Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1181 - NURSING FACILITY CARE
Subchapter D - NURSING HOME REFORM-STATEMENT OF POLICY
APPEALS OF ADVERSE DETERMINATIONS
Section 1181.564 - When an appeal is required to be filed

Universal Citation: 55 PA Code ยง 1181.564

Current through Register Vol. 54, No. 44, November 2, 2024

(a) An appeal from an adverse determination in the preadmission screening process shall be filed within 30 days of the date of written notice of the determination involved. Additional time will be permitted only as provided at § 275.3(b) (relating to requirements).

(b) For purposes of OBRA-87 adverse determination appeals, the notice required by § 275.3(b) will be issued by the following:

(1) Notice of classification as an individual who requires a determination by the Department of Aging will be issued by the service provider-the nursing home-using Form PA-PASARR-ID.

(2) Notice that an individual referred to the Department of Aging may not be admitted to a nursing facility will be issued by the Department, using Form PA-PASARR-YN.

(c) An appeal is deemed filed on the date it is actually received by the Office of Hearings and Appeals. If there is an official United States Post Office postmark on an envelope transmitting an appeal, it will be deemed filed on the postmark date.

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