Information for Providers 

• Adult Day Services Overview
• Domiciliary Care
• Domicilliary Care FAQ
• Enterprise Incident Management (EIM)
• Long-Term Care Case Mix Information
• Long Term Living Training Institute
• Nursing Home Transition Program Overview 
• OLTL Omnibus - Policy Clarification
• Office of Medical Assistance Programs Provider Bulletins
• Order Medical Assistance Forms
• Quality
• Self-Direction
• Services My Way Program Information

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.

HCBS Regulation - PA Bulletin 
Corrective Amendment
June 9, 2012 Rate Notice
June 30, 2012 Aging Waiver Enrollment Fee Rate Notice
July 14, 2012 Service Coordination Rate Notice
January 26, 2013 Rate Notice (Enrollment)
January 26, 2013 Rate Notice (Service Coordination)
OLTL Billing Instructions Bulletin 
Rate Regions
Crosswalk - Services and Procedure Codes

Conflict Free Service Coordination

Service Coordination - Information on HCSIS

E-mail
Service Plan Instructions

HCBS Regulation - Frequently Asked Questions

FAQs (updated as of 10/16/2012)

FINANCIAL MANAGEMENT SERVICES

Financial Management Services (FMS) 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 timesheets, brokering workers compensation insurance policies, and preparing and distributing financial reports.

The following are links to related material:

• PPL Contract Summary as Posted to PA Treasury Website
• September 27, 2012 Webinar - FMS Referrals to Public Partnerships 
• September 27, 2012 Service Coordination Training
• Follow-up FAQ
• Follow-up FAQ#2
• September 27, 2012 Webinar Follow Up - New Participant FMS Referral Form 
• Attachment: New Participant FMS Referral Form (This has been updated.)
• Financial Management Services-Important Update 
• Letter to Participants on Changes in FMS
• Attachment: Participant Letter on FMS 
• Instructions for Transferring Data to PPL
• Attachment: Transition Data Instructions
• Attachment: Participant Data from FEA
• Attachment: Common Law Employer from FEA
• Attachment: Direct Care Worker from FEA
• Attachment: HTTPS Client Setup for FTP
• New Participant FMS Referral Form - Updated Version
• Attachment: New Participant FMS Referral Form Updated 10032012 
• Important Information for FMS
• Attachment:  PA DPW Transferring Vendor FEA Provider Document Checklist
• Attachment:  Transfer of Participant Documents Letter
• Attachment:  PA State Garnishment Letter   
• Public Partnerships, LLC to Handle Medicaid Payments for Waivers
• Public Partnership's Web Portal Instruction Guide for Service Coordinators
• Important:  December 14, 2012 HCSIS Automatic Updates
• Attachment:  December 14, 2012 HCSIS Automatic Updates
• Letter to Service Coordination Entites and Current Providers of Financial Management Services
• Attachment:  Updated Frequently Asked Questions and Answers Regarding Transition to PPL

Mosley v Alexander Settlement Agreement

• Mosley v Alexander Settlement Agreement
• Exhibit A
• Exhibit B
• Exhibit C
• Exhibit D

Draft of Provider Handbook

A Draft Provider Handbook has been prepared for Home and Community-Based Service Providers. It is intended to be used as a reference manual for providers. It is posted here for review and comment. Please use the accompanying Comment Sheet in preparing and submitting comments to the OLTL. Comments may be submitted to the following address: RA-oltlstreamlining@pa.gov  Comments are being accepted until May 28, 2013.

Draft Provider Handbook
Comment Sheet for Provider Handbook