Ensuring the health and safety of program participants is one of the waiver assurances required by the Centers for Medicare and Medicaid Services. Additionally, state laws are in place requiring service coordinators and direct service providers to report abuse, neglect, abandonment and financial exploitation. Office of Long-Term Living (OLTL) service coordinators and direct service providers are mandatory reporters under the law.
In 2010, the Adult Protective Services Law, Act 70 of 2010, was enacted to provide protective services to adults between 18 and 59 years of age who have a physical or mental impairment that substantially limits one or more major life activities. The law establishes a program of protective services in order to detect, prevent, reduce and eliminate abuse, neglect, exploitation, and abandonment of adults in need. To report the need for protective services, call the 24-hour statewide Protective Services Hotline at 1-800-490-8505.
The HCBS Loan Program is a collaborative program between OLTL and Pennsylvania’s Department of Community and Economic Development. Program loans are intended to support long-term care providers as they position themselves to successfully transition to managed care in Community HealthChoices, Governor Tom Wolf’s plan to improve the quality of care for seniors and individuals with disabilities through managed long-term services and supports.
In order to ensure consistent information throughout each county, OLTL requires all Service Coordination agencies to provide standardized materials to all waiver participants. These materials have been translated from English into the following languages: Chinese (Simplified), Khmer (Cambodian), Russian, Spanish, and Vietnamese. View corresponding bulletins relating to this material.
Financial Management Services are available to participants who receive participant-directed services in the Aging, Attendant Care, Community Care (Commcare), Independence and Omnibus Budget Reconciliation Act (OBRA) waivers or the Act 150 program. For participants that choose to direct their services, a Vendor Fiscal Employer Agent (VF/EA) organization acts as the employer agent on behalf of the participant. The fiscal support services include administrative payroll functions such as the management of federal and state income tax withholding and employment taxes and locality taxes, processing direct care worker time sheets, brokering workers compensation insurance policies, and preparing and distributing financial reports.
On May 19, 2012, the Long-Term Living Home and Community-Based Service Regulation went into effect. The following documents contain the regulation as it appears in the Pennsylvania Bulletin and instructions on billing for services. The OLTL Billing Instructions Bulletin contains important information on quarter hour unit billing, billable and non-billable activities for service coordinators and on new rates.
MA Fee Schedule Rates
OLTL MA Rate Notices
January 1, 2016 Rate Notice (Overtime)
October 28, 2015 Rate Notice (Waiver Changes)
September 13, 2014 Rate Notices (Service Coordination)
September 13, 2014 Rate Notices (PAS Consumer-Directed)
September 13, 2014 Rate Notices (PAS Agency)
January 26, 2013 Rate Notice (Service Coordination)
January 26, 2013 Rate Notice (Enrollment)
July 14, 2012 Service Coordination Rate Notice
June 30, 2012 Aging Waiver Enrollment Fee Rate Notice June 9, 2012 Rate Notice.
Service Coordination - Information on HCSIS
Financial Management Services (FMS) Rates
Service Coordination-Frequently Asked Questions
Conflict Free Service Coordination
HCBS Regulation - Frequently Asked Questions
FMS Sample Forms
Mosley v Alexander Settlement Agreement