allowance on an administrative
					 building that is donated.
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 6100.664 - Residential vacancy

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 Department will establish a vacancy factor for residential service that is
					 included in the cost-based rate setting methodology.
(b) The vacancy factor for residential
					 service shall be calculated based on all the provider's residential service
					 locations.
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 6100.665 - Indirect costs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An indirect
					 cost is an allowable cost if the following criteria are met:
(1) The provider shall have a cost allocation
					 plan.
(2) Costs are authorized in
					 accordance with applicable Office of Management and Budget Circulars and
					 related applicable guidance as issued by the United States Office of Management
					 and Budget and §
												6100.647 (relating to allowable
					 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 6100.666 - Moving expenses

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 actual cost associated with the relocation of a service location is
					 allowable.
(b) Moving expenses for
					 an individual are allowable.
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 6100.667 - Interest expense

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Short-term borrowing is a debt incurred by a provider that is due within 1
					 year.
(b) Interest cost of
					 short-term borrowing from an unrelated party to meet actual cash flow
					 requirements for the administration or provision of an HCBS is an allowable
					 cost.
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 6100.668 - Insurance

Current through Register Vol. 54, No. 28, July 13, 2024
The cost for an insurance premium is allowable if it is
						limited to the minimum amount needed to cover the loss or provide for
						replacement value, including the following:
(1) General liability.
(2) Casualty.
(3) Property.
(4) Theft.
(5) Burglary insurance.
(6) Fidelity bonds.
(7) Rental insurance.
(8) Flood insurance, if required.
(9) Errors and omissions.
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 6100.669 - Other allowable costs

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The following costs are allowable if they are related to the administration of
					 HCBS:
(1) Legal fees with the exception of
					 those listed in subsection (b).
(2)
					 Accounting fees, including audit fees.
(3) Information technology costs.
(4) Professional membership dues for the
					 provider, excluding dues or contributions paid to lobbying groups.
(5) Self-advocacy or advocacy organization
					 dues for an individual, excluding dues or contributions paid to lobbying
					 groups. This does not include dues paid to an organization that has as its
					 members, or is affiliated with an organization that represents, individuals or
					 entities that are not self-advocates or advocates.
(6) Auxiliary aids and services, including
					 interpreters, that are not otherwise covered as 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 › COST-BASED RATES AND ALLOWABLE COSTS › Section 6100.670 - Start-up cost

Current through Register Vol. 54, No. 28, July 13, 2024
A start-up cost shall be utilized only for a one-time
						activity related to one of the following:
(1) Opening a new location.
(2) Introducing a new product or
					 service.
(3) Conducting business in
					 a new geographic area.
(4)
					 Initiating a new process.
(5)
					 Starting a new operation.
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 6100.671 - Reporting of start-up cost

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 start-up cost that has been reimbursed by the Department shall be reported as
					 income.
(b) A start-up cost within
					 the scope of Standard Operating Procedure 98-5 shall be expensed as the costs
					 are incurred, rather than capitalized.
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 6100.672 - Cap on start-up cost

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 cap on start-up cost will be established annually by the Department.
(b) A waiver in accordance with §
											6100.43 (relating to regulatory
					 waiver) may be requested if the waiver conditions in §
											6100.43 and one of the following
					 conditions are met:
(1) The start-up cost
					 provides greater independence and access to the community for an
					 individual.
(2) The start-up cost
					 is necessary to meet life safety code standards.
(3) The cost of the start-up activity is more
					 cost effective than an alternative approach.
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 › ROOM AND BOARD › Section 6100.681 - Room and board applicability

Current through Register Vol. 54, No. 28, July 13, 2024
Sections
						6100.682-6100.694 apply for the room and
						board rate charged to the individual in provider owned or leased residential
						service locations and in life sharing homes that are not owned or leased by the
						individual.
This section cited in 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 › ROOM AND BOARD › Section 6100.682 - Assistance to the individual

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If
					 an individual is not currently receiving SSI benefits, the provider shall
					 provide assistance to the individual to contact the appropriate county
					 assistance office.
(b) If an
					 individual is denied SSI benefits, the provider shall assist the individual in
					 filing an appeal.
(c) The provider
					 shall assist the individual to secure information regarding the continued
					 eligibility of SSI for the individual.
(d) The provider shall keep documentation of
					 the individual's application for SSI benefits, the SSI eligibility
					 determination and, if applicable, the appeal filed under subsection
					 (b).
This section cited in 55 Pa. Code §
													6100.681 (relating to room and
						  board applicability); 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 › ROOM AND BOARD › Section 6100.683 - No delegation permitted

Current through Register Vol. 54, No. 28, July 13, 2024
The provider shall collect the room and board from the
						individual or the person designated by the individual directly and the provider
						may not delegate that responsibility.
This section cited in 55 Pa. Code §
													6100.681 (relating to room and
						  board applicability); 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 › ROOM AND BOARD › Section 6100.684 - Actual provider room and board cost

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The total amount charged for the
					 individual's share of room and board may not exceed the actual documented room
					 and board costs at the individual's residential service location, minus the
					 benefits received as specified in §
											6100.685 (relating to
					 benefits).
(b) The provider shall
					 compute and document actual provider room and board costs each time an
					 individual signs a new room and board residency agreement.
(c) The provider shall keep documentation of
					 actual provider room and board costs.
(d) The following items are included as room
					 and board costs:
(i) Standard toiletries,
					 towels and bedding.
(ii) One
					 telephone with local telephone service.
(iii) Internet service.
(iv) Cleaning products.
(v) Household furniture.
(vi) Food choices of the individual, with
					 consideration of the food cost and nutrition, including the individual's
					 preference, culture, religion and beliefs, and an individual's prescribed diet,
					 if the prescribed diet is not covered by the individual's health care plan or
					 another funding source.
(vii)
					 Laundry of towels, bedding and the individual's clothing.
(viii) Lawn care, food preparation,
					 maintenance and housekeeping, including staff wages and benefits, to perform
					 these tasks.
(ix) Meals provided
					 away from the residential service location that are arranged by a staff person
					 in lieu of meals provided in the residential service location.
(x) Incontinence products, if the
					 incontinence product is not covered by the individual's health care plan or
					 another funding source.
(xi)
					 Building and equipment repair, renovation and depreciation.
(xii) Rent, taxes, utilities and property
					 insurance.
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 › ROOM AND BOARD › Section 6100.685 - Benefits

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The provider
					 shall assist an individual in applying for energy assistance, rent rebates,
					 food and nutrition assistance and similar benefits.
(b) If energy assistance, rent rebates, food
					 and nutrition assistance or similar benefits are received, the provider shall
					 deduct the value of these benefits from the documented actual provider room and
					 board cost as specified in §
											6100.684 (relating to actual
					 provider room and board cost) before deductions are made to the individual's
					 share of room and board costs.
(c)
					 An individual's energy assistance, rent rebates, food and nutrition assistance
					 or similar benefits may not be considered as part of an individual's
					 income.
(d) The provider may not
					 use the value of energy assistance, rent rebates, food and nutrition assistance
					 or similar benefits to increase the individual's share of room and board costs
					 beyond actual room and board costs as specified in § 6100.684.
This section cited in 55 Pa. Code §
													6100.681 (relating to room and
						  board applicability); 55 Pa. Code §
													6100.684 (relating to actual
						  provider room and board cost); 55 Pa. Code §
													6100.686 (relating to room and
						  board rate); 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 › ROOM AND BOARD › Section 6100.686 - Room and board rate

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If the
					 actual provider room and board cost as specified in §
											6100.684 (relating to actual
					 provider room and board cost), less any benefits as specified in §
											6100.685 (relating to benefits),
					 is more than 72% of the SSI maximum rate plus the Pennsylvania supplement, the
					 following criteria shall be used to establish the room and board rate:
(1) An individual's share of room and board
					 may not exceed 72% of the SSI maximum rate plus the Pennsylvania
					 supplement.
(2) The proration of
					 board costs shall occur after an individual is on leave from the residence for
					 a consecutive period of 8 days or more. This proration may occur monthly,
					 quarterly or semiannually as long as there is a record of the board costs that
					 were returned 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 › ROOM AND BOARD › Section 6100.687 - Completing and signing the room and board residency agreement

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The provider
					 shall ensure that a room and board residency agreement, on a form specified by
					 the Department, is completed and signed by the individual annually.
(b) If an individual is adjudicated
					 incompetent to handle finances, the individual's court-appointed legal guardian
					 shall sign the room and board residency agreement.
(c) If an individual is 18 years of age or
					 older and has a designated person for the individual's benefits, the designated
					 person shall sign the room and board residency agreement.
(d) The room and board residency agreement
					 shall be completed and signed in accordance with one of the following:
(1) Prior to an individual's admission to
					 residential service.
(2) Prior to
					 an individual's transfer from one residential service location or provider to
					 another residential service location or provider.
(3) Within 15 days after an emergency
					 residential service placement.
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 › ROOM AND BOARD › Section 6100.688 - Modifications to the room and board residency agreement

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If an individual pays rent directly to a
					 landlord and food is supplied through a provider, the room provisions shall be
					 deleted from the room and board residency agreement and the following shall
					 apply:
(1) The individual shall pay 32% of the
					 SSI maximum rate plus the Pennsylvania supplement for board.
(2) If an individual's income is less than
					 the SSI maximum rate plus the Pennsylvania supplement, 32% of the available
					 income shall be charged to fulfill the individual's monthly obligations for
					 board.
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 › ROOM AND BOARD › Section 6100.689 - Copy of room and board residency agreement

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A copy of the completed and signed room
					 and board residency agreement shall be given to the individual, the
					 individual's designated person and the individual's court-appointed legal
					 guardian, if applicable.
(b) A copy
					 of the completed and signed room and board residency agreement shall be kept in
					 the individual's record.
This section cited in 55 Pa. Code §
													6100.681 (relating to room and
						  board applicability); 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 › ROOM AND BOARD › Section 6100.690 - Respite care

Current through Register Vol. 54, No. 28, July 13, 2024
There may not be a charge for room and board to the
						individual for respite care.
This section cited in 55 Pa. Code §
													6100.681 (relating to room and
						  board applicability); 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 › ROOM AND BOARD › Section 6100.691 - Hospitalization

Current through Register Vol. 54, No. 28, July 13, 2024
There may not be a charge for room and board to the
						individual after 30 consecutive days of being in a hospital or rehabilitation
						facility and the individual is considered in reserved capacity.
This section cited in 55 Pa. Code §
													6100.681 (relating to room and
						  board applicability); 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 › ROOM AND BOARD › Section 6100.692 - Exception

Current through Register Vol. 54, No. 28, July 13, 2024
There may not be a charge for board to the individual if
						the individual does not take food by mouth.
This section cited in 55 Pa. Code §
													6100.681 (relating to room and
						  board applicability); 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 › ROOM AND BOARD › Section 6100.693 - Delay in an individual's income

Current through Register Vol. 54, No. 28, July 13, 2024
If a portion or all of the individual's income is delayed
						for 1 month or longer, the following apply:
(1) The provider shall inform the individual,
					 the individual's designated person or the individual's court-appointed legal
					 guardian in writing that payment is not required or that only a negotiated
					 amount of room and board payment is required until the individual's income is
					 received.
(2) Room and board shall
					 be charged to make up the accumulated difference between room and board paid
					 and room and board charged according to the room and board residency
					 agreement.
This section cited in 55 Pa. Code §
													6100.681 (relating to room and
						  board applicability); 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 › ROOM AND BOARD › Section 6100.694 - Managing individual finances

Current through Register Vol. 54, No. 28, July 13, 2024
The provider may not charge a fee for managing an
						individual's finances or for serving as an individual's designated financial
						representative.
This section cited in 55 Pa. Code §
													6100.681 (relating to room and
						  board applicability); 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 › DEPARTMENT-ESTABLISHED FEE FOR INELIGIBLE PORTION OF RESIDENTIAL SERVICE › Section 6100.711 - Fee for the ineligible portion of residential service

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Department will establish a fee for
					 the ineligible portion of payment for residential services.
(b) The fee in subsection (a) will be based
					 on the factors in subsection (c) 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.
(c) In establishing the fee
					 in subsection (a), the Department will examine and use data relating to the
					 following factors:
(1)
Occupancy
. Occupancy is the cost related to occupying a space,
					 including rent, taxes, insurance, depreciation and amortization
					 expenses.
(2) Meals for staff
					 persons.
(3) Custodial and
					 maintenance expenses.
(4)
					 Geographic costs based on the location where the service is
					 delivered.
(5) Other factors that
					 impact costs.