Pennsylvania Code
Title 55 - HUMAN SERVICES
Part VIII - Intellectual Disability and Autism Manual
Subpart C - Administration and Fiscal Management
Chapter 6100 - SERVICES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR AUTISM
ENROLLMENT
Section 6100.82 - HCBS enrollment documentation

Universal Citation: 55 PA Code ยง 6100.82

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

An applicant who wishes to provide an HCBS in accordance with this chapter shall complete and submit the following completed documents to the Department:

(1) A provider enrollment application on a form specified by the Department.

(2) An HCBS waiver provider agreement on a form specified by the Department.

(3) Copies of current licenses as specified in § 6100.81(c) (relating to HCBS provider requirements).

(4) Verification of compliance with § 6100.47 (relating to criminal history checks).

(5) Verification of completion of the Department's monitoring documentation.

(6) Verification of completion of the Department's pre-enrollment provider training.

(7) Documents required in accordance with applicable Federal and State statutes and regulations.

This section cited in 55 Pa. Code § 6100.805 (relating to vendor goods and services).

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