Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1187 - NURSING FACILITY SERVICES
Subchapter K - EXCEPTIONAL PAYMENT FOR NURSING FACILITY SERVICES
Section 1187.156 - Exceptional DME notification and reporting requirements
Universal Citation: 55 PA Code ยง 1187.156
Current through Register Vol. 54, No. 12, March 23, 2024
(a) Status reports. A nursing facility receiving a grant shall submit periodic status reports to the Department as specified in the nursing facility's grant.
(b) Notices. A nursing facility receiving a grant shall notify the Department in writing within 5 days of any of the following occurrences:
(1) The
resident dies.
(2) The resident
ceases to be MA eligible.
(3) The
resident is transferred or discharged from the nursing facility, whether or not
there is intent to return.
(4) The
nursing facility determines, or is advised by the resident's attending
physician, that the exceptional DME is no longer medically necessary.
(5) The resident notifies the nursing
facility in writing that he exercises his right to refuse use of the
exceptional DME.
(6) The nursing
facility ceases to use the exceptional DME or make that DME available to the
resident in the course of providing nursing facility services to the
resident.
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