Pennsylvania Code
Title 55 - HUMAN SERVICES
Part I - Department of Human Services
Subpart E - Home and Community-based Services
Chapter 52 - LONG-TERM LIVING HOME AND COMMUNITY-BASED SERVICES
Subchapter D - PROVIDER DISQUALIFICATION
Section 52.62 - Prohibition of services
Universal Citation: 55 PA Code ยง 52.62
Current through Register Vol. 54, No. 44, November 2, 2024
(a) A provider may be sanctioned, prohibited or disenrolled from providing services for failure to perform any of the following:
(1) Protect the health and welfare of a
participant during service delivery.
(2) Comply with applicable Federal or State
laws and this chapter.
(3) Comply
with a provision of the MA provider agreement, including the waiver
addendum.
(4) Deliver a service in
the type, scope, amount, duration and frequency required by the approved
service plan when the participant is available for the delivery of the
service.
(5) Develop or implement a
CAP.
(6) Maintain licenses or
certifications, or both, as required by Federal or State agencies.
(7) Maintain accurate records.
(b) The Department may prohibit a provider from providing new participants with services if the provider violates subsection (a).
(c) A disenrolled provider shall cooperate with the Department, new providers of services and participants with transition planning to ensure participant's continuity of care.
Disclaimer: These regulations may not be the most recent version. Pennsylvania may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
